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Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women

Author

Listed:
  • Zuzana Škodová

    (Department of Midwifery, Jessenius Faculty of Medicine, Comenius University, 03601 Martin, Slovakia)

  • Ľubica Bánovčinová

    (Department of Midwifery, Jessenius Faculty of Medicine, Comenius University, 03601 Martin, Slovakia)

  • Eva Urbanová

    (Department of Midwifery, Jessenius Faculty of Medicine, Comenius University, 03601 Martin, Slovakia)

  • Marián Grendár

    (Bioinformatic Unit, Biomedical Center Martin, Jessenius Faculty of Medicine, Comenius University, 03601 Martin, Slovakia)

  • Martina Bašková

    (Department of Midwifery, Jessenius Faculty of Medicine, Comenius University, 03601 Martin, Slovakia)

Abstract

Background: Postpartum depression has a negative impact on quality of life. The aim of this study was to examine the factor structure and psychometric properties of the Slovak version of the Edinburgh Postnatal Depression Scale (EPDS). Methods: A paper and pencil version of the 10-item EPDS questionnaire was administered personally to 577 women at baseline during their stay in hospital on the second to fourth day postpartum (age, 30.6 ± 4.9 years; 73.5% vaginal births vs. 26.5% operative births; 59.4% primiparas). A total of 198 women participated in the online follow-up 6–8 weeks postpartum (questionnaire sent via e-mail). Results: The Slovak version of the EPDS had Cronbach’s coefficients of 0.84 and 0.88 at baseline (T1) and follow-up, respectively. The three-dimensional model of the scale offered good fit for both the baseline (χ 2 (df = 28) = 1339.38, p < 0.001; CFI = 0.99, RMSEA = 0.02, and TLI = 0.99) and follow-up (χ 2 (df = 45) = 908.06, p < 0.001, CFI = 0.93, RMSEA = 0.09, and TL = 0.90). A risk of major depression (EPDS score ≥ 13) was identified in 6.1% in T1 and 11.6% in the follow-up. Elevated levels of depression symptoms (EPDS score ≥ 10) were identified in 16.7% and 22.7% of the respondents at baseline and follow-up, respectively. Conclusions: The Slovak translation of the EPDS showed good consistency, convergent validity, and model characteristics. The routine use of EPDS can contribute to improving the quality of postnatal health care.

Suggested Citation

  • Zuzana Škodová & Ľubica Bánovčinová & Eva Urbanová & Marián Grendár & Martina Bašková, 2021. "Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women," IJERPH, MDPI, vol. 18(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6298-:d:572772
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    References listed on IDEAS

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    1. Paulo Ruiz-Grosso & Christian Loret de Mola & Johann M Vega-Dienstmaier & Jorge M Arevalo & Kristhy Chavez & Ana Vilela & Maria Lazo & Julio Huapaya, 2012. "Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: A Comparative Validation Study," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-9, October.
    2. Kornelia Zaręba & Jolanta Banasiewicz & Hanna Rozenek & Stanisław Wójtowicz & Grzegorz Jakiel, 2020. "Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study," IJERPH, MDPI, vol. 17(23), pages 1-12, November.
    3. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
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