section name header

Assess

Name: ____________________________________________________

Your date of birth: ___________________________________________

Baby's Age: _______________________________________________

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

Sample question:

Here is an example already completed:

I have felt happy

  • Yes, most of the time
  • Yes, some of the time
  • No, not very often
  • No, not at all

This would mean "I have felt happy some of the time during the past week." Please complete the following questions in the same way:

  1. I have been able to laugh and see the funny side of things.
    • As much as I always could
    • Not quite so much now
    • Definitely not so much now
    • Not at all
  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
  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
  4. I have been anxious or worried for no good reason.
    • No, not at all
    • Hardly ever
    • Yes, sometimes
    • Yes, very often
  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
  6. Things have been getting on top of me.*
    • Yes, most of the time 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
  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
  8. I have felt sad or miserable.*
    • Yes, most of the time
    • Yes, quite often
    • Not very often
    • No, not at all
  9. I have been so unhappy that I have been crying.*
    • Yes, most of the time
    • Yes, quite often
    • Only occasionally
    • No, never
  10. The thought of harming myself has occurred to me.*
    • Yes, quite often
    • Sometimes
    • Hardly ever
    • Never

Total score = _______ (See scoring on following page)

Instructions for users:

  1. The mother is asked to underline the response that comes closest to how she has been feeling in the previous 7 days.
  2. All ten items must be completed.
  3. Care should be taken to avoid the possibility of the mother discussing her answers with others.
  4. The mother should complete the scale herself, unless she has limited English or has difficulty with reading.
  5. The EPDS may be used at 6–8 weeks to screen postnatal women. The child health clinic, postnatal check-up, or a home visit may provide suitable opportunities for its completion.

Scoring:

Questions 1, 2, and 4 are scored 0, 1, 2, and 3 according to increased severity of the symptoms. The top response (e.g., As much as I always could, question 1) would be scored a 0 and the bottom response (e.g., Not at all, question 1) scored a 3. Items marked with an asterisk * (questions 3, 5–10) are reverse scored (i.e., 3, 2, 1, and 0). The total score is calculated by adding together the scores for each of the ten items. Maximum score is 30. Patients scoring 13 or more should be assessed for possible depression. A cut-off of 10 or more may be used if greater sensitivity is required. Any score above 0 on item 10 should always prompt further assessment.

SOURCE: © 1987 The Royal College of Psychiatrists. Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782-786. Written permission must be obtained from the Royal College of Psychiatrists for copying and distribution to others or for republication (in print, online or by any other medium).

Translations of the scale, and guidance as to its use, may be found in Cox, J.L., Holden, J. & Henshaw, C. (2014). Perinatal Mental Health: The Edinburgh Postnatal Depression Scale (EPDS) Manual. 2nd Ed. London: RCPsych Publications.

Scoring for Men:

A score of greater than 10 was found to be the optimal cutoff for men and shown to have a reasonable sensitivity and specificity (Edmondson 2010).