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The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

DOI

  • A Di Florio, University of North Carolina
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  • K Putnam, University of North Carolina
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  • M Altemus, Cornell University
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  • G Apter, Université Paris Cité (Paris V, Paris VII)
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  • V Bergink, Department of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
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  • J Bilszta, University of Melbourne
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  • R Brock, University of Iowa
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  • A Buist, University of Melbourne
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  • K Dan
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  • E Devouche, Université Paris Cité (Paris V, Paris VII)
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  • C N Epperson, University of Pennsylvania
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  • C Guille, Medical University of South Carolina
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  • D Kim, University of Pennsylvania
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  • P Lichtenstein, University of Gothenburg
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  • P K E Magnusson, University of Gothenburg
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  • P Martinez, Behavioral Endocrinology Branch,National Institute of Mental Health, National Institutes of Health, Health and Human Services,Bethesda,MD,USA.
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  • Trine Munk-Olsen
  • J Newport, University of Miami
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  • J Payne, Johns Hopkins University
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  • B W Penninx, Department of Psychiatry, Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, the Netherlands.
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  • M O'Hara, University of Iowa
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  • E Robertson-Blackmore, Department of Family Medicine,Halifax Health,Daytona Beach,FL,USA.
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  • S J Roza, Department of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
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  • K M Sharkey, Brown University
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  • S Stuart, University of Iowa
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  • H Tiemeier, Department of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
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  • A Viktorin, University of Gothenburg
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  • P J Schmidt, Behavioral Endocrinology Branch,National Institute of Mental Health, National Institutes of Health, Health and Human Services,Bethesda,MD,USA.
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  • P F Sullivan, University of North Carolina
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  • Z N Stowe, University of Arkansas for Medical Sciences
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  • K L Wisner, Northwestern University
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  • I Jones, Cardiff University
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  • D R Rubinow, University of North Carolina
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  • S Meltzer-Brody, University of North Carolina

BACKGROUND: Universal screening for postpartum depression is recommended in many countries. Knowledge of whether the disclosure of depressive symptoms in the postpartum period differs across cultures could improve detection and provide new insights into the pathogenesis. Moreover, it is a necessary step to evaluate the universal use of screening instruments in research and clinical practice. In the current study we sought to assess whether the Edinburgh Postnatal Depression Scale (EPDS), the most widely used screening tool for postpartum depression, measures the same underlying construct across cultural groups in a large international dataset.

METHOD: Ordinal regression and measurement invariance were used to explore the association between culture, operationalized as education, ethnicity/race and continent, and endorsement of depressive symptoms using the EPDS on 8209 new mothers from Europe and the USA.

RESULTS: Education, but not ethnicity/race, influenced the reporting of postpartum depression [difference between robust comparative fit indexes (∆*CFI) 0.01), but not between European countries (∆*CFI < 0.01).

CONCLUSIONS: Investigators and clinicians should be aware of the potential differences in expression of phenotype of postpartum depression that women of different educational backgrounds may manifest. The increasing cultural heterogeneity of societies together with the tendency towards globalization requires a culturally sensitive approach to patients, research and policies, that takes into account, beyond rhetoric, the context of a person's experiences and the context in which the research is conducted.

OriginalsprogEngelsk
TidsskriftPsychological Medicine
Vol/bind47
Nummer5
Sider (fra-til)787-799
Antal sider13
ISSN0033-2917
DOI
StatusUdgivet - 2017

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