{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:24:01Z","timestamp":1778797441298,"version":"3.51.4"},"reference-count":27,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011892","name":"Kaohsiung Chang Gung Memorial Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011892","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Taiwanese Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.tjog.2025.08.009","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:55:38Z","timestamp":1777071338000},"page":"502-507","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors Associated with Elevated Antenatal and Postpartum Edinburgh Postnatal Depression Scale Scores: A Retrospective Cohort Study"],"prefix":"10.1016","volume":"65","author":[{"given":"Yi-Wei","family":"Liao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Chang","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin-Hsin","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-Ju","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei-Fang","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te-Yao","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan-Ping","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Hsiu","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun-Long","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.tjog.2025.08.009_bib1","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"},{"issue":"3","key":"10.1016\/j.tjog.2025.08.009_bib2","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.tjog.2023.03.003","article-title":"The prevalence and risk factors of postpartum depression among women during the early postpartum period: a retrospective secondary data analysis","volume":"62","author":"Tsai","year":"2023","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"23","key":"10.1016\/j.tjog.2025.08.009_bib3","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1001\/jama.2023.21311","article-title":"Postpartum depression-new screening recommendations and treatments","volume":"330","author":"Moore Simas","year":"2023","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.tjog.2025.08.009_bib4","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.ajog.2008.11.033","article-title":"Postpartum depression","volume":"200","author":"Pearlstein","year":"2009","journal-title":"Am J Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.tjog.2025.08.009_bib5","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1186\/s12888-024-06246-5","article-title":"Perinatal depression and associated factors in Ethiopia: a systematic review and meta-analysis","volume":"24","author":"Rtbey","year":"2024","journal-title":"BMC Psychiatry"},{"issue":"22","key":"10.1016\/j.tjog.2025.08.009_bib6","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1056\/NEJMcp1607649","article-title":"Postpartum depression","volume":"375","author":"Stewart","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.tjog.2025.08.009_bib7","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.m4022","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","author":"Levis","year":"2020","journal-title":"BMJ"},{"issue":"5","key":"10.1016\/j.tjog.2025.08.009_bib8","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.1097\/AOG.0000000000002927","article-title":"Screening for perinatal depression","volume":"132","year":"2018","journal-title":"Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.tjog.2025.08.009_bib9","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1186\/s12884-022-04740-w","article-title":"Antenatal screening timeline and cutoff scores of the Edinburgh Postnatal Depression Scale for predicting postpartum depressive symptoms in healthy women: a prospective cohort study","volume":"22","author":"Tanuma-Takahashi","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"issue":"36","key":"10.1016\/j.tjog.2025.08.009_bib10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta13360","article-title":"Methods to identify postnatal depression in primary care: an integrated evidence synthesis and value of information analysis","volume":"13","author":"Hewitt","year":"2009","journal-title":"Health Technol Assess"},{"issue":"4","key":"10.1016\/j.tjog.2025.08.009_bib11","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1001\/jama.2015.18392","article-title":"Screening for depression in adults: US preventive services task force recommendation statement","volume":"315","author":"Siu","year":"2016","journal-title":"Jama"},{"key":"10.1016\/j.tjog.2025.08.009_bib12","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g7394","article-title":"Antenatal and postnatal mental health: summary of updated NICE guidance","volume":"349","author":"Howard","year":"2014","journal-title":"BMJ"},{"key":"10.1016\/j.tjog.2025.08.009_bib13","series-title":"Guide for integration of perinatal mental health in maternal and child health services","year":"2023"},{"key":"10.1016\/j.tjog.2025.08.009_bib14","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1146\/annurev-clinpsy-101414-020426","article-title":"Biological and psychosocial predictors of postpartum depression: systematic review and call for integration","volume":"11","author":"Yim","year":"2015","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.tjog.2025.08.009_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.actpsy.2024.104436","article-title":"A systematic review of risk factors of postpartum depression. Evidence from Asian culture","volume":"249","author":"Yaqoob","year":"2024","journal-title":"Acta Psychol (Amst)"},{"key":"10.1016\/j.tjog.2025.08.009_bib16","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.genhosppsych.2023.09.005","article-title":"Antenatal depression across trimesters as a risk for postpartum depression and estimation of the fraction of postpartum depression attributable to antenatal depression: a systematic review and meta-analysis of cohort studies","volume":"85","author":"Dlamini","year":"2023","journal-title":"Gen Hosp Psychiatry"},{"issue":"4","key":"10.1016\/j.tjog.2025.08.009_bib17","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1192\/bjp.2021.222","article-title":"Risk factors of postpartum depression and depressive symptoms: umbrella review of current evidence from systematic reviews and meta-analyses of observational studies","volume":"221","author":"Gastaldon","year":"2022","journal-title":"Br J Psychiatry"},{"issue":"5","key":"10.1016\/j.tjog.2025.08.009_bib18","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1055\/s-0042-1743095","article-title":"Screening of perinatal depression using the Edinburgh postpartum depression Scale","volume":"44","author":"Oliveira","year":"2022","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"3s","key":"10.1016\/j.tjog.2025.08.009_bib19","doi-asserted-by":"crossref","first-page":"S1128","DOI":"10.1016\/j.ajog.2023.08.026","article-title":"Prevalence and risk factors for postpartum depression 2 months after a vaginal delivery: a prospective multicenter study","volume":"230","author":"Froeliger","year":"2024","journal-title":"Am J Obstet Gynecol"},{"issue":"4","key":"10.1016\/j.tjog.2025.08.009_bib20","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.genhosppsych.2004.02.006","article-title":"Antenatal risk factors for postpartum depression: a synthesis of recent literature","volume":"26","author":"Robertson","year":"2004","journal-title":"Gen Hosp Psychiatry"},{"issue":"5","key":"10.1016\/j.tjog.2025.08.009_bib21","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/00006199-200109000-00004","article-title":"Predictors of postpartum depression: an update","volume":"50","author":"Beck","year":"2001","journal-title":"Nurs Res"},{"issue":"7","key":"10.1016\/j.tjog.2025.08.009_bib22","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1111\/aogs.14795","article-title":"Association between postpartum depression and postpartum hemorrhage: a systematic review and meta-analysis","volume":"103","author":"Sheng","year":"2024","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.tjog.2025.08.009_bib23","series-title":"Mental health care in the perinatal period: australian clinical practice guideline","author":"Centre of Perinatal","year":"2017"},{"key":"10.1016\/j.tjog.2025.08.009_bib24","series-title":"An evaluation of screening for postnatal depression against NSC criteria","year":"2010"},{"issue":"9","key":"10.1016\/j.tjog.2025.08.009_bib25","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1503\/cmaj.130403","article-title":"Recommendations on screening for depression in adults","volume":"185","author":"Joffres","year":"2013","journal-title":"CMAJ"},{"issue":"1","key":"10.1016\/j.tjog.2025.08.009_bib26","doi-asserted-by":"crossref","first-page":"774","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"},{"issue":"37","key":"10.1016\/j.tjog.2025.08.009_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta20370","article-title":"A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression","volume":"20","author":"Morrell","year":"2016","journal-title":"Health Technol Assess"}],"container-title":["Taiwanese Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1028455926000987?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1028455926000987?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T21:34:41Z","timestamp":1778794481000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1028455926000987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S1028455926000987"],"URL":"https:\/\/doi.org\/10.1016\/j.tjog.2025.08.009","relation":{},"ISSN":["1028-4559"],"issn-type":[{"value":"1028-4559","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk factors Associated with Elevated Antenatal and Postpartum Edinburgh Postnatal Depression Scale Scores: A Retrospective Cohort Study","name":"articletitle","label":"Article Title"},{"value":"Taiwanese Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tjog.2025.08.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}