Comparative performance of the Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire-9 in pregnant and postpartum women seeking psychiatric services
Comparative performance of the Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire-9 in pregnant and postpartum women seeking psychiatric services
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DOI：
10.1016/j.psychres.2010.10.022
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发表时间：
2011-05-15
影响因子：
11.3
通讯作者：
Zivin, Kara
中科院分区：
文献类型：
--
作者：
Flynn, Heather A.;Sexton, Minden;Zivin, Kara
在诊所和人群中采用标准的抑郁测量有利于护理的连续性和促进研究。本研究提供了一个常用的围产期抑郁症工具（爱丁堡产后抑郁量表-EPDS）的比较效用的一般抑郁症筛选（患者健康问卷-9-PHQ-9）在围产期妇女寻求精神病学服务的样本在一个大型的医疗保健系统。对81例妊娠患者和104例产后患者（n = 185）的最终样本提取电子病历（包括PHQ-9和EDPS）。心理测量学特性进行了检查的妇女谁符合标准的严重抑郁症（MDD）的基础上，临床诊断，相比妇女没有任何情绪障碍的诊断。使用通常推荐的截止评分，这两种措施具有可比的灵敏度，特异性，PPV和NPV的孕妇和产后妇女。ROC对比的比较AUC在两种测量之间没有显著差异。因此，本研究发现PHQ-9和EPDS在孕妇和产后妇女精神科门诊样本中检测临床医生诊断的MDD的性能几乎没有显著差异。出版社：Elsevier爱尔兰Ltd.
Adoption of a standard depression measures across clinics and populations is advantageous for continuity of care and facilitation of research. This study provides information on the comparative utility of a commonly used perinatal-specific depression instrument (the Edinburgh Postnatal Depression Scale-EPDS) with a general depression screener (Patient Health Questionnaire-9-PHQ-9) in a sample of perinatal women seeking psychiatry services within a large health care system. Electronic medical records (which included PHQ-9 and EDPS) were abstracted for a final sample of 81 pregnant and 104 postpartum patients (n = 185). Psychometric properties were examined among women who met the criteria for Major Depressive Disorder (MDD) based on clinician diagnoses, as compared to women without any mood disorder diagnosis. Using commonly recommended cut-off scores, both measures had comparable sensitivity, specificity, PPV and NPV for both pregnant and postpartum women. Comparative AUC for ROC contrasts were not significantly different between the two measures. Thus, this study found few significant differences in the performance of the PHQ-9 and EPDS in detecting clinician-diagnosed MDD in a psychiatry outpatient sample of pregnant and postpartum women. Published by Elsevier Ireland Ltd.