{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:24:33Z","timestamp":1790195073752,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the screening ability and cut\u2010off scores of the Edinburgh Postnatal Depression Scale (EPDS) and EPDS\u20103A for pregnancy anxiety in pregnancy examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective repetitive measurement study. A follow\u2010up survey was performed in Chinese pregnant women with the EPDS, the 7\u2010item Generalized Anxiety Disorder (GAD\u20107) scale and a basic information questionnaire. A total of 609 women participated in all surveys at three trimesters, and all data were complete with no missing values. Receiver operating characteristic curves, Cohen's kappa and cross\u2010tabulation were used to test the single and combined screening ability of EPDS and EPDS\u20103A for pregnancy anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The areas under the curves of EPDS and EPDS\u20103A were close to or more than 0.90. EPDS scores greater than 14 in the first trimester and greater than 13 in the second and third trimesters could be used as the cut\u2010off values. EPDS\u20103A score greater than 4 could be used as the cut\u2010off value in each trimester. Adding the EPDS\u20103A to the EPDS would lead to correct identification of an additional 6.33%, 6.35%, and 7.25% of anxious women and misdiagnosis of an additional 6.60%, 2.56%, and 2.41% of normal women in each trimester, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The EPDS and EPDS\u20103A can be used alone or in combination for initially screening of pregnancy anxiety. Under certain conditions, they can even be used to replace GAD\u20107 for anxiety screening to reduce the adverse influence of excessive screening on pregnant women, and improve the quality of survey data and efficiency of clinical services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15053","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T03:02:45Z","timestamp":1691636565000},"page":"902-911","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Can <scp>EPDS<\/scp> and <scp>EPDS\u20103A<\/scp> be used to replace <scp>GAD<\/scp>\u20107 to screen the anxiety of pregnant women during pregnancy examination?"],"prefix":"10.1002","volume":"164","author":[{"given":"Yingming","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Psychology Weifang Medical University  Weifang 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