Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women

Barbara P. Yawn, Wilson Pace, Peter C. Wollan, Susan Bertram, Margary Kurland, Deborah Graham and Allen Dietrich
The Journal of the American Board of Family Medicine September 2009, 22 (5) 483-491; DOI: https://doi.org/10.3122/jabfm.2009.05.080155
Barbara P. Yawn
MD, MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wilson Pace
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter C. Wollan
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Susan Bertram
BSN, MSN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Margary Kurland
BSN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Deborah Graham
MSPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Allen Dietrich
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Study diagram. EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire; PP, postpartum; F/U, follow-up.

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    Comparison of EPDS and PHQ-9 scores by categories of risk. Darkly shaded areas are concordant between the level of risk identified by the EPDS and the PHQ-9. The lightly shaded area represents those who fall into the PHQ-9 group that have “mild symptoms and require repeat PHQ-9.”42 EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

Tables

  • Figures
    • View popup
    Table 1.

    Categories of Edinburgh Postnatal Depression Scale (18) and Patient Health Questionnaire-9 (42) scores

    EPDS ScoreInterpretationPHQ-9
    ScoreInterpretation
    0-9“Normal”0-4“Normal”
    10, 11“Slightly increased risk”5-9“Mild depressive symptoms”; “repeat PHQ-9 at follow-up”
    12-15“Increased risk”10-14“Moderate depressive symptoms”
    ≥16“Likely depression”≥15“Moderately severe to severe depressive symptoms”
    • EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

    • View popup
    Table 2.

    Response to Suicidal Ideation Questions on Screeners

    Screening ToolSuicidal IssuesResponse
    EPDSNeverNormal
    Hardly everSuicidal ideation requiring evaluation
    SometimesSuicidal ideation requiring evaluation
    OftenSuicidal ideation requiring evaluation
    PHQ-9Not at allNormal
    Several daysSuicidal ideation requiring evaluation
    >Half the daysSuicidal ideation requiring evaluation
    Nearly every daySuicidal ideation requiring evaluation
    • EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

    • View popup
    Table 3.

    Demographics of Women Completing EPDS and PHQ-9 (n = 481)

    AgeMarried*Completed High School†Employed Outside Home‡Income >$30,000/year§
    18 to 19 (n = 57)21 (36.8)46 (80.7)18 (31.6)6 (10.5)
    20 to 24 (n = 154)78 (50.6)125 (81.1)71 (46.1)29 (18.8)
    25 to 29 (n = 137)97 (70.8)119 (86.9)65 (47.4)72 (52.6)
    30 to 34 (n = 86)71 (82.6)81 (94.2)50 (58.1)58 (67.4)
    ≥35 (n = 46)33 (71.7)42 (91.3)28 (60.9)28 (60.9)
    • All values provided as n (%). Percents are by age group.

    • * P < .0001 (χ2 test of row variation).

    • † P = .04 (χ2 test of row variation).

    • ‡ P = .01 (χ2 test of row variation).

    • § P < .0001 (χ2 test of row variation).

    • EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

    • View popup
    Table 4.

    EPDS Versus PHQ-9 Scores by Category (n = 481)

    EPDS ScorePHQ-9 Score
    ≤4; “Normal”5-9; “Reevaluate”10-14; “Increased Risk of Depression”≥15; “Very Likely to Have Depression”
    <0-9; “normal”249 (51.8)77 (16.0)15 (3.1)2 (0.4)
    10, 11; “slightly increased risk”11 (2.2)17 (3.5)7 (1.5)1 (0.2)
    12-15; “increased risk”11 (2.2)22 (4.6)20 (4.2)11 (2.3)
    ≥16; “marked risk”04 (0.8)12 (2.5)22 (4.6)
    • All values provided as n (%).

    • EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

    • View popup
    Table 5.

    Comparison of Suicidal Ideation from EPDS and PHQ-9

    EPDS “The thought of harming myself has occurred to me”PHQ-9 “Thoughts that you would be better off dead, or of hurting yourself in some way”
    Not at AllSeveral DaysMore Than Half the DaysNearly Every Day
    Never4351010
    Hardly ever121000
    Sometimes3540
    Often0001
    • EPDS, Edinburgh Postnatal Depression Scale; PHQ, Patient Health Questionnaire.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family Medicine: 22 (5)
The Journal of the American Board of Family Medicine
Vol. 22, Issue 5
September-October 2009
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
8 + 8 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women
Barbara P. Yawn, Wilson Pace, Peter C. Wollan, Susan Bertram, Margary Kurland, Deborah Graham, Allen Dietrich
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 483-491; DOI: 10.3122/jabfm.2009.05.080155

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women
Barbara P. Yawn, Wilson Pace, Peter C. Wollan, Susan Bertram, Margary Kurland, Deborah Graham, Allen Dietrich
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 483-491; DOI: 10.3122/jabfm.2009.05.080155
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Preventing the Voltage Drop: Keeping Practice-based Research Network (PBRN) Practices Engaged in Studies
  • On Postpartum Depression, Hormonal Problems, and Practice Management for Medical Home Implementation
  • Google Scholar

More in this TOC Section

  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
  • Associations Between Modifiable Preconception Care Indicators and Pregnancy Outcomes
Show more Original Research

Similar Articles

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire