ArticleJournal of affective disorders2018
Subconstructs of the Edinburgh Postpartum Depression Scale in a postpartum sample in Mexico City.
Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Factor structure of the Edinburgh Postnatal Depression Scale in the Japan Environment and Children's Study.Scientific reports · 2020Trial
- Association between per- and polyfluoroalkyl exposures and postpartum psychological symptoms: Evidence from two population-based pregnancy cohorts.Environmental research · 2026Article
- Air pollution and postpartum depression: the interplay with prenatal stress.Research square · 2026Article
- Article
- Prenatal Iodine Intake and Maternal Pregnancy and Postpartum Depressive and Anhedonia Symptoms: Findings from a Multiethnic US Cohort.Nutrients · 2024Article
- Individual and joint effects of prenatal PMEnvironmental research · 2024Article
- Social Determinants of Health and Parenting Self-Efficacy Among Mothers of Preterm Infants.Journal of the Society for Social Work and Research · 2023Article
- Validation of the anxiety subscale of the Spanish version of the Edinburgh Postnatal Depression Scale (EPDS-A).Frontiers in psychiatry · 2023Article
- The influence of maternal anxiety and cortisol during pregnancy on childhood anxiety symptoms.Psychoneuroendocrinology · 2022Article
- The Effect of Psychological Support Intervention Based on Structure-Process-Result Three-Dimensional Quality Assessment on Maternal Role Adaptation and Pelvic Floor Rehabilitation Exercise Compliance of Women in Spontaneous Labor.Computational and mathematical methods in medicine · 2022Article
- Challenges of Perinatal Depression Care in Mexico City Health Centers.International journal of women's health · 2022Article
- Screening of postpartum depression among new mothers in Istanbul: a psychometric evaluation of the Turkish Edinburgh Postnatal Depression Scale.BMC research notes · 2020Article
- Maternal Prenatal Psychosocial Stress and Prepregnancy BMI Associations with Fetal Iron Status.Current developments in nutrition · 2020Article
- Particulate air pollution exposure during pregnancy and postpartum depression symptoms in women in Mexico City.Environment international · 2020Article
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundPostpartum depression is an important cause of morbidity in mothers and children. The Edinburgh Postpartum Depression Scale (EPDS), the most widely used self-reported measure of postpartum depression, was conceived as a one-dimensional measure. However, evidence that depressive symptoms may be experienced differentially across cultural and racial groups highlights the need to examine structural equivalence using factor analysis across populations. Variation in factor structure for the EPDS remains understudied in middle/low income countries.
methodsWe examined the factor structure of the EPDS assessed 6 months postpartum in 628 Mexican women in a longitudinal Mexico City birth cohort. We performed exploratory factor analysis (EFA) to determine the optimal fit in our sample and confirmatory factor analysis (CFA) to examine the fit of two- and three-factor models previously reported in Hispanic populations.
resultsThe majority of participants had no more than high school education (77%), maternal age was 28 ± 5.4 years and the mean total EPDS score was 6.72 ± 5.8. Using EFA, we identified that the three-factor model provided the optimal fit, with subscales for depression, anxiety, and anhedonia. CFA confirmed that the three-factor model provided the best fit. LIMITATIONS: The study population was lower SES, potentially limiting generalizability. The single administration of the EPDS measure in the postpartum period limited our ability to assess stability over time.
conclusionsBetter delineation of the multi-factorial structure of the EPDS will allow a more comprehensive understanding of psychological functioning in postpartum women and better inform diagnosis, management and policy.
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