A systematic review of EPDS cultural suitability with Indigenous mothers: a global perspective.
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Date
2020-12-01
Author(s)
Journal Title
Journal ISSN
Volume Title
Publisher
Affiliation(s)
(Chan) School of Psychology, Exercise Science, Chiropractic & Counselling, Murdoch University, Perth, Australia
(Reid) Victoria University, Melbourne, Australia
(Reid) Global Health Academy, The University of Edinburgh, Edinburgh, United Kingdom
(Skeffington) Psychology, Exercise Science, Chiropractic & Counselling, Murdoch University, Perth, Australia
(Marriott) Ngangk Yira Research Centre for Aboriginal Health and Social Equity, Murdoch University, Perth, Australia
(Reid) Victoria University, Melbourne, Australia
(Reid) Global Health Academy, The University of Edinburgh, Edinburgh, United Kingdom
(Skeffington) Psychology, Exercise Science, Chiropractic & Counselling, Murdoch University, Perth, Australia
(Marriott) Ngangk Yira Research Centre for Aboriginal Health and Social Equity, Murdoch University, Perth, Australia
Year
2021
Citation
Archives of Women's Mental Health. Vol.24(3), 2021, pp. 353-365.
Journal
Archives of Women's Mental Health
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Grant information
Organisation: (BRIC) Brain Research Imaging Centre, University of Edinburgh Organisation No: 501100002754 Country: United Kingdom
Organisation: (ED) University of Edinburgh Organisation No: 501100000848 Country: United Kingdom
Organisation: (IASH) Institute for Advanced Studies in the Humanities, University of Edinburgh Organisation No: 501100000635 Country: United Kingdom
Organisation: (SSPS) School of Social and Political Science, University of Edinburgh Organisation No: 100014372 Country: United Kingdom
Organisation: College of Medicine and Veterinary Medicine, University of Edinburgh Organisation No: 100010949 Country: United Kingdom
Organisation: College of Medicine and Veterinary Medicine, University of Edinburgh Organisation No: 501100009147 Country: United Kingdom
Organisation: School of Informatics, University of Edinburgh Organisation No: 501100005698 Country: United Kingdom
Organisation: (ED) University of Edinburgh Organisation No: 501100000848 Country: United Kingdom
Organisation: (IASH) Institute for Advanced Studies in the Humanities, University of Edinburgh Organisation No: 501100000635 Country: United Kingdom
Organisation: (SSPS) School of Social and Political Science, University of Edinburgh Organisation No: 100014372 Country: United Kingdom
Organisation: College of Medicine and Veterinary Medicine, University of Edinburgh Organisation No: 100010949 Country: United Kingdom
Organisation: College of Medicine and Veterinary Medicine, University of Edinburgh Organisation No: 501100009147 Country: United Kingdom
Organisation: School of Informatics, University of Edinburgh Organisation No: 501100005698 Country: United Kingdom
Abstract
The Edinburgh Postnatal Depression Scale (EPDS) is used extensively as the "gold standard" perinatal depression and anxiety screening tool. This study contributes to an emerging discussion about the tool's shortcomings, specifically around cultural suitability for use with Indigenous women. A systematic search was conducted in ProQuest, PsycINFO, MEDLINE (Web of Science), PubMed, Scopus, Informit, and CINAHL research databases, and grey literature. The quality of the body of evidence was assessed using the NHMRC Level of Evidence framework. Three studies supported the cultural validation of the EPDS with Indigenous groups in Canada (n = 2) and the USA (n = 1). The remaining eleven Australian studies demonstrated that cultural concerns were suggested by either Indigenous mothers, healthcare professionals (Indigenous and non-Indigenous), or both, though cultural concerns were more weighted from the perspectives of healthcare professionals. The quality of the evidence was not strong, and thus, there is a critical and urgent need for targeted research in this area. This review identified and recommended Indigenous-specific methodologies that can be adopted for more trustworthy, culturally safe, and effective research in this area. Given that the EPDS is currently considered gold standard in routine perinatal mental health screening practice in countries around the world, these findings raise significant concerns. Using culturally relevant research methodologies, such as the use of mixed-methods design, could lay stronger groundwork for further investigation of the broader utility and cultural relevance of the tool.Copyright © 2020, The Author(s).
PubMed ID
33245435 [https://www.ncbi.nlm.nih.gov/pubmed/?term=33245435]
Type
Article
Study type
Systematic review and/or meta-analysis
Subjects
Mental health
Maternal health
Maternal health