Further development of the postpartum depression predictors inventory-revised
Further development of the postpartum depression predictors inventory-revised
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DOI：
10.1111/j.1552-6909.2006.00094.x
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发表时间：
2006-11-01
影响因子：
1.8
通讯作者：
Rice, Michael
中科院分区：
文献类型：
--
作者：
Beck, Cheryl Tatano;Records, Kathie;Rice, Michael
目的：描述新开发的产后抑郁预测量表的项目编码和总分的计算，以及推荐的截止点。设计：方法研究。环境：太平洋西北地区的妇产科医生办公室。参与者：这项纵向研究包括139名女性；该研究从参与者怀孕的第三个月开始，在分娩后8个月结束。方法：参与者在妊娠晚期完成产后抑郁预测量表修订，并在分娩后2个月和6个月再次完成。产后抑郁症状在产后2个月和6个月采用爱丁堡产后抑郁量表和精神科护士执业者访谈进行测量。主要结局指标：产后抑郁预测指标的敏感性和特异性——在产前、分娩后2个月和6个月进行了修订。结果：受试者工作特征曲线分析显示，经修订的产前产后抑郁预测因子量表表现良好，可解释爱丁堡产后抑郁量表评分中67%的产后抑郁症状变异。产前产后抑郁预测因子目录修订的敏感性为。76，专一性为。54分，满分10.5分。结论：在使用妊娠期产后抑郁预测因子修订量表时，建议采用10.5分的临界值。在产后期间，需要对使用产后抑郁预测量表的推荐临界值进行进一步的研究。
Objectives: To describe the newly developed item coding and computation of the total score for the Postpartum Depression Predictors Inventory-Revised along with recommended cutoff points.Design: Methodologic research.Setting: Obstetrician and gynecologist offices in the Pacific Northwest.Participants: This longitudinal study included 139 women; the study began in the participant's third trimester of pregnancy and ended at 8 months after childbirth.Methods: The participants completed the Postpartum Depression Predictors Inventory-Revised in their third trimester of pregnancy and again at 2 and 6 months after childbirth. Postpartum depression symptoms were measured by the Edinburgh Postnatal Depression Scale and psychiatric nurse practitioner interview at 2 and 6 months after childbirth.Main Outcome Measures: Sensitivity and specificity of the Postpartum Depression Predictors Inventory-Revised at three points: prenatal and 2 and 6 months after childbirth.Results: The receiver operating characteristic curve analysis indicated that the Prenatal Postpartum Depression Predictors Inventory-Revised performed well and explained 67% of the variance of postpartum depressive symptomatology as measured by Edinburgh Postnatal Depression Scale scores. The Prenatal Postpartum Depression Predictors Inventory-Revised yielded a sensitivity of .76 and a specificity of .54 at a cutoff score of 10.5.Conclusions: A cutoff score of 10.5 is recommended when using the Postpartum Depression Predictors Inventory-Revised during pregnancy. Further research needs to be conducted on recommended cutoff scores for use of the Postpartum Depression Predictors Inventory-Revised during the postpartum period.