{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T05:08:30Z","timestamp":1793164110534,"version":"4.5.0"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009128","name":"National Institute for Health Research Research for Patient Benefit","doi-asserted-by":"publisher","award":["NIHR203474"],"award-info":[{"award-number":["NIHR203474"]}],"id":[{"id":"10.13039\/501100009128","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.jad.2025.04.009","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T16:46:43Z","timestamp":1743871603000},"page":"84-91","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Case-finding with the anxiety sub-scale of the Edinburgh Postnatal Depression Scale in an observational cohort: Sensitivity, specificity, and cost-effectiveness"],"prefix":"10.1016","volume":"381","author":[{"given":"Elizabeth M.","family":"Camacho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma E.","family":"Shields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Eisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Littlewood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn A.","family":"Chew-Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"McMillan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Gilbody","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2025.04.009_bb0005","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s00737-021-01166-9","article-title":"Screening for anxiety disorders in third trimester pregnancy: a comparison of four brief measures","volume":"25","author":"Austin","year":"2022","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0010","article-title":"Assessment of perinatal anxiety: diagnostic accuracy of five measures","volume":"1\u20137","author":"Ayers","year":"2024","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2025.04.009_bb0015","doi-asserted-by":"crossref","DOI":"10.1016\/j.janxdis.2024.102841","article-title":"When is the best time to screen for perinatal anxiety? A longitudinal cohort study","volume":"103","author":"Ayers","year":"2024","journal-title":"J. Anxiety Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0020","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jad.2015.12.005","article-title":"Lifetime costs of perinatal anxiety and depression","volume":"192","author":"Bauer","year":"2016","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0025","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/S0022-3999(01)00245-8","article-title":"Does the Edinburgh postnatal depression scale measure anxiety?","volume":"51","author":"Brouwers","year":"2001","journal-title":"J. Psychosom. Res."},{"key":"10.1016\/j.jad.2025.04.009_bb0030","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jad.2023.04.106","article-title":"An economic evaluation of targeted case-finding strategies for identifying postnatal depression: a model-based analysis comparing common case-finding instruments","volume":"334","author":"Camacho","year":"2023","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0035","article-title":"An economic evaluation of universal and targeted case-finding strategies for identifying antenatal depression: a model-based analysis comparing common case-finding instruments","author":"Camacho","year":"2023","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0040","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1016\/S0140-6736(17)32802-7","article-title":"Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis","volume":"391","author":"Cipriani","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.jad.2025.04.009_bb0045","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1037\/pas0000397","article-title":"Factor structure of the Edinburgh postnatal depression scale in a population-based sample","volume":"29","author":"Coates","year":"2017","journal-title":"Psychol. Assess."},{"key":"10.1016\/j.jad.2025.04.009_bb0050","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1192\/bjp.2018.245","article-title":"Thirty years with the Edinburgh postnatal depression scale: voices from the past and recommendations for the future","volume":"214","author":"Cox","year":"2019","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2025.04.009_bb0055","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale","volume":"150","author":"Cox","year":"1987","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2025.04.009_bb0060","article-title":"Transdiagnostic treatment of depression and anxiety: a meta-analysis","volume":"1\u201312","author":"Cuijpers","year":"2023","journal-title":"Psychol. Med."},{"key":"10.1016\/j.jad.2025.04.009_bb0065","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1037\/ccp0000482","article-title":"Transdiagnostic approaches to mental health problems: current status and future directions","volume":"88","author":"Dalgleish","year":"2020","journal-title":"J. Consult. Clin. Psychol."},{"key":"10.1016\/j.jad.2025.04.009_bb0070","doi-asserted-by":"crossref","DOI":"10.3389\/fgwh.2022.1028192","article-title":"Addressing inequalities in the identification and management of perinatal mental health difficulties: the perspectives of minoritised women, healthcare practitioners and the voluntary sector","volume":"3","author":"Darwin","year":"2022","journal-title":"Front. Glob. Women Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0075","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1192\/bjp.bp.116.187179","article-title":"Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis","volume":"210","author":"Dennis","year":"2017","journal-title":"Br. J. Psychiatry"},{"key":"10.1016\/j.jad.2025.04.009_bb0080","article-title":"Modeling valuations for EuroQol health states","volume":"1095\u20131108","author":"Dolan","year":"1997","journal-title":"Med. Care"},{"key":"10.1016\/j.jad.2025.04.009_bb0085","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s00737-022-01249-1","article-title":"Perinatal depression screening: a systematic review of recommendations from member countries of the Organisation for Economic Co-operation and Development (OECD)","volume":"25","author":"El-Den","year":"2022","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0090","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1186\/s12884-022-04437-0","article-title":"Identifying postnatal anxiety: comparison of self-identified and self-reported anxiety using the Edinburgh Postnatal Depression Scale","volume":"22","author":"Fellmeth","year":"2022","journal-title":"BMC Pregn. Childb."},{"key":"10.1016\/j.jad.2025.04.009_bb0095","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jad.2016.05.033","article-title":"Anxiety disorders in postpartum women: a systematic review and meta-analysis","volume":"203","author":"Goodman","year":"2016","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0100","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003664","article-title":"Selective serotonin reuptake inhibitors, and serotonin and norepinephrine reuptake inhibitors for anxiety, obsessive-compulsive, and stress disorders: a 3-level network meta-analysis","volume":"18","author":"Gosmann","year":"2021","journal-title":"PLoS Med."},{"key":"10.1016\/j.jad.2025.04.009_bb0105","article-title":"Economic and health predictors of National Postpartum Depression Prevalence: a systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries","volume":"8","author":"Hahn-Holbrook","year":"2018","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2025.04.009_bb0110","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-022-08115-x","article-title":"Cost-effectiveness of screening tools for identifying depression in early pregnancy: a decision tree model","volume":"22","author":"Heslin","year":"2022","journal-title":"BMC Health Serv. Res."},{"key":"10.1016\/j.jad.2025.04.009_bb0115","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-029478","article-title":"Experience of and access to maternity care in the UK by immigrant women: a narrative synthesis systematic review","volume":"9","author":"Higginbottom","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.jad.2025.04.009_bb0120","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1080\/02646830500129297","article-title":"Confirmation of an occluded anxiety component within the Edinburgh Postnatal Depression Scale (EPDS) during early pregnancy","volume":"23","author":"Jomeen","year":"2005","journal-title":"J. Reprod. Infant Psychol."},{"key":"10.1016\/j.jad.2025.04.009_bb0125","series-title":"Unit Costs of Health and Social Care 2021. Personal Social Services Research Unit (PSSRU)","author":"Jones","year":"2021"},{"key":"10.1016\/j.jad.2025.04.009_bb0130","doi-asserted-by":"crossref","first-page":"2229","DOI":"10.1007\/s00127-022-02331-w","article-title":"Mental health service use among pregnant and early postpartum women","volume":"57","author":"Lee-Carbon","year":"2022","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"10.1016\/j.jad.2025.04.009_bb0135","article-title":"Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: systematic review and meta-analysis of individual participant data","volume":"371","author":"Levis","year":"2020","journal-title":"BMJ"},{"key":"10.1016\/j.jad.2025.04.009_bb0140","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1017\/S0033291700030415","article-title":"Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers","volume":"22","author":"Lewis","year":"1992","journal-title":"Psychol. Med."},{"key":"10.1016\/j.jad.2025.04.009_bb0145","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-011223","article-title":"Identification of depression in women during pregnancy and the early postnatal period using the Whooley questions and the Edinburgh Postnatal Depression Scale: protocol for the Born and Bred in Yorkshire: PeriNatal Depression Diagnostic Accuracy (BaBY PaN)","volume":"6","author":"Littlewood","year":"2016","journal-title":"BMJ Open"},{"key":"10.1016\/j.jad.2025.04.009_bb0150","first-page":"1","article-title":"Identifying perinatal depression with case-finding instruments: a mixed-methods study (BaBY PaNDA \u2013 Born and Bred in Yorkshire PeriNatal Depression Diagnostic Accuracy)","author":"Littlewood","year":"2018","journal-title":"NIHR Health Serv. Deliv. Res."},{"key":"10.1016\/j.jad.2025.04.009_bb0155","doi-asserted-by":"crossref","first-page":"2175","DOI":"10.1111\/jan.15233","article-title":"Black, Asian and minority ethnic women\u2019s experiences of maternity services in the UK: a qualitative evidence synthesis","volume":"78","author":"MacLellan","year":"2022","journal-title":"J. Adv. Nurs."},{"key":"10.1016\/j.jad.2025.04.009_bb0160","series-title":"Specialist Perinatal Mental Health Care in the UK 2023. London","author":"Maternal Mental Health Alliance","year":"2023"},{"key":"10.1016\/j.jad.2025.04.009_bb0165","doi-asserted-by":"crossref","first-page":"11647","DOI":"10.1038\/s41598-020-67321-x","article-title":"Factor structure of the Edinburgh postnatal depression scale in the Japan environment and children\u2019s study","volume":"10","author":"Matsumura","year":"2020","journal-title":"Sci. Rep."},{"key":"10.1016\/j.jad.2025.04.009_bb0170","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s00737-006-0152-x","article-title":"Variability in use of cut-off scores and formats on the Edinburgh Postnatal Depression Scale - implications for clinical and research practice","volume":"9","author":"Matthey","year":"2006","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0175","series-title":"Commissioning Brief 17\/105: Perinatal Mental Health Services","author":"National Institute for Health and Care Research Health Services Delivery and Research Programme","year":"2017"},{"key":"10.1016\/j.jad.2025.04.009_bb0180","series-title":"Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance (CG 192)","author":"National Institute of Health and Care Excellence (NICE)","year":"2014"},{"key":"10.1016\/j.jad.2025.04.009_bb0185","series-title":"NICE Health Technology Evaluations: The Manual","author":"National Institute of Health and Care Excellence (NICE)","year":"2022"},{"key":"10.1016\/j.jad.2025.04.009_bb0190","series-title":"Provisional Births in England and Wales: 2020 - Number of Live Births and Fertility Rates. London","author":"Office for National Statistics","year":"2020"},{"key":"10.1016\/j.jad.2025.04.009_bb0195","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.genhosppsych.2015.11.005","article-title":"Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis","volume":"39","author":"Plummer","year":"2016","journal-title":"Gen. Hosp. Psychiatry"},{"key":"10.1016\/j.jad.2025.04.009_bb0200","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/0165-0327(92)90041-4","article-title":"Characteristics of the Edinburgh post natal depression scale in the Netherlands","volume":"26","author":"Pop","year":"1992","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0205","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.jad.2020.11.051","article-title":"Maximizing maternal health and value for money in postpartum depression screening: a cost-effectiveness analysis using the All Our Families cohort and administrative data in Alberta, Canada","volume":"281","author":"Premji","year":"2021","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2025.04.009_bb0210","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s00737-002-0155-1","article-title":"Measurement issues in postpartum depression part 1: anxiety as a feature of postpartum depression","volume":"6","author":"Ross","year":"2003","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0215","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jpsychires.2018.08.001","article-title":"Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis","volume":"104","author":"Shorey","year":"2018","journal-title":"J. Psychiatr. Res."},{"key":"10.1016\/j.jad.2025.04.009_bb0220","doi-asserted-by":"crossref","DOI":"10.1177\/1745506519844044","article-title":"Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes","author":"Slomian","year":"2019","journal-title":"Women Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0225","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/s40359-021-00623-5","article-title":"Can the Edinburgh Postnatal Depression Scale-3A be used to screen for anxiety?","volume":"9","author":"Smith-Nielsen","year":"2021","journal-title":"BMC Psychol."},{"key":"10.1016\/j.jad.2025.04.009_bb0230","series-title":"Screening for Antenatal and Postnatal Mental Health Problems: External Review against Programme Appraisal Criteria for the UK National Screening Committee","author":"Solutions for Public Health","year":"2019"},{"key":"10.1016\/j.jad.2025.04.009_bb0235","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00737-010-0170-6","article-title":"Using the Edinburgh postnatal depression scale to screen for perinatal anxiety","volume":"13","author":"Swalm","year":"2010","journal-title":"Arch. Womens Ment. Health"},{"key":"10.1016\/j.jad.2025.04.009_bb0240","unstructured":"The EuroQoL Group, n.d. EQ-5D Products [WWW Document]. URL http:\/\/www.euroqol.org\/eq-5d-products.html."},{"key":"10.1016\/j.jad.2025.04.009_bb0245","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/j.2044-8260.2008.tb00463.x","article-title":"Subscales measuring symptoms of non-specific depression, anhedonia, and anxiety in the Edinburgh Postnatal Depression Scale","volume":"47","author":"Tuohy","year":"2008","journal-title":"Br. J. Clin. Psychol."},{"key":"10.1016\/j.jad.2025.04.009_bb0250","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1007\/s10995-016-2192-9","article-title":"Screening for and treating postpartum depression and psychosis: a cost-effectiveness analysis","volume":"21","author":"Wilkinson","year":"2017","journal-title":"Matern. Child Health J."}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032725005610?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032725005610?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T04:53:06Z","timestamp":1778043186000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032725005610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":50,"alternative-id":["S0165032725005610"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2025.04.009","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Case-finding with the anxiety sub-scale of the Edinburgh Postnatal Depression Scale in an observational cohort: Sensitivity, specificity, and cost-effectiveness","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2025.04.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}