Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale

Alfonso Gutierrez-Zotes; David Gallardo-Pujol; Javier Labad; Rocío Martín-Santos; Luisa García-Esteve; Estel Gelabert; Manuel Jover; Roser Guillamat; Fermín Mayoral; Isolde Gornemann; Francesca Canellas; Mónica Gratacós; Miriam Guitart; Miguel Roca; Javier Costas; Jose Luis Ivorra; Ricard Navinés; Yolanda De Diego; Elisabet Vilella; Julio Sanjuan

Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale

Alfonso Gutierrez-Zotes, David Gallardo-Pujol, Javier Labad, Rocío Martín-Santos, Luisa García-Esteve, Estel Gelabert, Manuel Jover, Roser Guillamat, Fermín Mayoral, Isolde Gornemann, Francesca Canellas, Mónica Gratacós, Miriam Guitart, Miguel Roca, Javier Costas, Jose Luis Ivorra, Ricard Navinés, Yolanda De Diego, Elisabet Vilella, Julio Sanjuan

Department of Clinical and Health Psychology

Research output: Contribution to journal › Article › Research › peer-review

4 Citations (Scopus)

Abstract

© 2018 STM Editores S.A. All rights reserved. Introduction. The Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in screening for postpartum depression. Although the Spanish version has been widely used, its factorial structure has not yet been studied. Methods. A total of 1,204 women completed the EPDS 32 weeks after delivery. To avoid multiple testing, we split the sample into two halves, randomly drawing two subsamples of 602 participants each. We conducted exploratory factor analysis (EFA), followed by an oblimin rotation with the first sub-sample. Confirmatory factor analysis (CFA) was conducted using a Weighted Least Squares Means and Variance (WLSMV) estimation of the data. We explored different solutions between two and four factors. We compared the factors between two groups with depression and non-depression (evaluated with the Diagnostic Interview for Genetic Studies (DIGS) for the DSM-IV). Results. The EFA indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of the CFA confirmed the three-factor model (X2=99.203, p<0.001; RMSEA=0.06, 90% CI=0.04/0.07, CFI=0.87 and TLI=0.82). Women with depression in the first 32 weeks obtained higher scores for anxiety, depression and anhedonia dimensions (p<0.001). Conclusions. This is the first study of confirmatory analysis with the Spanish version of EPDS in a large sample of women without psychiatric care during pregnancy. A three-factor model consisting of anxiety, depression and anhedonia was used. Women with depression had a higher score in the three dimensions of the EPDS.

Original language	English
Pages (from-to)	174-182
Journal	Actas Espanolas de Psiquiatria
Volume	46
Issue number	5
Publication status	Published - 1 Sep 2018

Keywords

Anhedonia
Anxiety
Depression
Factorial analysis
Postpartum

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Gutierrez-Zotes, A., Gallardo-Pujol, D., Labad, J., Martín-Santos, R., García-Esteve, L., Gelabert, E., Jover, M., Guillamat, R., Mayoral, F., Gornemann, I., Canellas, F., Gratacós, M., Guitart, M., Roca, M., Costas, J., Ivorra, J. L., Navinés, R., De Diego, Y., Vilella, E., & Sanjuan, J. (2018). Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale. Actas Espanolas de Psiquiatria, 46(5), 174-182.

@article{5dd3e4c02a034fe1b860975d0761fdbd,

title = "Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale",

abstract = "{\textcopyright} 2018 STM Editores S.A. All rights reserved. Introduction. The Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in screening for postpartum depression. Although the Spanish version has been widely used, its factorial structure has not yet been studied. Methods. A total of 1,204 women completed the EPDS 32 weeks after delivery. To avoid multiple testing, we split the sample into two halves, randomly drawing two subsamples of 602 participants each. We conducted exploratory factor analysis (EFA), followed by an oblimin rotation with the first sub-sample. Confirmatory factor analysis (CFA) was conducted using a Weighted Least Squares Means and Variance (WLSMV) estimation of the data. We explored different solutions between two and four factors. We compared the factors between two groups with depression and non-depression (evaluated with the Diagnostic Interview for Genetic Studies (DIGS) for the DSM-IV). Results. The EFA indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of the CFA confirmed the three-factor model (X2=99.203, p<0.001; RMSEA=0.06, 90% CI=0.04/0.07, CFI=0.87 and TLI=0.82). Women with depression in the first 32 weeks obtained higher scores for anxiety, depression and anhedonia dimensions (p<0.001). Conclusions. This is the first study of confirmatory analysis with the Spanish version of EPDS in a large sample of women without psychiatric care during pregnancy. A three-factor model consisting of anxiety, depression and anhedonia was used. Women with depression had a higher score in the three dimensions of the EPDS.",

keywords = "Anhedonia, Anxiety, Depression, Factorial analysis, Postpartum",

author = "Alfonso Gutierrez-Zotes and David Gallardo-Pujol and Javier Labad and Roc{\'i}o Mart{\'i}n-Santos and Luisa Garc{\'i}a-Esteve and Estel Gelabert and Manuel Jover and Roser Guillamat and Ferm{\'i}n Mayoral and Isolde Gornemann and Francesca Canellas and M{\'o}nica Gratac{\'o}s and Miriam Guitart and Miguel Roca and Javier Costas and Ivorra, {Jose Luis} and Ricard Navin{\'e}s and {De Diego}, Yolanda and Elisabet Vilella and Julio Sanjuan",

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volume = "46",

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Gutierrez-Zotes, A, Gallardo-Pujol, D, Labad, J, Martín-Santos, R, García-Esteve, L, Gelabert, E, Jover, M, Guillamat, R, Mayoral, F, Gornemann, I, Canellas, F, Gratacós, M, Guitart, M, Roca, M, Costas, J, Ivorra, JL, Navinés, R, De Diego, Y, Vilella, E & Sanjuan, J 2018, 'Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale', Actas Espanolas de Psiquiatria, vol. 46, no. 5, pp. 174-182.

TY - JOUR

T1 - Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale

AU - Gutierrez-Zotes, Alfonso

AU - Gallardo-Pujol, David

AU - Labad, Javier

AU - Martín-Santos, Rocío

AU - García-Esteve, Luisa

AU - Gelabert, Estel

AU - Jover, Manuel

AU - Guillamat, Roser

AU - Mayoral, Fermín

AU - Gornemann, Isolde

AU - Canellas, Francesca

AU - Gratacós, Mónica

AU - Guitart, Miriam

AU - Roca, Miguel

AU - Costas, Javier

AU - Ivorra, Jose Luis

AU - Navinés, Ricard

AU - De Diego, Yolanda

AU - Vilella, Elisabet

AU - Sanjuan, Julio

PY - 2018/9/1

Y1 - 2018/9/1

N2 - © 2018 STM Editores S.A. All rights reserved. Introduction. The Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in screening for postpartum depression. Although the Spanish version has been widely used, its factorial structure has not yet been studied. Methods. A total of 1,204 women completed the EPDS 32 weeks after delivery. To avoid multiple testing, we split the sample into two halves, randomly drawing two subsamples of 602 participants each. We conducted exploratory factor analysis (EFA), followed by an oblimin rotation with the first sub-sample. Confirmatory factor analysis (CFA) was conducted using a Weighted Least Squares Means and Variance (WLSMV) estimation of the data. We explored different solutions between two and four factors. We compared the factors between two groups with depression and non-depression (evaluated with the Diagnostic Interview for Genetic Studies (DIGS) for the DSM-IV). Results. The EFA indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of the CFA confirmed the three-factor model (X2=99.203, p<0.001; RMSEA=0.06, 90% CI=0.04/0.07, CFI=0.87 and TLI=0.82). Women with depression in the first 32 weeks obtained higher scores for anxiety, depression and anhedonia dimensions (p<0.001). Conclusions. This is the first study of confirmatory analysis with the Spanish version of EPDS in a large sample of women without psychiatric care during pregnancy. A three-factor model consisting of anxiety, depression and anhedonia was used. Women with depression had a higher score in the three dimensions of the EPDS.

AB - © 2018 STM Editores S.A. All rights reserved. Introduction. The Edinburgh Postnatal Depression Scale (EPDS) is considered the gold standard in screening for postpartum depression. Although the Spanish version has been widely used, its factorial structure has not yet been studied. Methods. A total of 1,204 women completed the EPDS 32 weeks after delivery. To avoid multiple testing, we split the sample into two halves, randomly drawing two subsamples of 602 participants each. We conducted exploratory factor analysis (EFA), followed by an oblimin rotation with the first sub-sample. Confirmatory factor analysis (CFA) was conducted using a Weighted Least Squares Means and Variance (WLSMV) estimation of the data. We explored different solutions between two and four factors. We compared the factors between two groups with depression and non-depression (evaluated with the Diagnostic Interview for Genetic Studies (DIGS) for the DSM-IV). Results. The EFA indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of the CFA confirmed the three-factor model (X2=99.203, p<0.001; RMSEA=0.06, 90% CI=0.04/0.07, CFI=0.87 and TLI=0.82). Women with depression in the first 32 weeks obtained higher scores for anxiety, depression and anhedonia dimensions (p<0.001). Conclusions. This is the first study of confirmatory analysis with the Spanish version of EPDS in a large sample of women without psychiatric care during pregnancy. A three-factor model consisting of anxiety, depression and anhedonia was used. Women with depression had a higher score in the three dimensions of the EPDS.

KW - Anhedonia

KW - Anxiety

KW - Depression

KW - Factorial analysis

KW - Postpartum

M3 - Article

VL - 46

SP - 174

EP - 182

IS - 5

ER -

Factor structure of the Spanish version of The Edinburgh Postnatal Depression Scale

Abstract

Keywords

UN SDGs

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