Reliability and validity of the center for epidemiologic studies-depression scale in screening for depression among HIV-infected and -uninfected pregnant women attending antenatal services in northern Uganda: a cross-sectional study.
Reliability and validity of the center for epidemiologic studies-depression scale in screening for depression among HIV-infected and -uninfected pregnant women attending antenatal services in northern Uganda: a cross-sectional study.
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DOI：
10.1186/s12888-014-0303-y
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发表时间：
2014-11-22
期刊：
影响因子：
4.4
通讯作者：
Young SL
中科院分区：
文献类型：
--
作者：
Natamba BK;Achan J;Arbach A;Oyok TO;Ghosh S;Mehta S;Stoltzfus RJ;Griffiths JK;Young SL
关于居住在艾滋病毒负担高的资源不良情况下的孕妇抑郁症的患病率和筛查方法的数据有限。
我们研究了123个抑郁症（CES-D）量表的可靠性和准确性（36例HIV感染和87个未感染的孕妇）在乌干达Gulu区域转诊医院接受了抗原护理。为当前重度抑郁症（MDD）（MINI）（MINI）的精神科医生管理的结果（MDD）的结果，这是评估的“黄金标准”抑郁症。和CES-D量表的有效性。
35.8％的受访者目前正在经历MDD，这是由Mini-Depression模块的输出定义的。 ）。 SP和PPV值为72.7％，78.5％和76.5％，在此人群中采用，并在调整HIV亚组之间的基线差异后对艾滋病毒感染和未感染的妇女进行良好的表现。婚姻状况），HIV感染的孕妇在CES-D上比对HIV未感染的妇女高6.2分（P = 0.032）。
CES-D是在乌干达北部的抗hiv状态混合艾滋病毒状态的孕妇中筛查可能重大抑郁症的合适工具。
本文的在线版本（doi：10.1186/s12888-014-0303-y）包含补充材料，可供授权用户使用。
There are limited data on the prevalence and approaches to screening for depression among pregnant women living in resource poor settings with high HIV burden. We studied the reliability and accuracy of the Center for Epidemiologic Studies Depression (CES-D) scale in 123 (36 HIV-infected and 87 -uninfected) pregnant women receiving antenatal care at Gulu Regional Referral Hospital, Uganda. CES-D scores were compared to results from the psychiatrist-administered Mini-International Neuropsychiatric Interview (MINI) for current major depressive disorder (MDD), a “gold standard” for assessing depression. We employed measures of internal consistency (Cronbach’s alpha), and criterion validity [Area Under the Receiver Operating Characteristic Curve (AUROC), sensitivity (Se), specificity (Sp), and positive predictive value (PPV)] to evaluate the reliability and validity of the CES-D scale. 35.8% of respondents were currently experiencing an MDD, as defined from outputs of the MINI-depression module. The CES-D had high internal consistency (Cronbach’s alpha = 0.92) and good discriminatory ability in detecting MINI-defined current MDDs (AUROC = 0.82). The optimum CES-D cutoff score for the identification of probable MDD was between 16 and 17. A CES-D cutoff score of 17, corresponding to Se, Sp, and PPV values of 72.7%, 78.5%, and 76.5%, is proposed for adoption in this population and performs well for HIV-infected and -uninfected women. After adjusting for baseline differences between the HIV subgroups (maternal age and marital status), HIV-infected pregnant women scored 6.2 points higher on the CES-D than HIV-uninfected women (p = 0.032). The CES-D is a suitable instrument for screening for probable major depression among pregnant women of mixed HIV status attending antenatal services in northern Uganda. The online version of this article (doi:10.1186/s12888-014-0303-y) contains supplementary material, which is available to authorized users.
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影响因子：
6.9
作者：
Patel, V.;Araya, R.;Weiss, H. A.
通讯作者：
Weiss, H. A.
影响因子：
4.4
作者：
Kaharuza, Frank M.;Bunnell, Rebecca;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
DOI：
10.1080/09540121.2013.802277
发表时间：
2014-01-02
影响因子：
1.7
作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
4.5
作者：
Chibanda, Dixon;Mangezi, Walter;Shetty, Avinash K.
通讯作者：
Shetty, Avinash K.