한국판 Edinburgh Postnatal Depression Scale의 임상적 적용Clinical Application of Korean Version of Edinburgh Postnatal Depression Scale
- Other Titles
- Clinical Application of Korean Version of Edinburgh Postnatal Depression Scale
- Authors
- 김용구; 허지원; 김계현; 오강섭; 신영철
- Issue Date
- 2008
- Publisher
- 대한신경정신의학회
- Keywords
- 산후우울증·EPDS·K-EPDS·AUC.; Postpartum depression· EPDS· K-EPDS· AUC.; Postpartum depression· EPDS· K-EPDS· AUC.
- Citation
- 신경정신의학, v.47, no.1, pp.36 - 44
- Indexed
- KCI
- Journal Title
- 신경정신의학
- Volume
- 47
- Number
- 1
- Start Page
- 36
- End Page
- 44
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/124749
- ISSN
- 1015-4817
- Abstract
- Objectives:The EPDS (Edinburgh Postnatal Depression Scale) is a 10-items self-report scale designed as a specific
instrument to detect postnatal depression by Cox et al. (1987). This study was to determine the optimal cut-off point of the KEPDS for postpartum depression in Korea.
Methods:The 239 pregnant women assessed their own psychiatric features with the Korean version of the Edinburgh
Postnatal Depression Scale (K-EPDS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Rosenberg Self-Esteem Scale (RSES) and Marital Satisfaction Scale (MSS) at 6 months of pregnancy, 1 week after delivery, and 6 weeks after delivery. Subjects above 9 points of K-EPDS at 6 week after delivery were interviewed with Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to confirm postpartum depression.
Results:The prevalence of postpartum depression was 12.6% (30/239 pregnant women) in our study. The total scores of K-EPDS at 6 weeks after delivery were higher significantly than those of normal group. The score gap of K-EPDS between the depressed pregnant group and the normal pregnant group was increased after the delivery. However, there were no differences in the epidemiological characteristics and the BDI scores at 6 weeks after delivery between groups. Using the AUC (area under the curve), the optimal point to assess the postpartum depression was revealed as 6 weeks after delivery (AUC=85.8%) or 24 weeks of pregnancy (83.7%). The cut-off point of K-EPDS to detect postpartum depression among pregnant women was 9/10 score of K-EPDS (AUC= 81.8%).
Conclusion:In the K-EPDS, cut-off score of 9/10 was optimal to assess the postpartum depression, and K-EPDS at 6 weeks of delivery was more useful than any other point of time. K-EPDS administrated during pregnancy may be a useful tool to find the vulnerability on the postpartum depression. (J Korean Neuropsychiatr Assoc 2008;47(1):36-44)
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.