Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE: Une revue systématique et une méta-analyse des données individuelles des participants

Brett D. Thombs; Brooke Levis; Anita Lyubenova; Dipika Neupane; Zelalem Negeri; Yin Wu; Ying Sun; Chen He; Ankur Krishnan; Simone N. Vigod; Parash Mani Bhandari; Mahrukh Imran; Danielle B. Rice; Marleine Azar; Matthew J. Chiovitti; Nazanin Saadat; Kira E. Riehm; Jill T. Boruff; Pim Cuijpers; Simon Gilbody; John P.A. Ioannidis; Lorie A. Kloda; Scott B. Patten; Ian Shrier; Roy C. Ziegelstein; Liane Comeau; Nicholas D. Mitchell; Marcello Tonelli; Jacqueline Barnes; Cheryl Tatano Beck; Carola Bindt; Barbara Figueiredo; Nadine Helle; Louise M. Howard; Jane Kohlhoff; Zoltán Kozinszky; Angeliki A. Leonardou; Sandra Nakić Radoš; Chantal Quispel; Tamsen J. Rochat; Alan Stein; Robert C. Stewart; Meri Tadinac; S. Darius Tandon; Iva Tendais; Annamária Töreki; Thach D. Tran; Kylee Trevillion; Katherine Turner; Johann M. Vega-Dienstmaier; Andrea Benedetti

doi:10.1177/0706743720934959

Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE: Une revue systématique et une méta-analyse des données individuelles des participants

Translated title of the contribution: Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis

Brett D. Thombs^*, Brooke Levis, Anita Lyubenova, Dipika Neupane, Zelalem Negeri, Yin Wu, Ying Sun, Chen He, Ankur Krishnan, Simone N. Vigod, Parash Mani Bhandari, Mahrukh Imran, Danielle B. Rice, Marleine Azar, Matthew J. Chiovitti, Nazanin Saadat, Kira E. Riehm, Jill T. Boruff, Pim Cuijpers, Simon GilbodyJohn P.A. Ioannidis, Lorie A. Kloda, Scott B. Patten, Ian Shrier, Roy C. Ziegelstein, Liane Comeau, Nicholas D. Mitchell, Marcello Tonelli, Jacqueline Barnes, Cheryl Tatano Beck, Carola Bindt, Barbara Figueiredo, Nadine Helle, Louise M. Howard, Jane Kohlhoff, Zoltán Kozinszky, Angeliki A. Leonardou, Sandra Nakić Radoš, Chantal Quispel, Tamsen J. Rochat, Alan Stein, Robert C. Stewart, Meri Tadinac, S. Darius Tandon, Iva Tendais, Annamária Töreki, Thach D. Tran, Kylee Trevillion, Katherine Turner, Johann M. Vega-Dienstmaier, Andrea Benedetti

^*Corresponding author for this work

Research output: Contribution to Journal › Review article › Academic › peer-review

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Abstract

Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ≥7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ≥7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ≥7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ≥7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence.

Translated title of the contribution	Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis
Original language	French
Pages (from-to)	835-844
Number of pages	10
Journal	Canadian Journal of Psychiatry
Volume	65
Issue number	12
Early online date	26 Oct 2020
DOIs	https://doi.org/10.1177/0706743720934959
Publication status	Published - 1 Dec 2020

Keywords

epidemiology
evidence-based medicine
obstetrics and gynecology
psychiatry
statistics and research methods

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10.1177/0706743720934959

Overestimation of Postpartum Depression Prevalence Based on a 5item Version of the EPDSFinal published version, 274 KBLicence: Article 25fa Dutch Copyright Act

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Thombs, B. D., Levis, B., Lyubenova, A., Neupane, D., Negeri, Z., Wu, Y., Sun, Y., He, C., Krishnan, A., Vigod, S. N., Bhandari, P. M., Imran, M., Rice, D. B., Azar, M., Chiovitti, M. J., Saadat, N., Riehm, K. E., Boruff, J. T., Cuijpers, P., ... Benedetti, A. (2020). Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE: Une revue systématique et une méta-analyse des données individuelles des participants. Canadian Journal of Psychiatry, 65(12), 835-844. https://doi.org/10.1177/0706743720934959

Thombs, Brett D. ; Levis, Brooke ; Lyubenova, Anita ; Neupane, Dipika ; Negeri, Zelalem ; Wu, Yin ; Sun, Ying ; He, Chen ; Krishnan, Ankur ; Vigod, Simone N. ; Bhandari, Parash Mani ; Imran, Mahrukh ; Rice, Danielle B. ; Azar, Marleine ; Chiovitti, Matthew J. ; Saadat, Nazanin ; Riehm, Kira E. ; Boruff, Jill T. ; Cuijpers, Pim ; Gilbody, Simon ; Ioannidis, John P.A. ; Kloda, Lorie A. ; Patten, Scott B. ; Shrier, Ian ; Ziegelstein, Roy C. ; Comeau, Liane ; Mitchell, Nicholas D. ; Tonelli, Marcello ; Barnes, Jacqueline ; Beck, Cheryl Tatano ; Bindt, Carola ; Figueiredo, Barbara ; Helle, Nadine ; Howard, Louise M. ; Kohlhoff, Jane ; Kozinszky, Zoltán ; Leonardou, Angeliki A. ; Radoš, Sandra Nakić ; Quispel, Chantal ; Rochat, Tamsen J. ; Stein, Alan ; Stewart, Robert C. ; Tadinac, Meri ; Tandon, S. Darius ; Tendais, Iva ; Töreki, Annamária ; Tran, Thach D. ; Trevillion, Kylee ; Turner, Katherine ; Vega-Dienstmaier, Johann M. ; Benedetti, Andrea. / Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE : Une revue systématique et une méta-analyse des données individuelles des participants. In: Canadian Journal of Psychiatry. 2020 ; Vol. 65, No. 12. pp. 835-844.

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title = "Surestimation de la pr{\'e}valence de la d{\'e}pression du postpartum selon une version en 5 items de l{\textquoteright}EDPE: Une revue syst{\'e}matique et une m{\'e}ta-analyse des donn{\'e}es individuelles des participants",

abstract = "Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ≥7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ≥7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ≥7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ≥7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence.",

keywords = "epidemiology, evidence-based medicine, obstetrics and gynecology, psychiatry, statistics and research methods",

author = "Thombs, {Brett D.} and Brooke Levis and Anita Lyubenova and Dipika Neupane and Zelalem Negeri and Yin Wu and Ying Sun and Chen He and Ankur Krishnan and Vigod, {Simone N.} and Bhandari, {Parash Mani} and Mahrukh Imran and Rice, {Danielle B.} and Marleine Azar and Chiovitti, {Matthew J.} and Nazanin Saadat and Riehm, {Kira E.} and Boruff, {Jill T.} and Pim Cuijpers and Simon Gilbody and Ioannidis, {John P.A.} and Kloda, {Lorie A.} and Patten, {Scott B.} and Ian Shrier and Ziegelstein, {Roy C.} and Liane Comeau and Mitchell, {Nicholas D.} and Marcello Tonelli and Jacqueline Barnes and Beck, {Cheryl Tatano} and Carola Bindt and Barbara Figueiredo and Nadine Helle and Howard, {Louise M.} and Jane Kohlhoff and Zolt{\'a}n Kozinszky and Leonardou, {Angeliki A.} and Rado{\v s}, {Sandra Naki{\'c}} and Chantal Quispel and Rochat, {Tamsen J.} and Alan Stein and Stewart, {Robert C.} and Meri Tadinac and Tandon, {S. Darius} and Iva Tendais and Annam{\'a}ria T{\"o}reki and Tran, {Thach D.} and Kylee Trevillion and Katherine Turner and Vega-Dienstmaier, {Johann M.} and Andrea Benedetti",

year = "2020",

month = dec,

day = "1",

doi = "10.1177/0706743720934959",

language = "French",

volume = "65",

pages = "835--844",

journal = "Canadian Journal of Psychiatry",

issn = "0706-7437",

publisher = "Canadian Psychiatric Association",

number = "12",

}

Thombs, BD, Levis, B, Lyubenova, A, Neupane, D, Negeri, Z, Wu, Y, Sun, Y, He, C, Krishnan, A, Vigod, SN, Bhandari, PM, Imran, M, Rice, DB, Azar, M, Chiovitti, MJ, Saadat, N, Riehm, KE, Boruff, JT, Cuijpers, P, Gilbody, S, Ioannidis, JPA, Kloda, LA, Patten, SB, Shrier, I, Ziegelstein, RC, Comeau, L, Mitchell, ND, Tonelli, M, Barnes, J, Beck, CT, Bindt, C, Figueiredo, B, Helle, N, Howard, LM, Kohlhoff, J, Kozinszky, Z, Leonardou, AA, Radoš, SN, Quispel, C, Rochat, TJ, Stein, A, Stewart, RC, Tadinac, M, Tandon, SD, Tendais, I, Töreki, A, Tran, TD, Trevillion, K, Turner, K, Vega-Dienstmaier, JM & Benedetti, A 2020, 'Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE: Une revue systématique et une méta-analyse des données individuelles des participants', Canadian Journal of Psychiatry, vol. 65, no. 12, pp. 835-844. https://doi.org/10.1177/0706743720934959

Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE : Une revue systématique et une méta-analyse des données individuelles des participants. / Thombs, Brett D.; Levis, Brooke; Lyubenova, Anita; Neupane, Dipika; Negeri, Zelalem; Wu, Yin; Sun, Ying; He, Chen; Krishnan, Ankur; Vigod, Simone N.; Bhandari, Parash Mani; Imran, Mahrukh; Rice, Danielle B.; Azar, Marleine; Chiovitti, Matthew J.; Saadat, Nazanin; Riehm, Kira E.; Boruff, Jill T.; Cuijpers, Pim; Gilbody, Simon; Ioannidis, John P.A.; Kloda, Lorie A.; Patten, Scott B.; Shrier, Ian; Ziegelstein, Roy C.; Comeau, Liane; Mitchell, Nicholas D.; Tonelli, Marcello; Barnes, Jacqueline; Beck, Cheryl Tatano; Bindt, Carola; Figueiredo, Barbara; Helle, Nadine; Howard, Louise M.; Kohlhoff, Jane; Kozinszky, Zoltán; Leonardou, Angeliki A.; Radoš, Sandra Nakić; Quispel, Chantal; Rochat, Tamsen J.; Stein, Alan; Stewart, Robert C.; Tadinac, Meri; Tandon, S. Darius; Tendais, Iva; Töreki, Annamária; Tran, Thach D.; Trevillion, Kylee; Turner, Katherine; Vega-Dienstmaier, Johann M.; Benedetti, Andrea.

In: Canadian Journal of Psychiatry, Vol. 65, No. 12, 01.12.2020, p. 835-844.

Research output: Contribution to Journal › Review article › Academic › peer-review

TY - JOUR

T1 - Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE

T2 - Une revue systématique et une méta-analyse des données individuelles des participants

AU - Thombs, Brett D.

AU - Levis, Brooke

AU - Lyubenova, Anita

AU - Neupane, Dipika

AU - Negeri, Zelalem

AU - Wu, Yin

AU - Sun, Ying

AU - He, Chen

AU - Krishnan, Ankur

AU - Vigod, Simone N.

AU - Bhandari, Parash Mani

AU - Imran, Mahrukh

AU - Rice, Danielle B.

AU - Azar, Marleine

AU - Chiovitti, Matthew J.

AU - Saadat, Nazanin

AU - Riehm, Kira E.

AU - Boruff, Jill T.

AU - Cuijpers, Pim

AU - Gilbody, Simon

AU - Ioannidis, John P.A.

AU - Kloda, Lorie A.

AU - Patten, Scott B.

AU - Shrier, Ian

AU - Ziegelstein, Roy C.

AU - Comeau, Liane

AU - Mitchell, Nicholas D.

AU - Tonelli, Marcello

AU - Barnes, Jacqueline

AU - Beck, Cheryl Tatano

AU - Bindt, Carola

AU - Figueiredo, Barbara

AU - Helle, Nadine

AU - Howard, Louise M.

AU - Kohlhoff, Jane

AU - Kozinszky, Zoltán

AU - Leonardou, Angeliki A.

AU - Radoš, Sandra Nakić

AU - Quispel, Chantal

AU - Rochat, Tamsen J.

AU - Stein, Alan

AU - Stewart, Robert C.

AU - Tadinac, Meri

AU - Tandon, S. Darius

AU - Tendais, Iva

AU - Töreki, Annamária

AU - Tran, Thach D.

AU - Trevillion, Kylee

AU - Turner, Katherine

AU - Vega-Dienstmaier, Johann M.

AU - Benedetti, Andrea

PY - 2020/12/1

Y1 - 2020/12/1

N2 - Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ≥7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ≥7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ≥7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ≥7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence.

AB - Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ≥7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ≥7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ≥7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ≥7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence.

KW - epidemiology

KW - evidence-based medicine

KW - obstetrics and gynecology

KW - psychiatry

KW - statistics and research methods

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UR - http://www.scopus.com/inward/citedby.url?scp=85093952352&partnerID=8YFLogxK

U2 - 10.1177/0706743720934959

DO - 10.1177/0706743720934959

M3 - Review article

C2 - 33104415

AN - SCOPUS:85093952352

VL - 65

SP - 835

EP - 844

JO - Canadian Journal of Psychiatry

JF - Canadian Journal of Psychiatry

SN - 0706-7437

IS - 12

ER -

Surestimation de la prévalence de la dépression du postpartum selon une version en 5 items de l’EDPE: Une revue systématique et une méta-analyse des données individuelles des participants

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