Factor structure and psychometric properties of english and spanish versions of the edinburgh postnatal depression scale among Hispanic women in a primary care setting

J Clin Psychol. 2014 Dec;70(12):1240-50. doi: 10.1002/jclp.22101. Epub 2014 May 7.


Background: Although a number of studies have examined the factor structure of the Edinburgh Postnatal Depression Scale (EPDS) in predominately White or African American samples, no published research has reported on the factor structure among Hispanic women who reside in the United States.

Objective: The current study examined the factor structure of the EPDS among Hispanic mothers in the United States.

Method: Among 220 Hispanic women, drawn from a pediatric primary care setting, with an infant aged 0 to 10 months, 6 structural models guided by the empirical literature were evaluated using confirmatory factor analysis.

Results: Results supported a 2-factor model of depression and anxiety as the best fitting model. Multigroup models supported the factorial invariance across women who completed the EDPS in English and Spanish.

Conclusion: These findings provide initial support for the 2-factor structure of the EPDS among Hispanic women in the United States.

Keywords: Hispanic women; anxiety; factor structure; postpartum depression.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Validation Study

MeSH terms

  • Adult
  • Anxiety / psychology*
  • Depression, Postpartum / diagnosis*
  • Depression, Postpartum / psychology*
  • Factor Analysis, Statistical
  • Female
  • Hispanic or Latino / psychology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Infant
  • Infant, Newborn
  • Language
  • Mothers / psychology
  • Primary Health Care
  • Psychiatric Status Rating Scales / standards*
  • Psychometrics
  • United States
  • Whites / psychology
  • Whites / statistics & numerical data
  • Young Adult