EPDS

Edinburg Postnatal Depression Scale

Validated for use by pregnant women and new mothers
Source: J. L. Cox, J.M. Holden, R. Sagovsky, EPDS,British Journal of Psychiatry, June 1987

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

1. I have been able to laugh and see the funny side of things.

As much as I ever did
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 always could
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 coping as well
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
No, 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

Scoring the Edinburgh Postnatal Depression Scale

Responses are scored 0, 1, 2 and 3 according to increased severity of symptoms (for example, in question 1, “As much as I always could” is scored as 0; “Not at all” is scored as 3).

Questions marked with an asterisk are reverse scored (for example, in question 3, “Yes, most of the time” is scored as 3; “No, never” is scored as 0). The total score is calculated by adding together scores for each of the ten questions (see the New Mother Questionnaire Scoring Sheet).

A score of 12 or higher indicates possible depression.

Limits of this scale

The EPDS will not detect mothers with postpartum panic disorder, obsessive-compulsive disorder or postpartum psychosis. New mothers are at risk of obsessive-compulsive disorder (3-5 percent of new mothers); postpartum panic disorder (up to 10 percent); and postpartum psychosis (.1 percent).

Important note

This questionnaire is provided for educational purposes only. It is not a substitute for consulting with a health professional. Even if an individual’s score on the questionnaire is below 12 it is very important to consult with a primary care doctor or a mental health professional if there are concerns.