Experience and Reporting of Postnatal Depression Across Cultures: A Comparison Using Anchoring Vignettes of Mothers in the United Kingdom and India.

Experience and Reporting of Postnatal Depression Across Cultures: A Comparison Using Anchoring Vignettes of Mothers in the United Kingdom and India.
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DOI:
10.1093/aje/kwad182
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发表时间:
2024-01-08
影响因子:
5
通讯作者:
--
中科院分区:
医学2区
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--
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在流行病学研究中,产后心理健康经常使用自我评估问卷进行评估。受语言、文化和经验的影响,反应风格的差异可能意味着相同的反应在不同的环境中可能具有不同的含义。这些差异需要在跨文化比较中加以识别和解释。在这里,我们描述了锚定小插曲的发展和应用,以调查在印度(n = 549)和英国(n = 828)的城市社区样本的爱丁堡产后抑郁量表(EPDS)的跨文化功能,以及英国校准样本(n = 226)。参与者在他们的孩子12-24个月大时完成了EPDS和锚定小插曲。在一个未经调整的项目反应理论模型,英国的母亲比印度的母亲更高的抑郁症状(d = 0.48,95%置信区间:0.358,0.599)。在对反应风格的差异进行调整后,这些位置发生了逆转(d =-0.25,95%置信区间:-0.391,-0.103)。印度和联合王国之间的反应风格各不相同,这表明在进行跨文化比较时需要考虑到这些差异。协调小插图为全球数据协调提供了一种有效可行的方法。
Postnatal mental health is often assessed using self-assessment questionnaires in epidemiologic research. Differences in response style, influenced by language, culture, and experience, may mean that the same response may not have the same meaning in different settings. These differences need to be identified and accounted for in cross-cultural comparisons. Here we describe the development and application of anchoring vignettes to investigate the cross-cultural functioning of the Edinburgh Postnatal Depression Scale (EPDS) in urban community samples in India (n = 549) and the United Kingdom (n = 828), alongside a UK calibration sample (n = 226). Participants completed the EPDS and anchoring vignettes when their children were 12–24 months old. In an unadjusted item-response theory model, UK mothers reported higher depressive symptoms than Indian mothers (d = 0.48, 95% confidence interval: 0.358, 0.599). Following adjustment for differences in response style, these positions were reversed (d = −0.25, 95% confidence interval: −0.391, −0.103). Response styles vary between India and the United Kingdom, indicating a need to take these differences into account when making cross-cultural comparisons. Anchoring vignettes offer a valid and feasible method for global data harmonization.
DOI: 10.1016/s0140-6736(16)31389-7
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