Cross-Cultural Adaptation of Edinburg Postpartum Depression Scale in Postpartum Mental Health Screening on Indonesian Version

¹ Doctoral student of Public Health Diponegoro University, Semarang, Indonesia; Faculty of Health Science Malahayati University, Lampung, Indonesia
^2,3 Public Health Nutrition Department, Faculty of Public Health, Diponegoro University, Semarang, Indonesia; Research Center of Public Health Nutrition and Maternal and Child Health, Faculty of Public Health, Diponegoro University, Semarang Indonesia
⁴ Public Promotion Health Department, Faculty of Public Health, Diponegoro University, Semarang, Indonesia

^* Corresponding ratnadewi.070787@gmail.com

Abstract

Postpartum depression is a mental health problem unconsciously occured at the postpartum period. It arises from the beginning of the postpartum period to one year. This condition affects not only the development and growth of children, but also relationships with partners and families. Screening for postpartum depression is crucial for early detection and appropriate intervention procedures. WHO recommends screening for maternal mental health disorders starting from pregnancy to postpartum using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. This study aim to elaborate the process of translation and cross-cultural adaptation and evaluates ten question of EPDS questionnaire in the Indonesian context. A cross-cultural adaptation of the EPDS questionnaire was conducted by carrying out forward and backward translation into Indonesian. The validity and reliability of the EPDS construct was carefully tested involving a total of 45 postpartum women in Lampung Provonce of Indonesia. Reability was measured using Cronbach's Alpha. The Indonesian language version of EPDS demonstrated acceptable internal consistency (Cronbach’s Alpha = 0.75). Most items showed strong item-total correlation values (>0.30), with minor adjustments made to culturally sensitive expressions. Postpartum mental health screening using EPDS with a cut-off score of 10 showed that 26.7% of postpartum mothers experienced PPD with the highest EPDS score of 15.0 and an average of 6.8. To sum up the Indonesian language version of EPDS is considered reliable as an instrument for postpartum depression screening and can be appropriately employed in Indonesian maternal health settings with cultural relevance.