SynthesisArchives of women's mental health2021
A systematic review of EPDS cultural suitability with Indigenous mothers: a global perspective.
Synthesis in Archives of women's mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders: Guide de pratique 2024 du Canadian Network for Mood and Anxiety Treatments pour le traitement des troubles de l'humeur, des troubles anxieux et des troubles connexes périnatals.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2025Guideline
- Digital screening for mental health in pregnancy and postpartum: A systematic review.Archives of women's mental health · 2024Pooled it
- Perinatal depression screening: a systematic review of recommendations from member countries of the Organisation for Economic Co-operation and Development (OECD).Archives of women's mental health · 2022Pooled it
- PROTOCOL: Measures of Parenting Constructs Utilised With Indigenous Caregivers in Canada, Australia, Aotearoa, and the United States: A Scoping Review Protocol.Campbell systematic reviews · 2026Review
- Paternal Postpartum Depression in South Asia.Public health challenges · 2026Review
- Pretesting Parenting Instruments with Indigenous Fathers and Two-Spirit Parents: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Postpartum Depression Screening in Latvia: Validation and Optimal Cut-Off of the Edinburgh Postnatal Depression Scale.Medicina (Kaunas, Lithuania) · 2026Article
- Maternal and infant correlates of postpartum depression: a study from low socioeconomic communities in Karachi, Pakistan.BMC pregnancy and childbirth · 2026Article
- Cross-Cultural Adaptation and Validation of the Beck Depression Inventory (BDI-II) in the Community Otomi of the Mezquital Valley, Mexico.Healthcare (Basel, Switzerland) · 2025Article
- Epidemiology, pathophysiology, and interventions for postpartum depression: Systematic review.World journal of clinical cases · 2025Article
- Decolonizing the exploration of perinatal mental health screening with Indigenous Australian parents in primary care.Primary health care research & development · 2025Article
- Screening depression and anxiety in Indigenous peoples: A global scoping review.Transcultural psychiatry · 2025Article
- Translation and Validation of the Edinburgh Postnatal Depression Scale for Eritrea: A Screening Tool for Postpartum Depression in Primary Health Care Facilities.International journal of women's health · 2025Article
- Understanding perinatal vulnerabilities: how Aboriginal women's cultural strengths and resilience shapes their social and emotional wellbeing.Frontiers in public health · 2025Article
- Maternal heart rate variability at 3-months postpartum is associated with maternal mental health and infant neurophysiology.Scientific reports · 2024Article
- A free association semantic task for fNIRS-based perinatal depression assessment.Frontiers in neurology · 2024Article
- Article
- Psychometric Features of the Edinburgh Postnatal Depression Scale Among Malaysian Women: A Cross-Sectional Study.Cureus · 2023Article
- Community Health Recommendations Driven by mHealth Population Surveillance Data Amongst Burmese Displaced People in Eastern India: A Pilot Usability Assessment of a Mobile Health Application for Data Collection.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Safe and valid? A systematic review of the psychometric properties of culturally adapted depression scales for use among Indigenous populations.Global mental health (Cambridge, England) · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Edinburgh Postnatal Depression Scale (EPDS) is used extensively as the "gold standard" perinatal depression and anxiety screening tool. This study contributes to an emerging discussion about the tool's shortcomings, specifically around cultural suitability for use with Indigenous women. A systematic search was conducted in ProQuest, PsycINFO, MEDLINE (Web of Science), PubMed, Scopus, Informit, and CINAHL research databases, and grey literature. The quality of the body of evidence was assessed using the NHMRC Level of Evidence framework. Three studies supported the cultural validation of the EPDS with Indigenous groups in Canada (n = 2) and the USA (n = 1). The remaining eleven Australian studies demonstrated that cultural concerns were suggested by either Indigenous mothers, healthcare professionals (Indigenous and non-Indigenous), or both, though cultural concerns were more weighted from the perspectives of healthcare professionals. The quality of the evidence was not strong, and thus, there is a critical and urgent need for targeted research in this area. This review identified and recommended Indigenous-specific methodologies that can be adopted for more trustworthy, culturally safe, and effective research in this area. Given that the EPDS is currently considered gold standard in routine perinatal mental health screening practice in countries around the world, these findings raise significant concerns. Using culturally relevant research methodologies, such as the use of mixed-methods design, could lay stronger groundwork for further investigation of the broader utility and cultural relevance of the tool.
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Registered trials
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.