<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Yawn, Barbara P.</style></author><author><style face="normal" font="default" size="100%">Pace, Wilson</style></author><author><style face="normal" font="default" size="100%">Wollan, Peter C.</style></author><author><style face="normal" font="default" size="100%">Bertram, Susan</style></author><author><style face="normal" font="default" size="100%">Kurland, Margary</style></author><author><style face="normal" font="default" size="100%">Graham, Deborah</style></author><author><style face="normal" font="default" size="100%">Dietrich, Allen</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women</style></title><secondary-title><style face="normal" font="default" size="100%">The Journal of the American Board of Family Medicine</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2009</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2009-09-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">483-491</style></pages><doi><style  face="normal" font="default" size="100%">10.3122/jabfm.2009.05.080155</style></doi><volume><style face="normal" font="default" size="100%">22</style></volume><issue><style face="normal" font="default" size="100%">5</style></issue><abstract><style  face="normal" font="default" size="100%">Objectives: To compare the Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) as screening tools for postpartum depression.Methods: This study population included the first 500 women to enroll and return their packets during an ongoing study of postpartum depression.Results: The primary outcome of this study was to find rates of concordance and discordance in the EPDS and PHQ-9 categories of “normal” and “increased risk for major depressive disorder.” Overall, 97% of eligible women enrolled and 70% returned the packets that included the EPDS and PHQ-9. Four hundred eighty-one of the first 500 packets had complete data, with elevated EPDS or PHQ-9 scores in 138 and 132 women, respectively. Concordance of the EPDS and PHQ-9 were present in 399 women (83%): 326 (67.8%) had “normal” score on both, and 73 (15.2%) had elevated scores for both. Discordant scores in 82 women included 17 with elevated PHQ-9 scores but normal EPDS scores and 65 with elevated EPDS scores and PHQ-9 scores &lt;10. In multivariate logistic regression modeling, only age &gt;30 and low education level were predictive of discordant scores, using EPDS and PHQ-9 scores of ≥10 as elevated (odds ratio, 1.9 and P = .02; and odds ratio, 2.3 and P = .01, respectively). PHQ-9 scores of 5 to 9 have been referred to as consistent with “mild depressive symptoms” and appropriate for “watchful waiting” and repeat PHQ-9 at follow-up. Using this follow-up approach would require re-evaluation of 120 (25%) of the women screened.Conclusions: Postpartum depression screening is feasible in primary care practices, and for most women the EPDS and PHQ-9 scores were concordant. Further work is required to identify reasons for the 17% discordant scores as well as to provide definitive recommendations for PHQ-9 scores of 5 to 9.</style></abstract></record></records></xml>