Psychometric properties of the postpartum depression screening scale beyond the postpartum period.

Psychometric properties of the postpartum depression screening scale beyond the postpartum period.
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DOI:
10.1002/nur.21861
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发表时间:
2018-04
影响因子:
2
通讯作者:
Kaplan, Peter S.
Kaplan, Peter S.
中科院分区:
医学4区
文献类型:
--
作者:
Vogeli, Jo M.;Hooker, Stephanie A.;Everhart, Kevin D.;Kaplan, Peter S.

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需要准确的产后抑郁症筛查措施,以确定在产后期间和以后的抑郁症状的母亲。由于产后抑郁筛查量表(PDSS)的可靠性和有效性及其对重度抑郁症(MDD)诊断的敏感性、特异性和预测价值尚未在产后立即进行测试,因此在一个由238名4至15个月大婴儿的母亲组成的多样化社区样本中进行了评估。母亲(N = 238; M年龄= 30.2,SD = 5.3)参加了实验室会议,并完成了PDSS,贝克抑郁量表-II(BDI-II),和结构化临床访谈(SCID)诊断MDD。评估PDSS识别母亲抑郁症的信度、效度、特异性、敏感性和预测价值。验证性因素分析支持五个而不是七个内容分量表的结构效度。PDSS总分和子量表评分显示可接受至高信度(α = 0.68-0.95)。判别函数分析表明,规模正确提供诊断分类率高于单独的机会。重度抑郁症(MDD)诊断的敏感性和特异性良好,与BDI-II相当。即使在母亲中,与最初的规范性研究相比,母亲的多样性更大,婴儿的年龄也更大,PDSS似乎是一种心理测量学上的声音筛选器,用于识别分娩后15个月内的抑郁母亲。
Accurate postpartum depression screening measures are needed to identify mothers with depressive symptoms both in the postpartum period and beyond. Because it had not been tested beyond the immediate postpartum period, the reliability and validity of the Postpartum Depression Screening Scale (PDSS) and its sensitivity, specificity, and predictive value for diagnoses of major depressive disorder (MDD) were assessed in a diverse community sample of 238 mothers of 4- to 15-month-old infants. Mothers (N = 238; M age = 30.2, SD = 5.3) attended a lab session and completed the PDSS, the Beck Depression Inventory-II (BDI-II), and a structured clinical interview (SCID) to diagnose MDD. The reliability, validity, specificity, sensitivity, and predictive value of the PDSS to identify maternal depression were assessed. Confirmatory factor analysis supported the construct validity of five but not seven content subscales. The PDSS total and subscale scores demonstrated acceptable to high reliability (α = 0.68–0.95). Discriminant function analysis showed the scale correctly provided diagnostic classification at a rate higher than chance alone. Sensitivity and specificity for major depressive disorder (MDD) diagnosis were good and comparable to those of the BDI-II. Even in mothers who were somewhat more diverse and had older infants than those in the original normative study, the PDSS appears to be a psychometrically sound screener for identifying depressed mothers in the 15 months after childbirth.
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