Factor structure of the Edinburgh postnatal depression scale Indonesian version

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ObjectivePostpartum depression is underreported in developing countries because it considered stigmatized and treated differently from other diseases. Prenatal screening is essential to prevent comorbidities and provide appropriate management. The ten-item EPDS validated in various translation versions. However, some research shows the stability of different factors in several cluster dimensions. The research aims to confirm the model factor EPDS Indonesian version and test the consistency of the model factors are in pregnant women. MethodsThe EPDS structural factor for 616 in the third-trimester prenatal pregnant women in Makassar City. We present exploratory factor analysis (EFA) to measure the optimal factor and test the factor model obtained by confirmatory factor analysis (CFA). ResultsMore than 60% of subjects have low education, the prevalence of mothers with EPDS>12 is 33.7% of the total 616, with the tendency of undergraduate, multiparous education, family income≤Wage Standard, household mothers, and extended families at higher risk of depression. The EFA results showed that three optimal factor models fit the data, namely anxiety, depression, and anhedonia. The CFA confirms that the three-factor model is valid. Conclusion and recommendationsThis study recommends a three-factor structure suitable identifies postpartum depression in Indonesia's female population. Therefore, this instrument relevant to use as a screening tools for postpartum depression. Nevertheless, for shorter screening needs, digital measuring devices’ transformation is needed to save time collecting and analysing results, especially in the settings of mother and baby services.