Department of Economics and Business Economics

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

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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. / Di Florio, A; Putnam, K; Altemus, M; Apter, G; Bergink, V; Bilszta, J; Brock, R; Buist, A; Dan, K; Devouche, E; Epperson, C N; Guille, C; Kim, D; Lichtenstein, P; Magnusson, P K E; Martinez, P; Munk-Olsen, Trine; Newport, J; Payne, J; Penninx, B W; O'Hara, M; Robertson-Blackmore, E; Roza, S J; Sharkey, K M; Stuart, S; Tiemeier, H; Viktorin, A; Schmidt, P J; Sullivan, P F; Stowe, Z N; Wisner, K L; Jones, I; Rubinow, D R; Meltzer-Brody, S.

In: Psychological Medicine, Vol. 47, No. 5, 2017, p. 787-799.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Di Florio, A, Putnam, K, Altemus, M, Apter, G, Bergink, V, Bilszta, J, Brock, R, Buist, A, Dan, K, Devouche, E, Epperson, CN, Guille, C, Kim, D, Lichtenstein, P, Magnusson, PKE, Martinez, P, Munk-Olsen, T, Newport, J, Payne, J, Penninx, BW, O'Hara, M, Robertson-Blackmore, E, Roza, SJ, Sharkey, KM, Stuart, S, Tiemeier, H, Viktorin, A, Schmidt, PJ, Sullivan, PF, Stowe, ZN, Wisner, KL, Jones, I, Rubinow, DR & Meltzer-Brody, S 2017, 'The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale', Psychological Medicine, vol. 47, no. 5, pp. 787-799. https://doi.org/10.1017/S0033291716002087

APA

Di Florio, A., Putnam, K., Altemus, M., Apter, G., Bergink, V., Bilszta, J., Brock, R., Buist, A., Dan, K., Devouche, E., Epperson, C. N., Guille, C., Kim, D., Lichtenstein, P., Magnusson, P. K. E., Martinez, P., Munk-Olsen, T., Newport, J., Payne, J., ... Meltzer-Brody, S. (2017). The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale. Psychological Medicine, 47(5), 787-799. https://doi.org/10.1017/S0033291716002087

CBE

Di Florio A, Putnam K, Altemus M, Apter G, Bergink V, Bilszta J, Brock R, Buist A, Dan K, Devouche E, Epperson CN, Guille C, Kim D, Lichtenstein P, Magnusson PKE, Martinez P, Munk-Olsen T, Newport J, Payne J, Penninx BW, O'Hara M, Robertson-Blackmore E, Roza SJ, Sharkey KM, Stuart S, Tiemeier H, Viktorin A, Schmidt PJ, Sullivan PF, Stowe ZN, Wisner KL, Jones I, Rubinow DR, Meltzer-Brody S. 2017. The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale. Psychological Medicine. 47(5):787-799. https://doi.org/10.1017/S0033291716002087

MLA

Vancouver

Author

Di Florio, A ; Putnam, K ; Altemus, M ; Apter, G ; Bergink, V ; Bilszta, J ; Brock, R ; Buist, A ; Dan, K ; Devouche, E ; Epperson, C N ; Guille, C ; Kim, D ; Lichtenstein, P ; Magnusson, P K E ; Martinez, P ; Munk-Olsen, Trine ; Newport, J ; Payne, J ; Penninx, B W ; O'Hara, M ; Robertson-Blackmore, E ; Roza, S J ; Sharkey, K M ; Stuart, S ; Tiemeier, H ; Viktorin, A ; Schmidt, P J ; Sullivan, P F ; Stowe, Z N ; Wisner, K L ; Jones, I ; Rubinow, D R ; Meltzer-Brody, S. / The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale. In: Psychological Medicine. 2017 ; Vol. 47, No. 5. pp. 787-799.

Bibtex

@article{b87380f3262644e4a3e9326d88ac78b4,
title = "The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale",
abstract = "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.",
author = "{Di Florio}, A and K Putnam and M Altemus and G Apter and V Bergink and J Bilszta and R Brock and A Buist and K Dan and E Devouche and Epperson, {C N} and C Guille and D Kim and P Lichtenstein and Magnusson, {P K E} and P Martinez and Trine Munk-Olsen and J Newport and J Payne and Penninx, {B W} and M O'Hara and E Robertson-Blackmore and Roza, {S J} and Sharkey, {K M} and S Stuart and H Tiemeier and A Viktorin and Schmidt, {P J} and Sullivan, {P F} and Stowe, {Z N} and Wisner, {K L} and I Jones and Rubinow, {D R} and S Meltzer-Brody",
year = "2017",
doi = "10.1017/S0033291716002087",
language = "English",
volume = "47",
pages = "787--799",
journal = "Psychological Medicine",
issn = "0033-2917",
publisher = "Cambridge University Press",
number = "5",

}

RIS

TY - JOUR

T1 - The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale

AU - Di Florio, A

AU - Putnam, K

AU - Altemus, M

AU - Apter, G

AU - Bergink, V

AU - Bilszta, J

AU - Brock, R

AU - Buist, A

AU - Dan, K

AU - Devouche, E

AU - Epperson, C N

AU - Guille, C

AU - Kim, D

AU - Lichtenstein, P

AU - Magnusson, P K E

AU - Martinez, P

AU - Munk-Olsen, Trine

AU - Newport, J

AU - Payne, J

AU - Penninx, B W

AU - O'Hara, M

AU - Robertson-Blackmore, E

AU - Roza, S J

AU - Sharkey, K M

AU - Stuart, S

AU - Tiemeier, H

AU - Viktorin, A

AU - Schmidt, P J

AU - Sullivan, P F

AU - Stowe, Z N

AU - Wisner, K L

AU - Jones, I

AU - Rubinow, D R

AU - Meltzer-Brody, S

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

U2 - 10.1017/S0033291716002087

DO - 10.1017/S0033291716002087

M3 - Journal article

C2 - 27866476

VL - 47

SP - 787

EP - 799

JO - Psychological Medicine

JF - Psychological Medicine

SN - 0033-2917

IS - 5

ER -