ArticleArchives of women's mental health2017
Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.
Article in Archives of women's mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- A systematic review of community-based interventions to address perinatal mental health.Seminars in perinatology · 2024Pooled it
- Effects of participation in a U.S. trial of newborn genomic sequencing on parents at risk for depression.Journal of genetic counseling · 2022Trial
- Factor structure of the Edinburgh Postnatal Depression Scale in the Japan Environment and Children's Study.Scientific reports · 2020Trial
- Air pollution mixture exposure during pregnancy and postpartum psychological functioning: racial/ethnic- and fetal sex-specific associations.Journal of exposure science & environmental epidemiology · 2025Article
- Factor structure and longitudinal measurement invariance of Edinburgh Postnatal Depression Scale during the whole perinatal period: a multicenter cohort study in China.BMC public health · 2025Article
- Prenatal Iodine Intake and Maternal Pregnancy and Postpartum Depressive and Anhedonia Symptoms: Findings from a Multiethnic US Cohort.Nutrients · 2024Article
- Postpartum Depression in a Community Sample of American Indian Mothers.Journal of clinical psychology in medical settings · 2023Article
- Detection of differential depressive symptom patterns in a cohort of perinatal women: an exploratory factor analysis using a robust statistics approach.EClinicalMedicine · 2023Article
- Assessing the risk of prenatal depressive symptoms in Chinese women: an integrated evaluation of serum metabolome, multivitamin supplement intake, and clinical blood indicators.Frontiers in psychiatry · 2023Article
- Validation of the anxiety subscale of the Spanish version of the Edinburgh Postnatal Depression Scale (EPDS-A).Frontiers in psychiatry · 2023Article
- Maternal fear of COVID-19 and prevalence of postnatal depression symptoms, risk and protective factors.Journal of psychiatric research · 2022Observational
- Prevalence and Risk Factors of Postpartum Depression in Romanian Women during Two Periods of COVID-19 Pandemic.Journal of clinical medicine · 2022Article
- A transdiagnostic approach to conceptualizing depression across the perinatal period in a high-risk sample.Journal of abnormal psychology · 2020Observational
- Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020Article
- Screening of postpartum depression among new mothers in Istanbul: a psychometric evaluation of the Turkish Edinburgh Postnatal Depression Scale.BMC research notes · 2020Article
- Education level and risk of postpartum depression: results from the Japan Environment and Children's Study (JECS).BMC psychiatry · 2019Article
- Stable factor structure of the Edinburgh Postnatal Depression Scale during the whole peripartum period: Results from a Japanese prospective cohort study.Scientific reports · 2018Article
- Subconstructs of the Edinburgh Postpartum Depression Scale in a postpartum sample in Mexico City.Journal of affective disorders · 2018Article
- Association between particulate air pollution exposure during pregnancy and postpartum maternal psychological functioning.PloS one · 2018Article
- Perceived Labor Control Among Latinas: Examining the Role of Pregnancy Loss, Prenatal Depression, and Childbirth Pain Severity.Journal of midwifery & women's healthArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
The ten-item Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used self-report measures of postpartum depression. Although originally described as a one-dimensional measure, the recognition that depressive symptoms may be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the EPDS in different populations. Variation of the factor structure remains understudied across racial/ethnic groups of US women. We examined the factor structure of the EPDS assessed 6 months postpartum in 515 women (29% black, 53% Hispanic, 18% white) enrolled in an urban Boston longitudinal birth cohort. Exploratory factor analysis (EFA) identified that a three-factor model, including depression, anxiety, and anhedonia subscales, was the most optimal fit in our sample as a whole and across race/ethnicity. Confirmatory factor analysis (CFA) was used to examine the fit of both the two- and three-factor models reported in prior research. CFA confirmed the best fit for a three-factor model, with minimal differences across race/ethnicity. "Things get on top of me" loaded on the anxiety factor among Hispanics, but loaded on the depression factor in whites and African Americans. These findings suggest that EPDS factor structure may need to be adjusted for diverse samples and warrants further study.
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