Individual participant data meta-analysis to compare EPDS accuracy to detect major depression with and without the self-harm item

作者：Xia Qiu, Yin Wu, Ying Sun, Brooke Levis, Jizhou Tian, Jill Boruff, Pim Cuijpers, John P. A. Ioannidis, Sarah Markham, Roy C. Ziegelstein, Simone N. Vigod, Andrea Benedetti, Brett D. Thombs, the DEPRESsion Screening Data (DEPRESSD) EPDS Group, Chen He, Ankur Krishnan, Parash Mani Bhandari, Dipika Neupane, Zelalem Negeri, Mahrukh Imran, Danielle B. Rice, Marleine Azar, Matthew J. Chiovitti, Simon Gilbody, Lorie A. Kloda, Scott B. Patten, Nicholas Mitchell, Rubén Alvarado, Jacqueline Barnes, Cheryl Tatano Beck, Carola Bindt, Humberto Corrêa, Tiago Castro e Couto, Genesis Chorwe‐Sungani, Valsamma Eapen, Nicolas Favez, Ethel Felice, Gracia Fellmeth, Michelle Fernandes, Sally Field, Bárbara Figueiredo, Jane Fisher, Eric Green, Simone Honikman, Louise M. Howard, Pirjo Kettunen, Jane Kohlhoff, Zoltán Kozinszky, Angeliki Leonardou, Michaël Maes, Pablo Martínez, Sandra Nakić Radoš, Daisuke Nishi, Susan Pawlby, Tamsen Rochat, Heather Rowe, Deborah J. Sharp, Alkistis Skalkidou, Johanne Smith‐Nielsen, Alan Stein, Kuan‐Pin Su, Inger Sundström Poromaa, Meri Tadinac, S. Darius Tandon, Iva Tendais, Annamária Töreki, Thach Tran, Kylee Trevillion, Katherine Turner, Mette Skovgaard Væver, Thandi van Heyningen, Johann M. Vega‐Dienstmaier, Karen Wynter, Kimberly A. Yonkers · 发表于：Scientific Reports · 年份：2023 · DOI：10.1038/s41598-023-29114-w · 被引用次数：28 · 研究领域：Maternal Mental Health During Pregnancy and Postpartum、Child and Adolescent Psychosocial and Emotional Development、Suicide and Self-Harm Studies

Item 10 of the Edinburgh Postnatal Depression Scale (EPDS) is intended to assess thoughts of intentional self-harm but may also elicit concerns about accidental self-harm. It does not specifically address suicide ideation but, nonetheless, is sometimes used as an indicator of suicidality. The 9-item version of the EPDS (EPDS-9), which omits item 10, is sometimes used in research due to concern about positive endorsements of item 10 and necessary follow-up. We assessed the equivalence of total score correlations and screening accuracy to detect major depression using the EPDS-9 versus full EPDS among pregnant and postpartum women. We searched Medline, Medline In-Process and Other Non-Indexed Citations, PsycINFO, and Web of Science from database inception to October 3, 2018 for studies that administered the EPDS and conducted diagnostic classification for major depression based on a validated semi-structured or fully structured interview among women aged 18 or older during pregnancy or within 12 months of giving birth. We conducted an individual participant data meta-analysis. We calculated Pearson correlations with 95% prediction interval (PI) between EPDS-9 and full EPDS total scores using a random effects model. Bivariate random-effects models were fitted to assess screening accuracy. Equivalence tests were done by comparing the confidence intervals (CIs) around the pooled sensitivity and specificity differences to the equivalence margin of δ = 0.05. Individual participant d...