Publications by authors named "Alberto Tonelli"

Article Synopsis
  • The 2018/2019 Maternal Mental Health survey in Canada found that 18% of 7,085 mothers reported symptoms consistent with postpartum depression, as measured by the Edinburgh Postpartum Depression Scale (EPDS-5).
  • An analysis of 3,958 participants from 19 studies revealed that the true prevalence of major depression, as assessed by a structured interview (SCID), was around 9.2%, while the EPDS-5 indicated a higher prevalence of 16.2%.
  • The findings suggest that the EPDS-5 may overestimate the prevalence of major depression, highlighting the need for validated diagnostic interviews to accurately assess mental health in postpartum women.
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Objectives: Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies.

Methods: We analyzed datasets that compared EPDS scores to Structured Clinical Interview for DSM (SCID) major depression status.

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Objectives: A previous individual participant data meta-analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire-9. We aimed to determine whether similar results would be seen in a different population, using studies that administered the Edinburgh Postnatal Depression Scale (EPDS) in pregnancy or postpartum.

Methods: Data accrued for an EPDS diagnostic accuracy IPDMA were analysed.

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