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Título:
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Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis
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Autores:
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Thombs, B.D. ;
Levis, B. ;
Lyubenova, A. ;
Neupane, D. ;
Negeri, Z. ;
Wu, Y. ;
Sun, Y. ;
He, C. ;
Krishnan, A. ;
Vigod, S.N. ;
Bhandari, P.M. ;
Imran, M. ;
Rice, D.B. ;
Azar, M. ;
Chiovitti, M.J. ;
Saadat, N. ;
Riehm, K.E. ;
Boruff, J.T. ;
Cuijpers, P. ;
Gilbody, S. ;
Ioannidis, J.P.A. ;
Kloda, L.A. ;
Patten, S.B. ;
Shrier, I. ;
Ziegelstein, R.C. ;
Comeau, L. ;
Mitchell, N.D. ;
Tonelli, M. ;
Barnes, J. ;
Beck, C.T. ;
Bindt, C. ;
Figueiredo, B. ;
Helle, N. ;
Howard, L.M. ;
Kohlhoff, J. ;
Kozinszky, Z. ;
Leonardou, A.A. ;
Radoš, S.N. ;
Quispel, C. ;
Rochat, T.J. ;
Stein, A. ;
Stewart, R.C. ;
Tadinac, M. ;
Tandon, S.D. ;
Tendais, I. ;
Töreki, A. ;
Tran, T.D. ;
Trevillion, K. ;
Turner, K. ;
Vega-Dienstmaier, J.M. ;
Benedetti, A.
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Tipo de documento:
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texto impreso
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Editorial:
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SAGE Publications Inc., 2020-12-14T16:10:17Z
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Nota general:
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info:eu-repo/semantics/restrictedAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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Idiomas:
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Inglés
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Palabras clave:
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Editados por otras instituciones
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Artículos
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Artículos en revistas indizadas
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Resumen:
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Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ?7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ?7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ?7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ?7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ?7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence. © The Author(s) 2020.
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En línea:
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http://repositorio.upch.edu.pe/handle/upch/8823
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