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 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 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.