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Using the EPDS to Identify Anxiety in Mothers of Infants on the Neonatal Intensive Care Unit

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  • Sara M. Stasik-O’Brien
  • Jennifer E. McCabe-Beane
  • Lisa S. Segre

Abstract

Despite the prevalence of postpartum depression and anxiety, current screening recommendations are limited to depression symptoms. Screening using the Edinburgh Postnatal Depression Scale–Anxiety subscale (EPDS-A) may enhance ability to detect distress in postpartum women. We aimed to replicate the EPDS-A in 200 mothers with infants hospitalized in the neonatal intensive care unit (NICU) and examine its incremental utility in identifying emotional distress. Presence of the EPDS-A was identified using exploratory factor analysis. Women experiencing elevated anxiety were identified using a previously established cutoff score. Results replicated the EPDS-A for the first time in mothers with infants hospitalized in the NICU. In all, 21.9% of these women had elevated anxiety symptoms and nearly one quarter of them would have been missed in routine depression screening. Use of the EPDS-A, in addition to the total EPDS score, is a promising approach to identifying anxious women in need of further evaluation, treatment, or support.

Suggested Citation

  • Sara M. Stasik-O’Brien & Jennifer E. McCabe-Beane & Lisa S. Segre, 2019. "Using the EPDS to Identify Anxiety in Mothers of Infants on the Neonatal Intensive Care Unit," Clinical Nursing Research, , vol. 28(4), pages 473-487, May.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:4:p:473-487
    DOI: 10.1177/1054773817740532
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