Edinburgh Postnatal Depression Scale (EPDS)

 
 
Name:  Address:
Date of Birth: 
 
Baby's Date of Birth:  Phone:
 

As you are pregnant or have recently had a baby, we would like to know how you are feeling.
Please check the answer that comes closest to how you have felt IN THE PAST 7 DAYS, not just how you feel today.



In the past 7 days:
1) I have been able to laugh and see the funny side of things
As much as I always could.
Not quite as much now.
Definitely not so much now.
Not at all.
*6) Things have been getting on top of me
Yes, most of the times I haven't been able to cope at all.
Yes, sometimes I haven't been coping as well as usual.
No, most of the time I have coped quite well.
No, I have been coping as well as ever.
2) I have looked forward with enjoyment to things
As much as I ever did.
Rather less than I used to.
Definitely less than I used to.
Hardly at all.
*7) I have been so unhappy that I have had difficulty sleeping
Yes, most of the time.
Yes, sometimes.
Not very often.
No, not at all.
*3) I have blamed myself unnecessarily when things went wrong
Yes, most of the time
Yes, some of the time
Not very often
No, never
*8) I have felt sad or miserable
Yes, most of the time.
Yes, quite often. 
Not very often
No, not at all.
4) I have been anxious or worried for no good reason
No, not at all
Hardly ever
Yes, sometimes
Yes, very often.
*9) I have been so unhappy that I have been crying
Yes, most of the time.
Yes, quite often.
Only Occasionally.
No, never.
*5) I have felt scared or panicky for no very good reason
Yes, quite a lot
Yes, sometimes
No, not much
No, not at all.
*10) The thought of harming myself has occurred to me
Yes, quite often.
Somtimes
Hardly ever
Never

 

 
Administered/Reviewed by  Date: 


Postpartum depression is the most common complication of childbearing. The 10-question Edinburgh Postnatal Depression Scale (EPDS) is a valuable and efficient way of identifying patients at risk for "perinatal" depression. The EPDS is easy to administer and has proven to be an effective screening tool.

Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis. The scale indicates how the mother has felt during the previous week. In doubtful cases it may be useful to repeat the tool after 2 weeks. The scale will not detect mothers with anxiety neuroses, phobias or personality disorders.

Women with postpartum depression need not feel alone. They may find useful information on the web sites of the National Women's Health Information Center and from groups such as Postpartum Support International and Depression after Delivery.
   

Scoring

Questions 1, 2, & 4 (without an *) Are scored 0, 1, 2 or 3 with top box scored as 0 and the bottom box scored as 3.

QUESTIONS 3, 5­-10 (marked with an *) Are reverse scored, with the top box scored as a 3 and the bottom box scored as 0. 

Maximum score: 30

Possible Depression: 10 or greater

Always look at item 10 (suicidal thoughts)

Users may reproduce the scale without further permission, providing they respect copyright by quoting the names of the authors, the title, and the source of the paper in all reproduced copies. 

Instructions for using the Edinburgh Postnatal Depression Scale:

1. The mother is asked to check the response that comes closest to how she has been feeling in the previous 7 days.
2. All the items must be completed.  
3. Care should be taken to avoid the possibility of the mother discussing her answers with others. (Answers come from the mother or pregnant woman.)  
4. The mother should complete the scale herself, unless she has limited English or has difficulty with reading.