Adaptation of the edinburgh postnatal depression scale in the indonesian version: Self-reported anxiety and depression symptoms in pregnant women

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Abstract

BACKGROUND: Anxiety and depression disorders in pregnant women are often not identified so that early treatment is not optimal. Indonesia already has comprehensive integrated antenatal care, including services for pregnant women with mental disorders, but until now Indonesia does not yet have a standardized instrument that is valid and suitable as a screening tool to assess symptoms of anxiety and depression in pregnant women. The Edinburgh Postnatal Depression Scale (EPDS) is a screening instrument with high sensitivity and specificity, has been translated into Indonesian, but until now, the Indonesian version of the EPDS instrument has not been evaluated for validity and reliability in the population of pregnant women. AIM: The purpose of this study was to adapt the Indonesian version of the EPDS instrument, including testing the validity and reliability of the instrument when used on pregnant women in Indonesia. METHODS: This research was a cross-sectional study. The number of pregnant women participated was 125 samples. Data were collected randomly, and the assessment of symptoms of anxiety and depression was self-reported through online. Content validity was assessed with a content validity index from five experts, construct validation was analyzed by explanatory factor analysis, confirmatory factor analysis, and convergent validity. The reliability of the EPDS instrument was assessed by construct reliability and Cronbach’s alpha. RESULTS: Content validity index showed expert agreement with a value of 0.98. The Indonesian version of the EPDS showed assessing three factors, namely: Depression (five items), anxiety (three items), and anhedonia (two items). The reliability of the Indonesian version of the EPDS instrument is good with Cronbach’s alpha 0.80 and the internal reliability of the ten items (Cronbach’s alpha 0.767–0.812). CONCLUSION: The Indonesian version of the EPDS instrument is valid and reliable to be used to assess symptoms of anxiety and depression in pregnant women in antenatal care in Indonesia.

Original languageEnglish
Pages (from-to)1654-1659
Number of pages6
JournalOpen Access Macedonian Journal of Medical Sciences
Volume9
DOIs
Publication statusPublished - 26 Dec 2021

Keywords

  • EPDS
  • Pregnant women
  • Reliability
  • Validity

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