The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale
Identifieur interne : 001574 ( Main/Curation ); précédent : 001573; suivant : 001575The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale
Auteurs : A. Di Florio [États-Unis, Royaume-Uni] ; K. Putnam [États-Unis] ; M. Altemus [États-Unis] ; G. Apter [France] ; V. Bergink [Pays-Bas, Danemark] ; J. Bilszta [Australie] ; R. Brock [États-Unis] ; A. Buist [Australie] ; K. M. Deligiannidis [États-Unis] ; E. Devouche [France] ; C. N. Epperson [États-Unis] ; C. Guille [États-Unis] ; D. Kim [États-Unis] ; P. Lichtenstein [Suède] ; P. K. E. Magnusson [Suède] ; P. Martinez [États-Unis] ; T. Munk-Olsen [Danemark] ; J. Newport [États-Unis] ; J. Payne [États-Unis] ; B. W. Penninx [Pays-Bas] ; M. O Ara [États-Unis] ; E. Robertson-Blackmore [États-Unis] ; S. J. Roza [Pays-Bas] ; K. M. Sharkey [États-Unis] ; S. Stuart [États-Unis] ; H. Tiemeier [Pays-Bas] ; A. Viktorin [Suède] ; P. J. Schmidt [États-Unis] ; P. F. Sullivan [États-Unis] ; Z. N. Stowe [États-Unis] ; K. L. Wisner [États-Unis] ; I. Jones [Royaume-Uni] ; D. R. Rubinow [États-Unis] ; S. Meltzer-Brody [États-Unis]Source :
- Psychological medicine [ 0033-2917 ] ; 2016.
Abstract
Universal screening for postpartum depression is recommended in many countries. Knowledge of whether the disclosure of depressive symptoms in the postpartum period differs across cultures could improve detection and provide new insights into the pathogenesis. Moreover, it is a necessary step to evaluate the universal use of screening instruments in research and clinical practice. In the current study we sought to assess whether the Edinburgh Postnatal Depression Scale (EPDS), the most widely used screening tool for postpartum depression, measures the same underlying construct across cultural groups in a large international dataset.
Ordinal regression and measurement invariance were used to explore the association between culture, operationalized as education, ethnicity/race and continent, and endorsement of depressive symptoms using the EPDS on 8209 new mothers from Europe and the USA.
Education, but not ethnicity/race, influenced the reporting of postpartum depression [difference between robust comparative fit indexes (Δ*CFI) < 0.01]. The structure of EPDS responses significantly differed between Europe and the USA (Δ*CFI > 0.01), but not between European countries (Δ*CFI < 0.01).
Investigators and clinicians should be aware of the potential differences in expression of phenotype of postpartum depression that women of different educational backgrounds may manifest. The increasing cultural heterogeneity of societies together with the tendency towards globalization requires a culturally sensitive approach to patients, research and policies, that takes into account, beyond rhetoric, the context of a person’s experiences and the context in which the research is conducted.
Url:
DOI: 10.1017/S0033291716002087
PubMed: 27866476
PubMed Central: 5369767
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Kim</name><affiliation wicri:level="2"><nlm:aff id="A11">Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Lichtenstein, P" sort="Lichtenstein, P" uniqKey="Lichtenstein P" first="P." last="Lichtenstein">P. Lichtenstein</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Magnusson, P K E" sort="Magnusson, P K E" uniqKey="Magnusson P" first="P. K. E." last="Magnusson">P. K. E. Magnusson</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Martinez, P" sort="Martinez, P" uniqKey="Martinez P" first="P." last="Martinez">P. Martinez</name><affiliation wicri:level="2"><nlm:aff id="A14">Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Munk Olsen, T" sort="Munk Olsen, T" uniqKey="Munk Olsen T" first="T." last="Munk-Olsen">T. Munk-Olsen</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Newport, J" sort="Newport, J" uniqKey="Newport J" first="J." last="Newport">J. Newport</name><affiliation wicri:level="2"><nlm:aff id="A15">Department of Psychiatry, University of Miami, Miami, FL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Miami, Miami, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Payne, J" sort="Payne, J" uniqKey="Payne J" first="J." last="Payne">J. Payne</name><affiliation wicri:level="2"><nlm:aff id="A16">Department of Psychiatry, The Johns Hopkins University, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The Johns Hopkins University, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Penninx, B W" sort="Penninx, B W" uniqKey="Penninx B" first="B. W." last="Penninx">B. W. Penninx</name><affiliation wicri:level="3"><nlm:aff id="A17">Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry, VU University Medical Center, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="O Ara, M" sort="O Ara, M" uniqKey="O Ara M" first="M." last="O Ara">M. O Ara</name><affiliation wicri:level="4"><nlm:aff id="A8">Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region><settlement type="city">Iowa City</settlement></placeName><orgName type="university">Université de l'Iowa</orgName></affiliation></author><author><name sortKey="Robertson Blackmore, E" sort="Robertson Blackmore, E" uniqKey="Robertson Blackmore E" first="E." last="Robertson-Blackmore">E. Robertson-Blackmore</name><affiliation wicri:level="2"><nlm:aff id="A18">Department of Family Medicine, Halifax Health, Daytona Beach, FL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Family Medicine, Halifax Health, Daytona Beach, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Roza, S J" sort="Roza, S J" uniqKey="Roza S" first="S. J." last="Roza">S. J. Roza</name><affiliation wicri:level="3"><nlm:aff id="A5">Department of Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Psychology, Erasmus MC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Sharkey, K M" sort="Sharkey, K M" uniqKey="Sharkey K" first="K. M." last="Sharkey">K. M. Sharkey</name><affiliation wicri:level="2"><nlm:aff id="A19">Department of Psychiatry, Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI</wicri:regionArea><placeName><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Stuart, S" sort="Stuart, S" uniqKey="Stuart S" first="S." last="Stuart">S. Stuart</name><affiliation wicri:level="4"><nlm:aff id="A8">Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region><settlement type="city">Iowa City</settlement></placeName><orgName type="university">Université de l'Iowa</orgName></affiliation></author><author><name sortKey="Tiemeier, H" sort="Tiemeier, H" uniqKey="Tiemeier H" first="H." last="Tiemeier">H. Tiemeier</name><affiliation wicri:level="3"><nlm:aff id="A5">Department of Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Psychology, Erasmus MC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Viktorin, A" sort="Viktorin, A" uniqKey="Viktorin A" first="A." last="Viktorin">A. Viktorin</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Schmidt, P J" sort="Schmidt, P J" uniqKey="Schmidt P" first="P. J." last="Schmidt">P. J. Schmidt</name><affiliation wicri:level="2"><nlm:aff id="A14">Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Sullivan, P F" sort="Sullivan, P F" uniqKey="Sullivan P" first="P. F." last="Sullivan">P. F. Sullivan</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Stowe, Z N" sort="Stowe, Z N" uniqKey="Stowe Z" first="Z. N." last="Stowe">Z. N. Stowe</name><affiliation wicri:level="2"><nlm:aff id="A20">Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR</wicri:regionArea><placeName><region type="state">Arkansas</region></placeName></affiliation></author><author><name sortKey="Wisner, K L" sort="Wisner, K L" uniqKey="Wisner K" first="K. L." last="Wisner">K. L. Wisner</name><affiliation wicri:level="2"><nlm:aff id="A21">Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation wicri:level="1"><nlm:aff id="A2">Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></affiliation></author><author><name sortKey="Rubinow, D R" sort="Rubinow, D R" uniqKey="Rubinow D" first="D. R." last="Rubinow">D. R. Rubinow</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Meltzer Brody, S" sort="Meltzer Brody, S" uniqKey="Meltzer Brody S" first="S." last="Meltzer-Brody">S. Meltzer-Brody</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27866476</idno><idno type="pmc">5369767</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369767</idno><idno type="RBID">PMC:5369767</idno><idno type="doi">10.1017/S0033291716002087</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">001F01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F01</idno><idno type="wicri:Area/Pmc/Curation">001D57</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001D57</idno><idno type="wicri:Area/Pmc/Checkpoint">000536</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000536</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000E13</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000E13</idno><idno type="wicri:Area/PubMed/Curation">000E10</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000E10</idno><idno type="wicri:Area/PubMed/Checkpoint">000E10</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000E10</idno><idno type="wicri:Area/Ncbi/Merge">003F09</idno><idno type="wicri:Area/Ncbi/Curation">003F09</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F09</idno><idno type="wicri:doubleKey">0033-2917:2016:Di Florio A:the:impact:of</idno><idno type="wicri:Area/Main/Merge">001569</idno><idno type="wicri:Area/Main/Curation">001574</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The impact of education, country, race and ethnicity on the self-report of postpartum depression using the Edinburgh Postnatal Depression Scale</title><author><name sortKey="Di Florio, A" sort="Di Florio, A" uniqKey="Di Florio A" first="A." last="Di Florio">A. Di Florio</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></affiliation></author><author><name sortKey="Putnam, K" sort="Putnam, K" uniqKey="Putnam K" first="K." last="Putnam">K. Putnam</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Altemus, M" sort="Altemus, M" uniqKey="Altemus M" first="M." last="Altemus">M. Altemus</name><affiliation wicri:level="2"><nlm:aff id="A3">Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Weill Cornell Medical College, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Apter, G" sort="Apter, G" uniqKey="Apter G" first="G." last="Apter">G. Apter</name><affiliation wicri:level="3"><nlm:aff id="A4">Erasme Hospital, Paris Diderot University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Erasme Hospital, Paris Diderot University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Bergink, V" sort="Bergink, V" uniqKey="Bergink V" first="V." last="Bergink">V. Bergink</name><affiliation wicri:level="3"><nlm:aff id="A5">Department of Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Psychology, Erasmus MC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="A6">Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Bilszta, J" sort="Bilszta, J" uniqKey="Bilszta J" first="J." last="Bilszta">J. Bilszta</name><affiliation wicri:level="4"><nlm:aff id="A7">Women’s Mental Health, University of Melbourne, Melbourne, VIC, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Women’s Mental Health, University of Melbourne, Melbourne, VIC</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Brock, R" sort="Brock, R" uniqKey="Brock R" first="R." last="Brock">R. Brock</name><affiliation wicri:level="4"><nlm:aff id="A8">Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region><settlement type="city">Iowa City</settlement></placeName><orgName type="university">Université de l'Iowa</orgName></affiliation></author><author><name sortKey="Buist, A" sort="Buist, A" uniqKey="Buist A" first="A." last="Buist">A. Buist</name><affiliation wicri:level="4"><nlm:aff id="A7">Women’s Mental Health, University of Melbourne, Melbourne, VIC, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Women’s Mental Health, University of Melbourne, Melbourne, VIC</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Deligiannidis, K M" sort="Deligiannidis, K M" uniqKey="Deligiannidis K" first="K. M." last="Deligiannidis">K. M. Deligiannidis</name><affiliation wicri:level="2"><nlm:aff id="A9">Departments of Psychiatry and Obstetrics and Gynecology, Hofstra Northwell School of Medicine, Glen Oaks, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Psychiatry and Obstetrics and Gynecology, Hofstra Northwell School of Medicine, Glen Oaks, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Devouche, E" sort="Devouche, E" uniqKey="Devouche E" first="E." last="Devouche">E. Devouche</name><affiliation wicri:level="3"><nlm:aff id="A10">Erasme Hospital, Paris Descartes University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Erasme Hospital, Paris Descartes University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Epperson, C N" sort="Epperson, C N" uniqKey="Epperson C" first="C. N." last="Epperson">C. N. Epperson</name><affiliation wicri:level="2"><nlm:aff id="A11">Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Guille, C" sort="Guille, C" uniqKey="Guille C" first="C." last="Guille">C. Guille</name><affiliation wicri:level="2"><nlm:aff id="A12">Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Medical University of South Carolina, Charleston, SC</wicri:regionArea><placeName><region type="state">Caroline du Sud</region></placeName></affiliation></author><author><name sortKey="Kim, D" sort="Kim, D" uniqKey="Kim D" first="D." last="Kim">D. Kim</name><affiliation wicri:level="2"><nlm:aff id="A11">Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Lichtenstein, P" sort="Lichtenstein, P" uniqKey="Lichtenstein P" first="P." last="Lichtenstein">P. Lichtenstein</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Magnusson, P K E" sort="Magnusson, P K E" uniqKey="Magnusson P" first="P. K. E." last="Magnusson">P. K. E. Magnusson</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Martinez, P" sort="Martinez, P" uniqKey="Martinez P" first="P." last="Martinez">P. Martinez</name><affiliation wicri:level="2"><nlm:aff id="A14">Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Munk Olsen, T" sort="Munk Olsen, T" uniqKey="Munk Olsen T" first="T." last="Munk-Olsen">T. Munk-Olsen</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Economics and Business, National Centre for Integrated Register-based Research, Aarhus University, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Newport, J" sort="Newport, J" uniqKey="Newport J" first="J." last="Newport">J. Newport</name><affiliation wicri:level="2"><nlm:aff id="A15">Department of Psychiatry, University of Miami, Miami, FL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Miami, Miami, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Payne, J" sort="Payne, J" uniqKey="Payne J" first="J." last="Payne">J. Payne</name><affiliation wicri:level="2"><nlm:aff id="A16">Department of Psychiatry, The Johns Hopkins University, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The Johns Hopkins University, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Penninx, B W" sort="Penninx, B W" uniqKey="Penninx B" first="B. W." last="Penninx">B. W. Penninx</name><affiliation wicri:level="3"><nlm:aff id="A17">Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry, VU University Medical Center, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="O Ara, M" sort="O Ara, M" uniqKey="O Ara M" first="M." last="O Ara">M. O Ara</name><affiliation wicri:level="4"><nlm:aff id="A8">Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region><settlement type="city">Iowa City</settlement></placeName><orgName type="university">Université de l'Iowa</orgName></affiliation></author><author><name sortKey="Robertson Blackmore, E" sort="Robertson Blackmore, E" uniqKey="Robertson Blackmore E" first="E." last="Robertson-Blackmore">E. Robertson-Blackmore</name><affiliation wicri:level="2"><nlm:aff id="A18">Department of Family Medicine, Halifax Health, Daytona Beach, FL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Family Medicine, Halifax Health, Daytona Beach, FL</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Roza, S J" sort="Roza, S J" uniqKey="Roza S" first="S. J." last="Roza">S. J. Roza</name><affiliation wicri:level="3"><nlm:aff id="A5">Department of Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Psychology, Erasmus MC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Sharkey, K M" sort="Sharkey, K M" uniqKey="Sharkey K" first="K. M." last="Sharkey">K. M. Sharkey</name><affiliation wicri:level="2"><nlm:aff id="A19">Department of Psychiatry, Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI</wicri:regionArea><placeName><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Stuart, S" sort="Stuart, S" uniqKey="Stuart S" first="S." last="Stuart">S. Stuart</name><affiliation wicri:level="4"><nlm:aff id="A8">Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region><settlement type="city">Iowa City</settlement></placeName><orgName type="university">Université de l'Iowa</orgName></affiliation></author><author><name sortKey="Tiemeier, H" sort="Tiemeier, H" uniqKey="Tiemeier H" first="H." last="Tiemeier">H. Tiemeier</name><affiliation wicri:level="3"><nlm:aff id="A5">Department of Psychiatry/Psychology, Erasmus MC, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Psychology, Erasmus MC, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Viktorin, A" sort="Viktorin, A" uniqKey="Viktorin A" first="A." last="Viktorin">A. Viktorin</name><affiliation wicri:level="3"><nlm:aff id="A13">Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Schmidt, P J" sort="Schmidt, P J" uniqKey="Schmidt P" first="P. J." last="Schmidt">P. J. Schmidt</name><affiliation wicri:level="2"><nlm:aff id="A14">Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Behavioral Endocrinology Branch, National Institute of Mental Health, National Institutes of Health, Health and Human Services, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Sullivan, P F" sort="Sullivan, P F" uniqKey="Sullivan P" first="P. F." last="Sullivan">P. F. Sullivan</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Stowe, Z N" sort="Stowe, Z N" uniqKey="Stowe Z" first="Z. N." last="Stowe">Z. N. Stowe</name><affiliation wicri:level="2"><nlm:aff id="A20">Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR</wicri:regionArea><placeName><region type="state">Arkansas</region></placeName></affiliation></author><author><name sortKey="Wisner, K L" sort="Wisner, K L" uniqKey="Wisner K" first="K. L." last="Wisner">K. L. Wisner</name><affiliation wicri:level="2"><nlm:aff id="A21">Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University Feinberg School of Medicine, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation wicri:level="1"><nlm:aff id="A2">Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Psychological Medicine and Clinical Neuroscience, Cardiff University School of Medicine, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></affiliation></author><author><name sortKey="Rubinow, D R" sort="Rubinow, D R" uniqKey="Rubinow D" first="D. R." last="Rubinow">D. R. Rubinow</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Meltzer Brody, S" sort="Meltzer Brody, S" uniqKey="Meltzer Brody S" first="S." last="Meltzer-Brody">S. Meltzer-Brody</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region><settlement type="city">Chapel Hill (Caroline du Nord)</settlement></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author></analytic><series><title level="j">Psychological medicine</title><idno type="ISSN">0033-2917</idno><idno type="eISSN">1469-8978</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Universal screening for postpartum depression is recommended in many countries. Knowledge of whether the disclosure of depressive symptoms in the postpartum period differs across cultures could improve detection and provide new insights into the pathogenesis. Moreover, it is a necessary step to evaluate the universal use of screening instruments in research and clinical practice. In the current study we sought to assess whether the Edinburgh Postnatal Depression Scale (EPDS), the most widely used screening tool for postpartum depression, measures the same underlying construct across cultural groups in a large international dataset.</p></sec><sec id="S2"><title>Method</title><p id="P2">Ordinal regression and measurement invariance were used to explore the association between culture, operationalized as education, ethnicity/race and continent, and endorsement of depressive symptoms using the EPDS on 8209 new mothers from Europe and the USA.</p></sec><sec id="S3"><title>Results</title><p id="P3">Education, but not ethnicity/race, influenced the reporting of postpartum depression [difference between robust comparative fit indexes (Δ*CFI) < 0.01]. The structure of EPDS responses significantly differed between Europe and the USA (Δ*CFI > 0.01), but not between European countries (Δ*CFI < 0.01).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Investigators and clinicians should be aware of the potential differences in expression of phenotype of postpartum depression that women of different educational backgrounds may manifest. The increasing cultural heterogeneity of societies together with the tendency towards globalization requires a culturally sensitive approach to patients, research and policies, that takes into account, beyond rhetoric, the context of a person’s experiences and the context in which the research is conducted.</p></sec></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:27866476" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \
| NlmPubMed2Wicri -a AustralieFrV1
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