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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

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Volume 7, Issue 2


Volume 10 (2015)

Validation of a Romanian scale to detect antenatal depression

Anne Wallis
  • Department of Epidemiology, College of Public Health, University of Iowa, 200 Hawkins Drive, Iowa City, Iowa, 52242, USA
  • Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania
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  • Other articles by this author:
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/ Roberto Fernandez / Florin Oprescu / Răzvan Cherecheş
  • Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania
  • Department of Occupational and Environmental Health, College of Public Health, University of Iowa, 124 IREH, UI Research Park, Iowa City, Iowa, 52242, USA
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  • Other articles by this author:
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/ Alina Zlati / Claibourne Dungy
  • Department of Epidemiology, College of Public Health, University of Iowa, 200 Hawkins Drive, Iowa City, Iowa, 52242, USA
  • Department of Pediatrics, Children’s Hospital of Iowa, University of Iowa, 2633 Carver Pavillion, 200 Hawkins Drive, Iowa City, Iowa, 52242, USA
  • College of Law, University of Iowa, 130 Byington Road, Iowa City, Iowa, 52242, USA
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Published Online: 2012-02-03 | DOI: https://doi.org/10.2478/s11536-011-0130-1


The aim of this study was to develop and validate a linguistically and culturally appropriate version of the Edinburgh Postnatal Depression Scale (EPDS) for use with women attending antenatal care in Romania. We translated and tested a Romanian version of the EPDS (EPDS-R) in four hospitals in three Romanian cities: Cluj-Napoca, Satu Mare, and Sighetu-Marmatiei. The study population included third-trimester women attending antenatal clinics (n=418); 364 subjects were included in the analytic sample. We used the Center for Epidemiologic Studies Depression Scale (CES-D) as a “gold standard”. We assessed reliability, validity, and conducted sensitivity analysis to establish an EPDS-R cutpoint. We found that reliability was robust (α=0.89) and there was a significant linear relationship between EPDS-R and CES-D scores (r=0.77; p<0.001). We established an EPDS-R cutpoint of >12 to balance sensitivity and specificity. Principal component analysis revealed a two-factor solution. We detected antenatal depressive symptoms prevalence rates of 32% (CES-D) and 38% (EPDS-R). This is the first study to report exclusively on antenatal depression and the use of the EPDS in Central and Eastern Europe. The EPDS-R is easy to administer, reliable, and valid for screening depression among antenatal women in Romania.

Keywords: Perinatal depression; EPDS; Pregnancy; Psychometrics; Validity; Reliability; Central Europe; Eastern Europe

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About the article

Published Online: 2012-02-03

Published in Print: 2012-04-01

Citation Information: Open Medicine, Volume 7, Issue 2, Pages 216–223, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-011-0130-1.

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© 2011 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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