Computer adaptive testing strategies for the Edinburgh Postnatal Depression Scale (EPDS)
Archives of Women s Mental Health,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 14, 2025
Abstract
Purpose
Perinatal
mood
and
anxiety
disorders
(PMADs)
include
depressive
during
pregnancy
or
postpartum
can
have
significant
consequences
for
the
parent,
child,
family.
When
severe,
these
conditions
lead
to
suicide.
Despite
numerous
policy
efforts
improve
screening,
education,
referral
structures,
disparities
in
PMAD
diagnosis
treatment
still
exists,
particularly
among
racial
ethnic
minorities.
Computer
Adaptive
Testing
(CAT)
has
been
shown
efficiency
of
screening
by
significantly
reducing
test
length.
This
study
evaluates
whether
applying
CAT
Edinburgh
Postnatal
Depression
Scale
(EPDS)
maintains
diagnostic
accuracy
while
ensuring
methods
do
not
exacerbate
outcomes.
Methods
Using
real
data
simulation,
we
assessed
three
CAT-based
short-form
versions
EPDS,
derived
from
one-,
two-,
three-factor
item
response
theory
models.
We
evaluated
their
precision
examined
potential
false
negative
rates
compared
full-length
EPDS.
Results
demonstrate
that
estimated
scores
short
EPDS
administered
through
CAT—assuming
one,
two,
models—are
more
highly
correlated
with
measure
traditionally
used
make
clinical
decisions
(
r’s
between
0.96
0.97)
than
major
disorder
subtest
(CAT-MDD)
CAT-Mental
Health
(CAT-MH
®
)
r
=.82),
as
previously
reported.
Importantly,
CAT-implied
diagnoses
did
vary
groups,
indicating
no
evidence
bias
accuracy.
Conclusion
The
offers
a
promising
solution
improving
without
sacrificing
exacerbating
groups.
By
evaluation
time,
tools
could
facilitate
widespread
equitable
enabling
earlier
PMADs
across
diverse
populations.
Language: Английский
“VID-KIDS” Video-Feedback Interaction Guidance for Depressed Mothers and Their Infants: Results of a Randomized Controlled Trial
Behavioral Sciences,
Journal Year:
2025,
Volume and Issue:
15(3), P. 279 - 279
Published: Feb. 27, 2025
VID-KIDS
(Video-Feedback
Interaction
Guidance
for
Depressed
Mothers
and
their
Infants)
is
a
positive
parenting
programme
comprising
three
brief
nurse-guided
video-feedback
sessions
(offered
in-person
or
virtually
via
Zoom)
that
promote
“serve
return”
interactions
by
helping
depressed
mothers
to
be
more
sensitive
responsive
infant
cues.
We
examined
whether
who
received
the
demonstrated
improved
maternal–infant
interaction
quality.
The
secondary
hypotheses
VID-KIDS’
effects
on
maternal
depression,
anxiety,
perceived
stress,
developmental
outcomes,
cortisol
patterns.
A
parallel
group
randomized
controlled
trial
(n
=
140)
compared
standard
care
controls
(e.g.,
resource
referral
programme).
was
registered
in
US
Clinical
Trials
Registry
(number
NCT03052374).
Outcomes
were
assessed
at
baseline,
nine
weeks
post-randomization
(immediate
post-test),
two
months
post-intervention.
Maternal–infant
quality
significantly
intervention
with
moderate
large
effects.
These
improvements
persisted
during
post-test
after
final
session.
No
significant
differences
detected
outcomes.
This
study
can
improve
context
of
PPD.
findings
are
promising,
as
crucial
promoting
children’s
healthy
development.
Language: Английский