Detection of depression in women of child-bearing age in non-western cultures: A comparison of the Edinburgh Postnatal Depression Scale and the Self-Reporting Questionnaire-20 in Mongolia

Pollock, Jon; Manaseki-Holland, Semira; Patel, Vikram

Abstract

Background: This study assesses, for the first time, the validity and internal reliability of the Edinburgh Post Natal Depression Scale (EPDS) and the WHO Self-Reporting Questionnaire 20-item version (SRQ-20) in detecting depression in Mongolian women of reproductive age. Methods: 100 women age recruited from two psychiatric units specialising in depression (n = 55) and three community-based child immunisation clinics (n = 45) in Ulaanbataar, Mongolia, were formally psychiatrically assessed by a clinician and by administering the revised Clinical Interview Schedule (CIS-R). Each woman also completed the EPDS and SRQ-20. Results: Ninety four women provided complete data and identical optimal cut-off points for both the EPDS (11.5) and SRQ-20 (8.5) were determined against both the psychiatrist's and CIS-R based diagnosis using standard validation parameters. On all parameters the SRQ-20 performed better than the EPDS. The sensitivity of the SRQ-20 in detecting depression was 93% and the specificity 97% against the psychiatrist's diagnosis. Internal reliability was satisfactory. Limitations: The use of a mixed clinical and community sample for validation, and a single psychiatrist may limit the generalisability of these results. Conclusions: The SRQ-20 performed well and better than the EPDS in detecting depression in this group of Mongolian women. © 2006 Elsevier B.V. All rights reserved.

Citation

Pollock, J., Manaseki-Holland, S., & Patel, V. (2006). Detection of depression in women of child-bearing age in non-western cultures: A comparison of the Edinburgh Postnatal Depression Scale and the Self-Reporting Questionnaire-20 in Mongolia. Journal of Affective Disorders, 92(2-3), 267-271. https://doi.org/10.1016/j.jad.2006.02.020

• Journal Article Type: Article
• Publication Date: Jun 1, 2006
• Journal: Journal of Affective Disorders
• Print ISSN: 0165-0327
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 92
• Issue: 2-3
• Pages: 267-271
• DOI: https://doi.org/10.1016/j.jad.2006.02.020
• Keywords: depression, women, EPDS, SRQ-20, Mongolia, validation
• Public URL: https://uwe-repository.worktribe.com/output/1038810
• Publisher URL: http://dx.doi.org/10.1016/j.jad.2006.02.020