Skip to main content Accessibility help
×
×
Home

The use of Rating Scales to Identify Post-natal Depression

  • Brian Harris (a1), Philip Huckle (a2), Roger Thomas (a2), Sandra Johns (a3) and Hedi Fung (a4)...
Abstract

One hundred and forty-seven mothers were screened for major depression at six to eight weeks postpartum. Using predetermined cut-off points, the Edinburgh Postnatal Depression Scale and the Beck scale were compared in their abilities to identify the 15% of subjects who had major depression according to DSM-III criteria. The sensitivity of Edinburgh scale was 95% and its specificity 93%. The performance of the Beck scale was markedly inferior, with a sensitivity of 68% and specificity of 88%.

Copyright
Corresponding author
Correspondence
References
Hide All
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: American Psychiatric Association.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.
Bedford, A. & Foulds, G. (1978) Delusions – Symptoms – States, Inventory, State of Anxiety and Depression (Manual). Windsor: National Foundation for Education Research.
Cavanaugh, S. von A. (1983) The prevalence of emotional and cognitive dysfunction in a general medical population, using the MMSE, GHQ and BDI. General Hospital Psychiatry, 5, 1524.
Cavanaugh, S., Clark, D. C. & Gibbons, R. D. (1983) Diagnosing depression in the hospitalised medically ill. Psychosomatics, 24, 809815.
Cox, J. L., Connor, Y. & Kendell, R. E. (1982) Prospective study of the psychiatric disorders of childbirth. British Journal of Psychiatry, 140, 111117.
Cox, J. L., Connor, Y. M., Henderson, I. P., et al (1983) Prospective study of the psychiatric disorders by self-report questionnaire. Journal of Affective disorders, 5, 17.
Cox, J. L., Holden, J. M. & Sagovsky, R. (1987) Detection of postnatal depression – development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782786.
Dalton, K. (1971) Prospective study into puerperal depression. British Journal of Psychiatry, 118, 689692.
Fung, H. Y. M., Kologlu, M., Collison, K., et al (1988) Postpartum mood: thyroid dysfunction in Mid Glamorgan. British Medical Journal, 296, 241244.
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.
Harris, B., Young, J. P. R. & Hughes, W. (1984) Appetite and weight change in patients presenting with depressive illness. Journal of Affective Disorders, 6, 331339.
Kearns, N. P., Cruickshank, K. J., McGuigan, K. J., et al (1982) A comparison of depression rating scales. British Journal of Psychiatry, 141, 4549.
Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3537.
Margison, F. & Brockington, I. F. (1982) In Motherhood and Mental Illness (eds Brockington, I. F. & Kumar, R.). London: Academic Press/Grune and Stratton.
Montgomery, S. A. & Asberg, M. (1979) A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382389.
Nielsen, A. C. & Williams, T. A. (1980) Depression in ambulatory medical patients. Archives of General Psychiatry, 37, 9991004.
O'hara, M. W., Rehm, L. P. & Campbell, S. B. (1983) Postpartum depression: a role for social network and life stress variables. Journal of Nervous and Mental Disease, 171, 336341.
Paykel, E. S., Emms, E. M., Fletcher, J. & Rassaby, E. S. (1980) Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339346.
Pitt, B. (1968) Atypical depression following childbirth, British Journal of Psychiatry, 114, 13251335.
Raskin, A., Schulterbrandt, J., Reatig, N. & McKison, J. (1970) Differential response to chlorpromazine, imipramine and placebo – a study of subgroups of hospitalised depressed patients. Archives of General Psychiatry, 23, 164173.
Ryle, A. (1961) The psychological disturbances associated with 345 pregnancies in 137 women. Journal of Mental Science, 107, 279282.
Snaith, R. P. (1987) Concepts of mild depression. British Journal of Psychiatry, 150, 387393.
Snaith, R. P., Constantopoulos, A. A., Jardine, M. Y. & McGuffin, P. (1978) A clinical scale for the self assessment of irritability. British Journal of Psychiatry, 132, 164171.
Snaith, R. P., Harrop, F. M., Newby, D. A. & Teale, C. (1986) Grade scores of the Montgomery-Asberg Depression and the Clinical Anxiety scales. British Journal of Psychiatry, 148, 599601.
Spitzer, R. L., Endicott, J. & Robins, S. (1978) Research Diagnostic Criteria. Archives of General Psychiatry, 35, 773782.
Watson, J. P., Elliot, S. A., Rugg, A. J. & Brough, D. I. (1984) Psychiatric disorder in pregnancy and the first postnatal year. British Journal of Psychiatry, 144, 453462.
Williams, P., Tarnpolsky, A. & Hand, D. (1980) Case definition and case identification in psychiatry epidemiology – review and assessment. Psychological Medicine, 10, 101114.
Wing, T. K., Cooper, J. E. & Sartorius, N. (1973) Present State Examination. Cambridge: Cambridge University Press.
Wrate, R. M., Rooney, A. C., Thomas, P. F. & Cox, J. L. (1985) Postnatal depression and child development – a three-year follow up study. British Journal of Psychiatry, 146, 622627.
Zoccolillo, M., Murphy, G. E. & Wetzel, R. D. (1986) Depression among medical students. Journal of Affective Disorders, 11, 9196.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

The use of Rating Scales to Identify Post-natal Depression

  • Brian Harris (a1), Philip Huckle (a2), Roger Thomas (a2), Sandra Johns (a3) and Hedi Fung (a4)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *