Abstract

Assessment of postnatal depression is needed to provide comprehensive care to the mother having postpartum mood disturbances. Aims: 1. To develop a Bengali version of the EPDS. 2. To establish the reliability and validity of the Bengali version of the EPDS. Design: English version of 10 items Edinburgh Postnatal Depression Scale (EPDS) was translated into Bengali by a translation Committee using translation-re-translation technique. High Inter-rater reliability (kappa = 0.754) was observed between the English and Bengali version during initial practice session held amongst 20 bilingual patients. Again 105 postpartum mothers was administered EPDS-B, out of them 32 were cases as per diagnostic scale. For each patient, demographic and clinical data was collected. Results: The Cronbach's Alpha was 0.711, which did not improve if any item was dropped. All items showed strong correlation with the total score. Area of ROC curve was 0.956, P <0.001, area of the curve is very close that indicates strong validity of using EPDS-B as a screener since cut-off point 13. The instrument showed stable four factor structure- Suicide, Depression, Anxiety and difficulty in sleep. Conclusion: Bengali version of EPDS (EPDS-B) is a valid and reliable instrument to assess the postnatal depression.

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