The EPDS was not designed to measure anxiety. However high scores on items 3, 4 and 5 have been found to be correlated with symptoms of anxiety. This can be the case even with a low overall EPDS score.
The anxiety subscore is calculated by adding up the subtotal from responses to items 3, 4 and 5. If this subscore is ≥4, further assessment of anxiety is suggested but any score can be followed up.

For women with anxiety subscore ≥4:

  1. Ask additional questions to assess anxiety symptoms
    •  Are you feeling more tense or irritated than usual?
    •  Do you find yourself worrying about little things that normally do not bother you?
    •  How long have you been feeling like this?