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Abstract

Introduction

While the Edinburgh Postnatal Depression Scale (EPDS) is a standard clinical screening tool for postpartum depression, it is unclear whether it is culturally appropriate for Chinese immigrant women in the United States. Cognitive interviewing (CI) is a method for evaluating a scale’s cultural appropriateness. However, CI procedures are problematic with Chinese population. This study assesses three culturally tailored strategies for implementing CI to evaluate the Chinese version of the EPDS (C-EPDS).

Methodology

CI was conducted with 12 participants in the United States. Three culturally tailored strategies—a CI description, a vignette exercise, and debriefing were used. Directed content analysis was used for data analysis.

Results

The strategies increased participants’ understanding and ability to perform CI procedures, enabling them to discuss postpartum depression. Participants had difficulty responding to several C-EPDS items.

Discussion

Findings highlight the importance of using culturally tailored strategies for implementing CI to assess cultural appropriateness of clinical screening tools.

Keywords

survey design psychiatric/mental health women’s health migration maternal/child

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References

Almeida

L. M.

Costa-Santos

Caldas

J. P.

Dias

Ayres-de-Campos

(2016). The impact of migration on women’s mental health in the postpartum period. Revista de Saude Publica, 50, Article 617. https://doi.org/10.1590/S1518-8787.2016050005617

American College of Obstetricians and Gynecologists. (n.d.). Postpartum depression. https://www.acog.org/patient-resources/faqs/labor-delivery-and-postpartum-care/postpartum-depression

American College of Obstetricians and Gynecologists. (2015). Screening for perinatal depression. https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Screening-for-Perinatal-Depression

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Publishing.

Barroso

Sandelowski

(2001). In the field with the Beck Depression Inventory. Qualitative Health Research, 11(4), 491-504. https://doi.org/10.1177/104973201129119271

Beck

C. T.

(2013). Routledge international handbook of qualitative nursing research. Taylor & Francis.

Beck

C. T.

Gable

R. K.

Sakala

Declercq

E. R.

(2011). Postpartum depressive symptomatology: Results from a two-stage US national survey. Journal of Midwifery & Women’s Health, 56(5), 427-435. https://doi.org/10.1111/j.1542-2011.2011.00090.x

Bergink

Rasgon

Wisner

K. L.

(2016). Postpartum psychosis: Madness, mania, and melancholia in motherhood. American Journal of Psychiatry, 173(12), 1179-1188. https://doi.org/10.1176/appi.ajp.2016.16040454

Boeije

Willis

(2013). The Cognitive Interviewing Reporting Framework (CIRF): Towards the harmonization of cognitive testing reports. Methodology: European Journal of Research Methods for the Behavioral and Social Sciences, 9(3), 87-95. https://doi.org/10.1027/1614-2241/a000075

10.

Cho

K. C.

Lee

Jezewski

M. A.

(2005). Korean women living in the United States as student wives. Health Care for Women International, 26(10), 897-915. https://doi.org/10.1080/07399330500301838

11.

Conrad

Blair

(1996). From impressions to data: Increasing the objectivity of cognitive interviews. In Proceedings of the section on survey research methods, annual meetings of the American Statistical Association, Alexandria, VA.

12.

Cox

J. L.

Holden

J. M.

Sagovsky

(1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150(6), 782-786. https://doi.org/10.1192/bjp.150.6.782

13.

Dennis

C. L.

Brown

H. K.

Wanigaratne

Fung

Vigod

S. N.

Grigoriadis

Marini

Brennenstuhl

(2018). Prevalence, incidence, and persistence of postpartum depression, anxiety, and comorbidity among Chinese immigrant and nonimmigrant women: A longitudinal cohort study. Canadian Journal of Psychiatry, 63(1), 44-53. https://doi.org/10.1177/0706743717720689

14.

Falah-Hassani

Shiri

Vigod

Dennis

C. L.

(2015). Prevalence of postpartum depression among immigrant women: A systematic review and meta-analysis. Journal of Psychiatric Research, 70(November), 67-82. https://doi.org/10.1016/j.jpsychires.2015.08.010

15.

Godderis

Adair

C. E.

Brager

(2009). Applying new techniques to an old ally: A qualitative validation study of the Edinburgh Postnatal Depression Scale. Women and Birth: Journal of the Australian College of Midwives, 22(1), 17-23. https://doi.org/10.1016/j.wombi.2008.10.002

16.

Hirst

K. P.

Moutier

C. Y.

(2010). Postpartum major depression. American Family Physician, 82(8), 926-933. https://www.aafp.org/afp/2010/1015/p926.html

17.

International Organization for Migration. (2018). World migration report 2018. https://www.iom.int/sites/default/files/country/docs/china/r5_world_migration_report_2018_en.pdf

18.

Kozhimannil

K. B.

Trinacty

C. M.

Busch

A. B.

Huskamp

H. A.

Adams

A. S.

(2011). Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services, 62(6), 619-625. https://doi.org/10.1176/ps.62.6.pss6206_0619

19.

Langan

Goodbred

A. J.

(2016). Identification and management of peripartum depression. American Family Physician, 93(10), 852-858. https://www.aafp.org/afp/2016/0515/p852.html

20.

Lee

A. M.

So-Kum Tang

Chong

(2009). A culturally sensitive study of premenstrual and menstrual symptoms among Chinese women. Journal of Psychosomatic Obstetrics & Gynaecology, 30(2), 105-114. https://doi.org/10.1080/01674820902789241

21.

Lee

D. T. S.

Yip

Chiu

Leung

Chung

(2001). A psychiatric epidemiological study of postpartum Chinese women. American Journal of Psychiatry, 158(2), 220-226. https://doi.org/10.1176/appi.ajp.158.2.220

22.

Lee

D. T. S.

Yip

S. K.

Chiu

H. F.

Leung

T. Y.

Chan

K. P.

Chau

I. O.

Leung

H. C.

Chung

T. K.

(1998). Detecting postnatal depression in Chinese women. British Journal of Psychiatry, 172(5), 433-437. https://doi.org/10.1192/bjp.172.5.433

23.

Reavley

(2020). Recognition and beliefs about treatment for mental disorders in mainland China: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 55(2), 129-149. https://doi.org/10.1007/s00127-019-01799-3

24.

Liberto

T. L.

(2012). Screening for depression and help-seeking in postpartum women during well-baby pediatric visits: An integrated review. Journal of Pediatric Health Care, 26(2), 109-117. https://doi.org/10.1016/j.pedhc.2010.06.012

25.

Liu

Yan

Gao

Xiang

Sha

Zeng

(2017). Risk factors for postpartum depression among Chinese women: Path model analysis. BMC Pregnancy and Childbirth, 17(1), 133. https://doi.org/10.1186/s12884-017-1320-x

26.

Maki

P. M.

Kornstein

S. G.

Joffe

Bromberger

J. T.

Freeman

E. W.

Athappilly

Bobo

W. V.

Rubin

L. H.

Koleva

H. K.

Cohen

L. S.

Soares

C. N.

(2019). Guidelines for the Evaluation and treatment of perimenopausal depression: summary and recommendations. Journal of Women’s Health, 28(2), 117-134. https://doi.org/10.1089/jwh.2018.27099.mensocrec

27.

Marsella

A. J.

De Vos

G. A.

Hsu

F. L.

(1985). Culture and self: Asian and Western perspectives. Tavistock Publications.

28.

Matthey

Barnett

B. E.

Elliott

(1997). Vietnamese and Arabic women’s responses to the Diagnostic Interview Schedule (Depression) and Self-Report Questionnaires: Cause for concern. Australian and New Zealand Journal of Psychiatry, 31(3), 360-369. https://doi.org/10.3109/00048679709073845

29.

O’Connor

Rossom

R. C.

Henninger

Groom

H. C.

Burda

B. U.

(2016). Primary care screening for and treatment of depression in pregnant and postpartum women: Evidence report and systematic review for the US preventive services task force. JAMA, 315(4), 388-406. https://doi.org/10.1001/jama.2015.18948

30.

O’Mahony

J. M.

Donnelly

T. T.

Raffin Bouchal

Este

(2013). Cultural background and socioeconomic influence of immigrant and refugee women coping with postpartum depression. Journal of Immigrant and Minority Health, 15(2), 300-314. https://doi.org/10.1007/s10903-012-9663-x

31.

Oyserman

Lee

S. W.

(2008). Does culture influence what and how we think? Effects of priming individualism and collectivism. Psychological Bulletin, 134(2), 311-342. https://doi.org/10.1037/0033-2909.134.2.311

32.

Pan

(Ed.). (2004). Cognitive interviews in languages other than English: Methodological and research issues. In Proceedings of the American Statistical Association, Section on Survey Research Methods. American Statistical association.

33.

Park

Sha

M. M.

Pan

(2014). Investigating validity and effectiveness of cognitive interviewing as a pretesting method for non-English questionnaires: Findings from Korean cognitive interviews. International Journal of Social Research Methodology, 17(6), 643-658. https://doi.org/10.1080/13645579.2013.823002

34.

Playfair

Salami

Hegadoren

(2017). Detecting antepartum and postpartum depression and anxiety symptoms and disorders in immigrant women: A scoping review of the literature. International Journal of Mental Health Nursing, 26(4), 314-325. https://doi.org/10.1111/inm.12347

35.

Public Health Agency of Canada. (2018). Pregnancy and women’s mental health in Canada. https://www.canada.ca/en/public-health/services/publications/healthy-living/pregnancy-women-mental-health-canada.html

36.

Pooler

Perry

D. F.

Ghandour

R. M.

(2013). Prevalence and risk factors for postpartum depressive symptoms among women enrolled in WIC. Maternal and Child Health Journal, 17(10), 1969-1980. https://doi.org/10.1007/s10995-013-1224-y

37.

Rai

Pathak

Sharma

(2015). Postpartum psychiatric disorders: Early diagnosis and management. Indian Journal of Psychiatry, 57(Suppl. 2), S216-S221. https://doi.org/10.4103/0019-5545.161481

38.

Sha

Pan

(Eds.). (2009). The use of vignettes in evaluating multilingual questionnaires. In Proceedings of the American Association for Public Opinion Research. http://www.asasrms.org/Proceedings/y2009/Files/400063.pdf

39.

Shakespeare

Blake

Garcia

(2003). A qualitative study of the acceptability of routine screening of postnatal women using the Edinburgh Postnatal Depression Scale. British Journal of General Practice: Journal of the Royal College of General Practitioners, 53(493), 614-619.

40.

Small

Lumley

Yelland

Brown

(2007). The performance of the Edinburgh Postnatal Depression Scale in English speaking and non-English speaking populations in Australia. Social Psychiatry and Psychiatric Epidemiology, 42(1), 70-78. https://doi.org/10.1007/s00127-006-0134-3

41.

Stapleton

Murphy

Kildea

(2013). Lost in translation: Staff and interpreters’ experiences of the Edinburgh postnatal depression scale with women from refugee backgrounds. Issues in Mental Health Nursing, 34(9), 648-657. https://doi.org/10.3109/01612840.2013.804895

42.

Stewart

D. E.

Vigod

(2016). Postpartum depression. New England Journal of Medicine, 375(22), 2177-2186. https://doi.org/10.1056/NEJMcp1607649

43.

Tandon

S. D.

Leis

J. A.

Mendelson

Perry

D. F.

Kemp

(2014). Six-month outcomes from a randomized controlled trial to prevent perinatal depression in low-income home visiting clients. Maternal and Child Health Journal, 18(4), 873-881. https://doi.org/10.1007/s10995-013-1313-y

44.

Tobin

Di Napoli

Wood-Gauthier

(2015). Recognition of risk factors for postpartum depression in refugee and immigrant women: Are current screening practices adequate? Journal of Immigrant and Minority Health, 17(4), 1019-1024. https://doi.org/10.1007/s10903-014-0041-8

45.

van Santvoort

Hosman

C. M.

Janssens

J. M.

van Doesum

K. T.

Reupert

van Loon

L. M

. (2015). The impact of various parental mental disorders on children’s diagnoses: A systematic review. Clinical Child and Family Psychology Review, 18(4), 281-299. https://doi.org/10.1007/s10567-015-0191-9

46.

Willis

G. B.

(2004). Cognitive interviewing: A tool for improving questionnaire design. Sage.

47.

Willis

G. B.

(2015). The practice of cross-cultural cognitive interviewing. Public Opinion Quarterly, 79(S1), 359-395. https://doi.org/10.1093/poq/nfu092

48.

Woods

N. F.

Smith-DiJulio

Percival

D. B.

Tao

E. Y.

Mariella

Mitchell

(2008). Depressed mood during the menopausal transition and early postmenopause: Observations from the Seattle Midlife Women’s Health Study. Menopause, 15(2), 223-232. https://doi.org/10.1097/gme.0b013e3181450fc2

49.

Yokoya

Maeno

Sakamoto

Goto

Maeno

(2018). A brief survey of public knowledge and stigma towards depression. Journal of Clinical Medicine Research, 10(3), 202-209. https://doi.org/10.14740/jocmr3282w

50.

Zou

Tiemeier

van der Ende

Verhulst

F. C.

Muetzel

R. L.

White

Hillegers

El Marroun

(2019). Exposure to maternal depressive symptoms in fetal life or childhood and offspring brain development: A population-based imaging study. American Journal of Psychiatry, 176(9), 702-710. https://doi.org/10.1176/appi.ajp.2019.18080970

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Evaluating Culturally Tailored Strategies for Implementing Cognitive Interviewing on Edinburgh Postnatal Depression Scale Among Chinese Immigrant Women

Abstract

Introduction

Methodology

Results

Discussion

Keywords

Get full access to this article

References

Supplementary Material