Get Printable Edinburgh Postnatal Depression Scale

Recommended follow-up to results of the Edinburgh Postnatal Depression Scale (EPDS)*: The EPDS is a 10-item self-rating scale. The total score is calculated by adding together the scores of the 10 items; maximum score is 30. The EPDS is available at .cfp.ca.

Edinburgh Postnatal Depression Scale (EPDS)[1] The questionnaire below is called the Edinburgh Postnatal Depression Scale (EDPS) The EDPS was developed to identify women who may have postpartum depression. Each answer is given a score of 0 to 3 . The maximum score is 30.

Conclusions An EPDS cut-off value of 11 or higher maximised combined sensitivity and specificity; a cut-off value of 13 or higher was less sensitive but more specific. To identify pregnant and postpartum women with higher symptom levels, a cut-off of 13 or higher could be used.

Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis.

None or minimal depression (0–6), Mild depression (7–13), Moderate depression (14–19), Severe depression (19–30).

Thus a score of 3 or higher on the EPDS-3 may indicate the presence of depression, and further clinical assessment is required. A score of 6 or higher indicates a higher probability of depression.

The EPDS is easy to administer and has proven to be an effective screening tool. Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis.

Repeat the EDS in 2 weeks time and continue monitoring progress regularly. If the scores increase to above 12 assess further and consider referral as needed. 13 +: Scores above 12 require further assessment and appropriate management as the likelihood of depression is high.