Validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in late pregnancy among Nigerian women

Validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in late pregnancy among Nigerian women
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DOI:
10.1080/01674820600915478
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发表时间:
2006-12-01
影响因子:
3.1
通讯作者:
Fasoto, Olubunmi O.
Fasoto, Olubunmi O.
中科院分区:
医学3区
文献类型:
--
作者:
Adewuya, Abiodun O.;ola, B. A. Ola;Fasoto, Olubunmi O.

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本研究旨在检验爱丁堡产后抑郁量表(EPDS)作为尼日利亚妇女妊娠后期抑郁筛查工具的有效性。共有182名怀孕后期(32-36周)的妇女完成了EPDS的英文或约鲁巴语翻译版本,然后使用MINI国际神经精神病学访谈评估其中一部分人是否存在DSM-IV的严重和轻微抑郁症。结果发现,EPDS的临界值为10分是筛查重度和轻度抑郁症的最佳指标(敏感性= 0.867,特异性= 0.915,阳性结果的诊断似然比= 10.200)。当仅筛查重度抑郁症时,发现最合适的临界值为12(敏感性= 1.000,特异性= 0.961,阳性结果的诊断似然比= 25.641)。EPDS是筛查尼日利亚妇女怀孕后期抑郁症的有效和有用的工具。
This study aimed to examine the validity of the Edinburgh Postnatal Depression Scale (EPDS) as a screening tool for depression in late pregnancy among Nigerian women. A total of 182 women in late pregnancy (32-36 weeks) completed either the English or the translated Yoruba language version of the EPDS and a proportion of them were then assessed for the presence of DSM-IV major and minor depressive disorders using the MINI International Neuropsychiatric Interview. A cutoff score of 10 on the EPDS was found to be the best for screening for both major and minor depression (sensitivity = 0.867, specificity = 0.915, Diagnostic Likelihood Ratio for a positive result = 10.200). When screening for major depression only, a cut-off of 12 was found to the most appropriate (sensitivity = 1.000, specificity = 0.961, Diagnostic Likelihood Ratio for a positive result = 25.641). The EPDS is a valid and useful instrument in screening for depression in late pregnancy among Nigerian women.