Mood Emot 2005 Feb; 3(1): 42-49  
Validation Study of the Korean Version of Edinburgh Postnatal Depression Scale(K-EPDS)
Yong Ku Kim, MD1, Seong Doo Won, MA1, Hye Jin Lim, MA2, So-Hyun Choi, MD3, Seung Min Lee, MD4, Young Chul Shin, MD4 and Kye Hyun Kim, MD5
1Department of Psychiatry, College of Medicine, Korea University, Ansan, Korea, 2Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Korea, 3Yong-In Psychiatric Hospital, Yong-In, Korea, 4Department of Psychiatry, KangBuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea, 5Department of Obstetrics & Gynecology, KangBuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence to: 김용구, 425-020 경기도 단원구 고잔동 고려대학교 의과대학 안산병원 정신과학교실, 전화:(031) 412-5140·전송:(031) 412-5144, E-mail:yongku@korea.ac.kr
Published online: February 28, 2005.
© Korean Society for Affective Disorders. All rights reserved.

Abstract
Objectives:The EPDS is a 10-items self-report scale designed as a specific instrument to detect postnatal depression by Cox et al. (1987). This study was conducted to validate the Korean version of the Edinburgh Postnatal Depression Scale (K-EPDS) and to confirm internal structure of the K-EPDS. Methods:The EPDS was translated into Korean and then re-translated into English in order to obtain a version almost identical to the original one. One hundred and twenty three mothers were recruited at first week after delivery and they completed the K-EPDS, Korean version of Beck Depression Inventory (K-BDI), Korean version of Beck Anxiety Inventory (K-BAI). Of the 123 mothers, 100 completed the same questionnaires at 6 weeks postpartum. To estimate the prevalence of postpartum depression in Korea, We used the cut-off scores of 12/13 for major postpartum depression symptomatology and 9/10 for minor/major postpartum depression symptomatology. The internal consistency and test-retest correlation were analyzed. Factor analysis was also conducted to internal structure of the K-EPDS. Results:Internal consistency and test-retest reliability were statistically significant. In addition, K-EPDS was significantly correlated with BDI at first and six weeks postnatally, suggesting a good convergent validity. Exploratory factor analysis with Principal Component Analysis revealed two factors that significantly account for the total variance at week 1 and 6 postpartum (respectively, 58.11%, 57.42%). But items in each factor were variable by time. In the Confirmatory Factor Analysis with Analysis of Moments Structures (AMOS), a correlated 2-factor model could be most suitable model that contained subscales reflecting depressive symptoms and anxiety. Conclusion:The K-EPDS is a simple, quick and reliable measure for postpartum depressive symptomatology.
Keywords: Postpartum depression, EPDS, K-EPDS, Standardization.
  • Search

This Article

Archives