Post-partum depression in Kinshasa, Democratic Republic of Congo: Validation of a concept using a mixed-methods cross-cultural approach
Post-partum depression in Kinshasa, Democratic Republic of Congo: Validation of a concept using a mixed-methods cross-cultural approach
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刚果民主共和国金沙萨的产后抑郁症：使用混合方法跨文化方法验证概念
DOI：
10.1111/j.1365-3156.2008.02160.x
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发表时间：
2008-12-01
影响因子：
3.3
通讯作者：
Bolton, Paul A.
中科院分区：
文献类型：
--
作者：
Bass, Judith K.;Ryder, Robert W.;Bolton, Paul A.
为了通过调整和验证标准筛查工具来确定刚果民主共和国金沙萨的母亲是否存在产后抑郁症。我们利用定性访谈技术，随机采访了居住在大型城郊社区的 80 名女性，以更好地了解当地对精神疾病的看法。我们利用这些信息来调整两个标准的抑郁症筛查工具：爱丁堡产后抑郁量表和霍普金斯症状检查表。在随后的定量研究中，我们确定了另外 133 名患有或不患有局部抑郁症的女性，并利用这些信息来验证改编后的筛查工具。根据定性数据，我们发现了一种与西方重度抑郁症模型非常相似的局部综合症。我们采访的代表当地民众的妇女认为，这是新妈妈们的一个重要综合症，因为它会对妇女及其年幼的孩子产生负面影响。被确定患有这种综合征的女性 (n = 41) 在两种适应性筛查中的抑郁严重程度评分均显着高于被确定为不患有这种综合征的女性 (n = 20; P < 0.0001)。当不清楚或未知西方精神病理学模型是否适合在当地使用时，必须验证这些模型以确保跨文化适用性。使用混合方法，我们发现了一种类似于抑郁症的局部综合症，并验证了筛查这种疾病的仪器。随着人们认识到发展中国家人口心理健康受损的重要性，本报告中描述的方法将得到更广泛的应用。
To determine if a post-partum depression syndrome exists among mothers in Kinshasa, Democratic Republic of Congo, by adapting and validating standard screening instruments.Using qualitative interviewing techniques, we interviewed a convenience sample of 80 women living in a large peri-urban community to better understand local conceptions of mental illness. We used this information to adapt two standard depression screeners, the Edinburgh Post-partum Depression Scale and the Hopkins Symptom Checklist. In a subsequent quantitative study, we identified another 133 women with and without the local depression syndrome and used this information to validate the adapted screening instruments.Based on the qualitative data, we found a local syndrome that closely approximates the Western model of major depressive disorder. The women we interviewed, representative of the local populace, considered this an important syndrome among new mothers because it negatively affects women and their young children. Women (n = 41) identified as suffering from this syndrome had statistically significantly higher depression severity scores on both adapted screeners than women identified as not having this syndrome (n = 20; P < 0.0001).When it is unclear or unknown if Western models of psychopathology are appropriate for use in the local context, these models must be validated to ensure cross-cultural applicability. Using a mixed-methods approach we found a local syndrome similar to depression and validated instruments to screen for this disorder. As the importance of compromised mental health in developing world populations becomes recognized, the methods described in this report will be useful more widely.