Evaluation of a social support measure that may indicate risk of depression during pregnancy.
Evaluation of a social support measure that may indicate risk of depression during pregnancy.
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评估可能表明怀孕期间抑郁风险的社会支持措施。
DOI：
10.1016/j.jad.2008.07.015
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发表时间：
2009
影响因子：
6.6
通讯作者：
Yonkers,KimberlyA
中科院分区：
文献类型：
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作者：
Spoozak,Lori;Gotman,Nathan;Smith,MeganV;Belanger,Kathleen;Yonkers,KimberlyA
强大的社会支持与孕妇积极的心理健康和更好的生育结果有关。我们的目的是复制的心理测量特性的Kendler社会支持访谈修改用于孕妇和建立库存的关系，抑郁症在pregnancy. METHODS修改后的Kendler社会支持访谈（MKSSI）进行了评估，采用主成分分析。与抑郁的关联被用作外部效度的指标，并通过Logistic回归进行评估。一个大的主成分，称为“全球支持”，（特征值=6.086）代表总方差的22.5%。然而，27个项目中的6个（与配偶、兄弟姐妹、其他亲戚和朋友的联系频率，以及参加教堂和俱乐部）的关联水平较低（<0.4），因此被排除在总分的建议项目之外。剩余21个项目的方差最大旋转导致子量表落入预期分组：母亲，父亲，兄弟姐妹，朋友等。一个单位和两个单位的整体支持得分增加与58.3%（OR=0.417，95%CI =0.284-0.612）和82.6%（OR=0.174，95%CI =0.081-0.374）抑郁症的几率降低，局限性这个社会支持量表预测未来抑郁症在怀孕的能力尚未建立，由于交叉-结论MKSSI量表用于评价孕妇社会支持及其与抑郁的关系是可靠的、有效的。
BACKGROUNDStrong social support has been linked with positive mental health and better birth outcomes for pregnant women. Our aim was to replicate the psychometric properties of the Kendler Social Support Interview modified for use in pregnant women and to establish the inventory's relationship to depression in pregnancy.METHODSThe modified Kendler Social Support Interview (MKSSI) was evaluated using principal components analysis. The association with depression was used as an indicator of external validity and was assessed by logistic regression.RESULTSData from 783 subjects were analyzed. One large principal component, termed “global support,” (eigenvalue=6.086) represented 22.5% of the total variance. However, 6 of the 27 items (frequency of contact with spouse, siblings, other relatives, and friends, and attendance at church and clubs) had low levels of association (<0.4) and thus were excluded from suggested items for a total score. Varimax rotation of the remaining 21 items resulted in subscales that fell into expected groupings: mother, father, siblings, friends, etc. One unit and two unit increases in the global support score were associated with 58.3% (OR=0.417, 95% CI=0.284–0.612) and 82.6% (OR=0.174, 95% CI=0.081–0.374) reductions in odds for depression, respectively.LIMITATIONSThe ability of this social support scale to predict future depression in pregnancy has not yet been established due to cross-sectional design.CONCLUSIONThe MKSSI is reliable and valid for use in evaluating social support and its relationship to depression in pregnant women.