Multidimensionality within the Edinburgh postnatal depression scale: application issues of specific structure
Ratislavová, Kateřina, Hendrych Lorenzová, Eva, Lochmannová, Alena and Martin, Colin (2023) Multidimensionality within the Edinburgh postnatal depression scale: application issues of specific structure. Journal of Reproductive and Infant Psychology. ISSN 1469-672X
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Abstract
Objective and background
The 10-item Edinburgh Postnatal Depression Scale (EPDS) is a widely-used screening measure for postnatal depression. Factor analysis studies have suggested an embedded sub-scale could be used for screening for anxiety disorders. The current investigation sought to replicate and extend a recent study supporting this assertion.
Methods
A cross-sectional design. EPDS data were collected at up to two years postpartum. Confirmatory factor analysis, correlational and distributional characteristics of the measure were examined. Participants were a large sample (N = 985) of postpartum women in the Czech Republic.
Results
Factor structure findings substantially replicated the models evaluated by Della Vedova et al. (2022). Bifactor models, however, offered a better fit to data. A general factor of depression explained most of the variance in data in most models compared to embedded sub-scales across models.
Conclusion
The model proposed by Della Vedova et al. (2022) offered an excellent fit to data. However, the findings from the bifactor modelling suggest the dominance of a general factor of depression which indicates the potential application of an embedded anxiety sub-scale for screening may be overstated.
Item Type: | Article |
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Uncontrolled Keywords: | Edinburgh Postnatal Depression Scale (EPDS), factor structure, validity, psychometrics, screening |
Subjects: | R Medicine > R Medicine (General) |
Divisions: | Other Departments (Central units) > Research & Enterprise |
SWORD Depositor: | Pub Router |
Depositing User: | Pub Router |
Date Deposited: | 05 Dec 2023 11:11 |
Last Modified: | 05 Dec 2023 11:11 |
URI: | https://oars.uos.ac.uk/id/eprint/3494 |