Personal reflections on the early development of the EPDS

Author:

Cox John

Abstract

Shortly after returning to the London Hospital from Uganda in 1974, and still jet-lagged and culture-shocked, I had an unexpected call from a Dr Kumar at the Maudsley Hospital whose name was then unfamiliar to me. Stephen Wolkind (Child Psychiatrist at the London Hospital working with Professor Pond) had informed him that I had completed a study of postnatal depression in East Africa and had used Goldberg’s Standardised Psychiatric Interview (SPI) translated into Luganda. Could we meet, and could I advise him on the use of the SPI? I was surprised, flattered and motivated by this request. We met in Turner St, London E1. This was the beginning of a friendly and mutually respectful collaboration, which facilitated the later development of the Edinburgh Postnatal Depression Scale (EPDS) (Cox et al. 1987), helped launch the 1980 meeting in Manchester, when the Marcé Society was founded, and motivated Phase One of the International Transcultural Postnatal Depression Study. Channi Kumar was a fine team player, and as a leader had that knack of making you feel respected and at ease. His greeting ‘Come in dear boy and have a seat’ when he ushered you to a chair piled high with research papers, was characteristic of his style and productivity. We would then talk, not only about screening scales, but about College matters and the Perinatal Special Interest Group (which later became a Specialty Section), as well as our ‘Blue Skies’ research programmes. My interest in perinatal psychiatry began when, as an impressionable medical student, I first met Brice Pitt at Claybury Hospital. He was carrying out a study of ‘atypical’ postnatal depression and was devising a self-report questionnaire to detect increases in depression scores after birth. This early experience, together with a postgraduate seminar some years later, must surely have been on my mind when I was asked by Allen German on my arrival in Uganda, what research I was planning to do. I replied that I wished to replicate Assael’s finding (1972) that a quarter of pregnant women at Kasangati had mental health problems, and I was curious to know whether African women experienced depression as described by Pitt (1968)—and if not, what were the differences.

Publisher

Oxford University Press

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Spitting on my sources: Depression, DNA, and the ambivalent historian;Journal of the History of the Behavioral Sciences;2022-07-15

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