Evidence map›Paper›PMID 27866476›Full record

ArticlePsychological medicine2017

The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale.

A Di Florio, K Putnam, M Altemus, G Apter, V Bergink, J Bilszta, R Brock, A Buist, K M Deligiannidis, E Devouche and 24 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

A Di FlorioDepartment of Psychiatry,The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
K PutnamDepartment of Psychiatry,The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
M AltemusDepartment of Psychiatry,Weill Cornell Medical College,New York, NY,USA.
G ApterErasme Hospital, Paris Diderot University,Paris,France.
V BerginkDepartment of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
J BilsztaWomen's Mental Health, University of Melbourne,Melbourne,VIC,Australia.
R BrockDepartment of Psychological and Brain Sciences,The University of Iowa,Iowa City,IA,USA.
A BuistWomen's Mental Health, University of Melbourne,Melbourne,VIC,Australia.
K M DeligiannidisDepartments of Psychiatry and Obstetrics and Gynecology, Hofstra Northwell School of Medicine, Glen Oaks, NY,USA.
E DevoucheErasme Hospital, Paris Descartes University,Paris,France.
C N EppersonDepartment of Psychiatry,University of Pennsylvania,Philadelphia,PA,USA.
C GuilleDepartment of Psychiatry,Medical University of South Carolina,Charleston,SC,USA.
D KimDepartment of Psychiatry,University of Pennsylvania,Philadelphia,PA,USA.
P LichtensteinDepartment of Medical Epidemiology and Biostatistics,Karolinska Institute,Stockholm,Sweden.
P K E MagnussonDepartment of Medical Epidemiology and Biostatistics,Karolinska Institute,Stockholm,Sweden.
P MartinezBehavioral Endocrinology Branch,National Institute of Mental Health, National Institutes of Health, Health and Human Services,Bethesda,MD,USA.
T Munk-OlsenDepartment of Economics and Business,National Centre for Integrated Register-based Research, Aarhus University,Aarhus,Denmark.
J NewportDepartment of Psychiatry,University of Miami,Miami,FL,USA.
J PayneDepartment of Psychiatry,The Johns Hopkins University,Baltimore,MD,USA.
B W PenninxDepartment of Psychiatry,VU University Medical Center,Amsterdam,The Netherlands.
M O'HaraDepartment of Psychological and Brain Sciences,The University of Iowa,Iowa City,IA,USA.
E Robertson-BlackmoreDepartment of Family Medicine,Halifax Health,Daytona Beach,FL,USA.
S J RozaDepartment of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
K M SharkeyDepartment of Psychiatry,Alpert Medical School of Brown University/Rhode Island Hospital,Providence,RI,USA.
S StuartDepartment of Psychological and Brain Sciences,The University of Iowa,Iowa City,IA,USA.
H TiemeierDepartment of Psychiatry/Psychology,Erasmus MC,Rotterdam,The Netherlands.
A ViktorinDepartment of Medical Epidemiology and Biostatistics,Karolinska Institute,Stockholm,Sweden.
P J SchmidtBehavioral Endocrinology Branch,National Institute of Mental Health, National Institutes of Health, Health and Human Services,Bethesda,MD,USA.
P F SullivanDepartment of Psychiatry,The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
Z N StoweDepartment of Psychiatry,University of Arkansas for Medical Sciences,Little Rock,AR,USA.
K L WisnerAsher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine,Chicago,IL,USA.
I JonesInstitute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine,Cardiff,UK.
D R RubinowDepartment of Psychiatry,The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
S Meltzer-BrodyDepartment of Psychiatry,The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.

Funding

University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
Reproductive Endocrine Related Mood Disorders-Differential SensitivityZIAMH002865 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER · 2009 to 2025
$11.9M
University of Massachusetts Center for Clinical and Translational ScienceUL1TR000161 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2015
$11.0M
The Impact of Maternal Depression, Anxiety, and StressP50MH077928 · NIMH · EMORY UNIVERSITY · PI NEWPORT, DONALD JEFFREY · 2007 to 2011
$9.6M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Interdisciplinary Women's Health Research at MUSCK12HD055885 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCGINTY, JACQUELINE F. · 2007 to 2021
$7.2M
Prepubertal Stress, Windows of Risk & Sex Bias for Affective DisturbanceP50MH099910 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2012 to 2017
$6.5M
Mood and Anxiety Disorders in Pregnancy and LactationP50MH068036 · NIMH · EMORY UNIVERSITY · PI STOWE, ZACHARY N · 2002 to 2006
$6.1M
Transdermal Estradiol for Postpartum Depression.R01MH057102 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MOSES-KOLKO, EYDIE L · 1997 to 2011
$4.2M
Antimanic Use During PregnancyR01MH075921 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WISNER, KATHERINE L · 2006 to 2010
$3.2M
Identification and Therapy of Postpartum DepressionR01MH071825 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WISNER, KATHERINE L · 2006 to 2010
$3.1M
SSRI Rx: Effects on Self Efficacy and Maternal RoleR01MH060335 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WISNER, KATHERINE L. · 1999 to 2004
$2.9M
Intramural NIH HHS Z01 MH002865Intramural NIH HHS ZIA MH002865NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1 TR000161NCATS NIH HHS UL1 TR001453NICHD NIH HHS K12 HD055885NIDA NIH HHS K24 DA030301NIMH NIH HHS K23 MH074799NIMH NIH HHS K23 MH080290NIMH NIH HHS K23 MH085165NIMH NIH HHS K23 MH086689NIMH NIH HHS K23 MH097794NIMH NIH HHS L30 MH104713NIMH NIH HHS P50 MH068036NIMH NIH HHS P50 MH077928NIMH NIH HHS P50 MH099910NIMH NIH HHS R01 MH057102NIMH NIH HHS R01 MH060335NIMH NIH HHS R01 MH071825NIMH NIH HHS R01 MH075921NIMH NIH HHS R01 MH104468
6 · The paper itself

Abstract

backgroundUniversal screening for postpartum depression is recommended in many countries. Knowledge of whether the disclosure of depressive symptoms in the postpartum period differs across cultures could improve detection and provide new insights into the pathogenesis. Moreover, it is a necessary step to evaluate the universal use of screening instruments in research and clinical practice. In the current study we sought to assess whether the Edinburgh Postnatal Depression Scale (EPDS), the most widely used screening tool for postpartum depression, measures the same underlying construct across cultural groups in a large international dataset.

methodOrdinal regression and measurement invariance were used to explore the association between culture, operationalized as education, ethnicity/race and continent, and endorsement of depressive symptoms using the EPDS on 8209 new mothers from Europe and the USA.

resultsEducation, but not ethnicity/race, influenced the reporting of postpartum depression [difference between robust comparative fit indexes (∆*CFI) 0.01), but not between European countries (∆*CFI < 0.01).

conclusionsInvestigators and clinicians should be aware of the potential differences in expression of phenotype of postpartum depression that women of different educational backgrounds may manifest. The increasing cultural heterogeneity of societies together with the tendency towards globalization requires a culturally sensitive approach to patients, research and policies, that takes into account, beyond rhetoric, the context of a person's experiences and the context in which the research is conducted.

Indexed as

Cross-Cultural ComparisonPsychiatric Status Rating ScalesSelf ReportAdolescentAdultDepression, PostpartumFemaleHumansMiddle AgedYoung AdultCultureEdinburgh Postnatal Depression Scale (EPDS)educationpostpartum depressionrace

Identifiers

PMID27866476
PMCPMC5369767

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.