Edinburgh Postnatal Depression Scale as a Screening Instrument for Postpartum Depression: A Literature Review.
DOI:
https://doi.org/10.58258/rmjv7949Abstract
Background: Postpartum depression, a mental health problem that can affect maternal health and functioning, the mother–infant relationship, and family well-being. Screening is important to identify women who require further evaluation. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used instruments for screening perinatal depression. Objective: This review aimed to examine the use of the EPDS as a screening instrument for postpartum depression, including its characteristics, score interpretation, psychometric evidence for the Indonesian version, advantages, limitations, and application in healthcare settings. Methods: A narrative literature review was conducted using literature addressing postpartum depression, the EPDS, screening accuracy, cut-off values, psychometric properties, adaptation of the Indonesian EPDS, and its application in healthcare settings. Results: The EPDS is a brief and practical 10-items instrument with good performance. Studies in Indonesia have demonstrated psychometric properties supporting the use of the Indonesian EPDS. However, its performance may vary according to the selected cut-off and population characteristics. The EPDS is not a diagnostic instrument; therefore, positive screening results require clinical evaluation, safety assessment, and appropriate follow-up. Conclusion: The EPDS can be recommended as a screening instrument to support the early identification of postpartum depression, including in primary healthcare settings in Indonesia.References
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