Detecting postnatal depression in Chinese women - Validation of the Chinese version of the Edinburgh Postnatal Depression Scale
Detecting postnatal depression in Chinese women - Validation of the Chinese version of the Edinburgh Postnatal Depression Scale
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DOI：
10.1192/bjp.172.5.433
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发表时间：
1998-05-01
影响因子：
10.5
通讯作者：
Chung, TKH
中科院分区：
文献类型：
--
作者：
Lee, DTS;Yip, SK;Chung, TKH
背景：我们评估了中文版爱丁堡产后抑郁量表(EPDS)在香港产后6周的应用情况，并测量了产后6周主要抑郁症的患病率。方法前瞻性队列145名妇女在产后6周完成EPDS、12个条目的一般健康问卷(GHQ)和Beck抑郁量表(BDI)。然后用DSM-III-R非患者版结构化临床访谈(SCID-NP)进行评估，以确定精神病学诊断。对照这一临床诊断检验EPDS的标准效度，并评估其与GHQ和BDI评分的同时效度。结果中国版EPDS具有较好的心理测量学特性，建议在一般产后人群中筛查抑郁性疾病的临界值为9/10。产后6周时，5.5%的研究对象患有重度抑郁。结论中国产后抑郁自评量表可用于产后抑郁的筛查。
Background We evaluated the utility of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) and measured the prevalence of major depression six weeks after confinement among Chinese women in Hong Kong.Method A prospective cohort of 145 women completed the EPDS, the 12-item General Health Questionnaire (GHQ) and the Beck Depression Inventory (BDI) six weeks after giving birth. They were then assessed with the Structured Clinical interview for DSM-III-R, non-patient version (SCID-NP) to establish psychiatric diagnosis. The criterion validity of EPDS was tested against this clinical diagnosis, and the concurrent validity against the GHQ and BDI scores was also evaluated. The internal consistency of the scales was measured by Cronbach's alpha coefficient.Results The Chinese EPDS had satisfactory psychometric properties and a cut-off score of 9/10 is recommended for screening depressive illness in a general postnatal population. At six weeks post-partum, 5.5% of the study population suffered from major depression.Conclusions The Chinese EPDS will be useful for screening for postnatal depression.