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dc.contributor.authorDi Florio, A.
dc.contributor.authorDeligiannidis, Kristina M.
dc.contributor.authorMeltzer-Brody, S.
dc.contributor.authorPostpartum Depression: Action Towards Causes and Treatment (PACT) Consortium
dc.date2022-08-11T08:11:02.000
dc.date.accessioned2022-08-23T17:29:20Z
dc.date.available2022-08-23T17:29:20Z
dc.date.issued2017-04-01
dc.date.submitted2017-12-06
dc.identifier.citationPsychol Med. 2017 Apr;47(5):787-799. doi: 10.1017/S0033291716002087. Epub 2016 Nov 21. <a href="https://doi.org/10.1017/S0033291716002087">Link to article on publisher's site</a>
dc.identifier.issn0033-2917 (Linking)
dc.identifier.doi10.1017/S0033291716002087
dc.identifier.pmid27866476
dc.identifier.urihttp://hdl.handle.net/20.500.14038/50295
dc.description<p>Full list of authors omitted for brevity. For full list see article.</p>
dc.description.abstractBACKGROUND: Universal 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. METHOD: Ordinal 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. RESULTS: Education, 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). CONCLUSIONS: Investigators 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27866476&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369767/
dc.subjectUMCCTS funding
dc.subjectCulture
dc.subjectEdinburgh Postnatal Depression Scale (EPDS)
dc.subjecteducation
dc.subjectpostpartum depression
dc.subjectrace
dc.subjectMaternal and Child Health
dc.subjectPsychiatry and Psychology
dc.subjectTranslational Medical Research
dc.subjectWomen's Health
dc.titleThe impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale
dc.typeJournal Article
dc.source.journaltitlePsychological medicine
dc.source.volume47
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/umccts_pubs/123
dc.identifier.contextkey11207694
html.description.abstract<p>BACKGROUND: Universal 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.</p> <p>METHOD: Ordinal 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.</p> <p>RESULTS: Education, 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).</p> <p>CONCLUSIONS: Investigators 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.</p>
dc.identifier.submissionpathumccts_pubs/123
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages787-799


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