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EPDS Calculator

Score the EPDS postnatal depression screening questionnaire with reverse scoring and clinical interpretation.

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What Is the EPDS?

The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item self-report questionnaire designed to screen for postnatal depression. It takes about five minutes to complete and is widely used in primary care, obstetrics, and community health settings. Each item asks about mood, anxiety, sleep, guilt, and coping during the past seven days.

How EPDS Scoring Works

Each question is scored from 0 to 3. Items 1, 2, and 4 use direct scoring. Items 3, 5, 6, 7, 8, 9, and 10 are reverse scored by converting 0 to 3, 1 to 2, 2 to 1, and 3 to 0 before summing. The total score ranges from 0 to 30, with higher totals indicating more depressive symptoms.

Clinical Cutoffs

Scores of 10 or higher suggest possible postnatal depression and warrant further assessment. Scores of 13 or higher are more strongly associated with depression of varying severity. Any response other than never on question 10 (self-harm thoughts) should trigger urgent clinical follow-up regardless of total score.

For related mental health screens, see the PHQ-2 Depression Screening Calculator and other health tools on OnlineMiniTools.

Frequently Asked Questions

Who should use the EPDS?

The EPDS is intended for new mothers and postpartum patients during routine perinatal care. It helps identify symptoms that may need clinical follow-up but does not replace diagnosis.

What is a positive EPDS score?

A total score of 10 or higher is a common positive screening cutoff. Scores of 13 or higher suggest a higher likelihood of postnatal depression.

Which EPDS items are reverse scored?

Items 3, 5, 6, 7, 8, 9, and 10 are reverse scored. Items 1, 2, and 4 are scored directly from the selected response value.

Why is question 10 important?

Question 10 asks about thoughts of self-harm. Any answer other than never requires immediate clinical evaluation, even when the total EPDS score is low.

Does the EPDS diagnose postnatal depression?

No. The EPDS is a screening tool. Diagnosis requires a full clinical assessment, often including structured interview and review of symptom duration and functional impact.

How is EPDS different from baby blues?

Baby blues are mild mood changes that usually resolve within two weeks after delivery. Postnatal depression lasts longer, meets broader symptom criteria, and often needs treatment.