The Edinburgh Postnatal Depression Scale: validation on a Swedish community sample

Acta Psychiatr Scand. 1996 Sep;94(3):181-4. doi: 10.1111/j.1600-0447.1996.tb09845.x.


The Edinburgh Postnatal Depression Scale (EPDS) was designed to be used by community health workers to screen for postnatal depression. We report data from a population-based sample of 1655 women who completed the EPDS at 2 months and 3 months postpartum. A total of 128 women were interviewed with the Montgomery Asberg Depression Rating Scale (MADRS) and assessed according to DSM-III-R criteria for major depression. A cut-off score of 11.5 on the EPDS identified all but two women with major depression, giving it a sensitivity of 96%, a specificity of 49% and a positive predictive value of 59%. This study supports the validity of the EPDS shown in earlier studies, and indicates that the scale is a useful screening instrument for identifying postnatal depression in primary health care in Sweden.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cross-Cultural Comparison*
  • Depression, Postpartum / diagnosis*
  • Depression, Postpartum / epidemiology
  • Depression, Postpartum / psychology
  • Female
  • Humans
  • Mass Screening
  • Primary Health Care / statistics & numerical data
  • Psychometrics
  • Reproducibility of Results
  • Sweden / epidemiology