Studies which use structured diagnostic interviews, rather than self-report questionnaires, tend to find lower rates of depression. Using a two-step process with the EPDS as a screen, followed by a structured clinical interview, a Nigerian study found that 8.3% of semiurban pregnant women were diagnosed with major or minor depressive disorder (Adewuya, Ola, Aloba, Dada, & Fasoto, 2007). Using a structured interview alone, Felice and colleagues found that 14.8% of women attending an antenatal cli