Comparison of four self-report measures and a generic mood question to screen for anxiety during pregnancy in English-speaking women
Comparison of four self-report measures and a generic mood question to screen for anxiety during pregnancy in English-speaking women
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DOI：
10.1016/j.jad.2012.12.022
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发表时间：
2013-06-01
影响因子：
6.6
通讯作者：
Ross-Hamid, Clodagh
中科院分区：
文献类型：
--
作者：
Matthey, Stephen;Valenti, Barbara;Ross-Hamid, Clodagh
背景资料：越来越多的研究人员和临床医生呼吁扩大围产期心理健康抑郁症筛查，以筛查显著水平的焦虑。因此，本研究旨在比较四个自我报告焦虑措施，以及一个通用的情绪问题在怀孕期间的筛选性能。方法：测试的指标是两项普遍焦虑指标（爱丁堡抑郁量表和医院焦虑和抑郁量表的焦虑子量表），以及Huizink及其同事的两项妊娠特异性焦虑测量，Rini和他的同事们（两人最初都被称为怀孕相关焦虑问卷）。一个通用的情绪问题（Matthey通用情绪问题）询问压力，焦虑，不快乐或难以应对也进行了测试。132和389名妇女完成了这些措施，在他们的第一次产前门诊预约，多达249名妇女完成了诊断面试和各种措施两个weeks later.Results：通用情绪问题表现最好，检测58%和87%的高分者的其他措施，包括80%的妇女与焦虑症。第二个最好的措施是EDS焦虑分量表，检测到26%和73%的高分者的其他措施，虽然这只检测到54%的妇女与焦虑症。局限性：调查结果只适用于讲英语的妇女。此外，研究结果是否可以适用于妇女在怀孕后期，或产后，是unknow.Conclusion：服务希望屏幕上不仅可能抑郁症，但也可能焦虑应使用通用的情绪问题。对于那些目前使用EDS的服务，我们建议他们也对三项焦虑子量表进行评分。皇冠版权所有（c）2013由爱思唯尔B.V.出版保留所有权利。
Background: Increasingly researchers and clinicians have called for perinatal mental health depression screening to be broadened to also screen for significant levels of anxiety. This study therefore aimed to compare the screening performance during pregnancy of four self-report anxiety measures, as well as a generic mood question.Method: The measures tested were two measures of general anxiety (the anxiety subscales of the Edinburgh Depression Scale and the Hospital Anxiety and Depression Scale), and two measures of pregnancy specific anxiety by Huizink and colleagues, and Rini and colleagues (both originally called the Pregnancy-Related Anxiety Questionnaire). A generic mood question (Matthey Generic Mood Question) asking about stress, anxiety, unhappiness or difficulty coping was also tested. Between 132 and 389 women completed these measures at their first antenatal clinic appointment and up to 249 women completed a diagnostic interview and various measures two weeks later.Results: The generic mood question performed best, detecting between 58% and 87% of high scorers on the other measures, including 80% of the women with an anxiety disorder. The next best measure was the EDS anxiety subscale, detecting between 26% and 73% of high scorers on the other measures, though this only detected 54% of the women with an anxiety disorder.Limitations: Findings are only applicable to English-speaking women. In addition whether the findings can be applied to women later in their pregnancy, or postpartum, is not known.Conclusion: Services wishing to screen for not only possible depression but also possible anxiety should use the generic mood question. For those services which currently use the EDS we recommend they also score the three-item anxiety subscale. Crown Copyright (c) 2013 Published by Elsevier B.V. All rights reserved.