Edinburgh Postnatal Depression Scale (HK-EPDS2.0a) – Chinese Version

Description

This document presents the Edinburgh Postnatal Depression Scale (EPDS), a self-report questionnaire designed to screen for postpartum depression. It consists of 10 items that assess various symptoms and feelings experienced by individuals after giving birth.

Authors and Contact Email

Information not available.

Purpose

The EPDS is used to identify symptoms of postpartum depression and help in the early detection and intervention of affected individuals.

Test Year

The original EPDS was developed in 1978.

Administration Method and Scoring

Respondents are asked to reflect on their feelings over the past week and select the answer that best reflects their experience. Each item is scored from 0 to 3, with items 1 and 2 being reverse-scored. The scoring for the items is as follows:
1. (1) Same as before. (2) Not as much as before. (3) Definitely less than before. (4) Not at all.
2. (1) Same as before. (2) Not as much as before. (3) Definitely less than before. (4) Not at all.
3. (1) Most of the time. (2) Sometimes. (3) Not often. (4) Not at all.
4. (1) Not at all. (2) Very rarely. (3) Sometimes. (4) Often.
5. (1) Quite a lot of the time. (2) Sometimes. (3) Not often. (4) Not at all.
6. (1) Most of the time I can’t cope. (2) Sometimes I can’t cope as well as usual. (3) Most of the time I can cope as well as usual. (4) I have been able to cope well all the time.
7. (1) Most of the time. (2) Sometimes. (3) Not often. (4) Not at all.
8. (1) Most of the time. (2) Quite a lot of the time. (3) Not often. (4) Not at all.
9. (1) Most of the time. (2) Sometimes. (3) Occasionally. (4) Not at all.
10. (1) Quite a lot of the time. (2) Sometimes. (3) Very rarely. (4) Not at all.

Reliability and Validity

The Chinese version of the EPDS, compiled by Dominic T.S. Lee et al. at the Chinese University of Hong Kong in 1998, demonstrates good sensitivity and specificity. A score of ≥10 is used as the diagnostic standard, yielding a sensitivity of 82%, a specificity of 86%, a positive predictive value of 44%, and a negative predictive value of 97%. To reduce false negatives, a score of ≥7 may be employed. The 9/10 cutoff is significantly better for diagnosing depression compared to the traditional 12/13 cutoff, which results in higher false negative rates.

Factors and Subscales

Information not available.

Keywords

Postpartum Depression, EPDS, Screening Tool, Self-Report Questionnaire

Items in Chinese

1. 我能看到事物有趣的一面,并笑得开心。(1)同以前一样。(2)没有以前那么多。(3)肯定比以前少。(4)完全不能。
2. 我欣然期待未来的一切。(1)同以前一样(2)没有以前那么多(3)肯定比以前少。(4)完全不能。
3. 当事情出错时,我会不必要地责备自己。(1)大部分时候这样。(2)有时候这样。(3)不经常这样。(4)没有这样。
4. 我无缘无故感到焦虑和担心(1)一点也没有。(2)极少有。(3)有时侯这样(4)经常这样。
5. 我无缘无故感到害怕和恐慌。(1)相当多时候这样。(2)有时候这样(3)不经常这样(4)一点也没有。
6. 很多事情冲着我过来,使我透不过气(1)大多数时候我都不能应付。(2)有时候我不能像平时那样应付得好(3)大部分时候我都能像平时那样应付得好。(4)我一直都能应付得好
7. 我很不开心,以致失眠(1)大部分时候这样。(2)有时候这样。(3)不经常这样。(4)一点也没有。
8. 我感到难过和悲伤。(1)大部分时候这样(2)相当多时候这样。(3)不经常这样。(4)一点也没有。
9. 我不开心到哭。(1)大部分时候这样。(2)有时候这样。(3)只是间或这样。(4)没有这样。
10. 我想过要伤害自己。(1)相当多时候这样(2)有时候这样。(3)很少这样。(4)没有这样。

Items in English

1. I can see the funny side of things, and laugh about them. (1) Same as before. (2) Not as much as before. (3) Definitely less than before. (4) Not at all.
2. I look forward with enjoyment to things. (1) Same as before. (2) Not as much as before. (3) Definitely less than before. (4) Not at all.
3. I blame myself unnecessarily when things go wrong. (1) Most of the time. (2) Sometimes. (3) Not often. (4) Not at all.
4. I anxious or worried for no reason. (1) Not at all. (2) Very rarely. (3) Sometimes. (4) Often.
5. I feel scared or panicky for no good reason. (1) Quite a lot of the time. (2) Sometimes. (3) Not often. (4) Not at all.
6. Things are getting on top of me. (1) Most of the time I can’t cope. (2) Sometimes I can’t cope as well as usual. (3) Most of the time I can cope as well as usual. (4) I have been able to cope well all the time.
7. I am so unhappy that I have trouble sleeping. (1) Most of the time. (2) Sometimes. (3) Not often. (4) Not at all.
8. I feel sad or miserable. (1) Most of the time. (2) Quite a lot of the time. (3) Not often. (4) Not at all.
9. I am so unhappy that I cry. (1) Most of the time. (2) Sometimes. (3) Occasionally. (4) Not at all.
10. I have thought about harming myself. (1) Quite a lot of the time. (2) Sometimes. (3) Very rarely. (4) Not at all.

References

金三丽. 易感性人格类型量表(VPSQ)的修订及产后抑郁症易感性人格的研究[D]. 天津医科大学, 2004.