Edinburgh Postnatal Depression Scale (EPDS)[1]
The questionnaire below is called the Edinburgh Postnatal
Depression Scale (EDPS) The EDPS was developed to identify women who may have postpartum
depression. Each answer is given a score of 0 to 3 . The maximum
score is 30.
Please select the answer that comes closest to how you have felt in the past 7
days:
A score of more than 10 suggests minor or major
depression may be present. Further evaluation is recommended[1,8].
Postpartum Depression (Postnatal Depression)
Postpartum depression is major depression that occurs after
giving birth. Symptoms are present for most of the day and last for
at least 2 weeks.
As many as 1 in every 7 women (14%) suffers postpartum depression[5]. In a study of 209 women referred for major
depression during or after pregnancy 11.5% reported start of depression during pregnancy, 66.5% reported start of depression within 6 weeks after childbirth (early postpartum), and 22% reported onset 6 weeks after childbirth (late postpartum). One woman reported onset of depression at more than 27 weeks after childbirth[2].
Racing thoughts, psychotic symptoms (such as hallucinations or delusions), or a family history of bipolar disorder (BPD) may indicate bipolar disorder is present[3,5]. The Mood Disorder Questionnaire (MDQ) is a screening tool used to screen for bipolar disorder[4].
The MDQ is available at http://www.integration.samhsa.gov/images/res/MDQ.pdf
REFERENCES
1. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development
of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987
Jun;150:782-6.
PMID:3651732
2.Cox JL, et al., A controlled study of the onset, duration and prevalence of
postnatal depression. Br J Psychiatry. 1993 Jul;163:27-31.
PMID:8353695
3.Sharma V, et al., Missed bipolarity and psychiatric comorbidity in women with postpartum
depression. Bipolar Disord. 2008 Sep;10(6):742-7.
PMID:18837870
4. Hirschfeld RM, et. al., Development and validation of a screening instrument
for bipolar spectrum disorder: the Mood Disorder Questionnaire.
Am J Psychiatry. 2000 Nov;157(11):1873-5.
PMID:11058490
http://ajp.psychiatryonline.org/article.aspx?articleid=174439
5. Wisner KL, Onset timing, thoughts of self-harm, and diagnoses in postpartum
women with screen-positive depression findings.
JAMA Psychiatry. 2013 May;70(5):490-8.
PMID:23487258
6. Altshuler LL, et al., Treatment of depression in women: a summary of the
expert consensus guidelines. J Psychiatr Pract. 2001 May;7(3):185-208.
PMID:15990522
7. Berle JO, Spigset O.Antidepressant Use During Breastfeeding. Curr Womens
Health Rev. 2011 Feb;7(1):28-34.
PMID:22299006
8. Yonkers KA, et. al., Diagnosis, pathophysiology, and management of mood
disorders in pregnant and postpartum women.
Obstet Gynecol. 2011 Apr;117(4):961-77.
PMID:21422871
8. PROZAC (fluoxetine hydrochloride) capsule
http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=c88f33ed-6dfb-4c5e-bc01-d8e36dd97299
9.
ZOLOFT (sertraline hydrochloride)
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10.
PAXIL (paroxetine hydrochloride)
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11.HALDOL (haloperidol) injection
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