Validating the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in Kathmandu, Nepal.
Validating the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in Kathmandu, Nepal.
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DOI：
10.1186/s13033-016-0102-6
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发表时间：
2016
影响因子：
3.6
通讯作者：
Gavidia T
中科院分区：
文献类型：
--
作者：
Bhusal BR;Bhandari N;Chapagai M;Gavidia T
爱丁堡产后抑郁量表（EPDS）被认为是公认的产后抑郁症（PPD）筛查工具。该研究的目的是验证EPDS作为尼泊尔加德满都产后抑郁症的筛查工具。一个以医院为基础的横断面研究，使用EPDS进行了346名母亲之间的产后4至14周期间。所有参与者均由精神科医生进行检查，以确定可能的PPD临床诊断，采用国际疾病分类第十修订版（ICD-10）。计算敏感性、特异性、阳性预测值和阴性预测值，以验证EPDS。确定了尼泊尔版EPDS的最佳截止点，并计算了受试者工作特征曲线的面积。PPD的总患病率为17.1%，尼泊尔版EPDS的敏感性、特异性、阳性预测值和阴性预测值分别为92%、95.6%、77%和99.3%。EPDS筛选PPD的最佳截止点为12/13，曲线面积为0.98（95% CI 0.970-0.994，p = 0.001）。PPD的患病率与尼泊尔以前的研究结果相差不远。尼泊尔语版的EPDS是可以接受的，研究显示了良好的效度，因此EPDS可以作为PPD的有效筛查工具，以早期发现，及时治疗和预防可能的后果。
Edinburgh Postnatal Depression Scale (EPDS) is considered well accepted screening tool for postpartum depression (PPD). The objective of the study was to validate the EPDS as a screening tool for postpartum depression in Kathmandu, Nepal. A hospital based cross sectional study using EPDS was conducted among 346 mothers between 4 and 14 weeks of postpartum period. All the participants were examined by psychiatrist for possible clinical PPD diagnosis using International Classification of Disease tenth revision (ICD-10). Sensitivity, specificity, positive predictive value and negative predictive value were calculated for validation of EPDS. The best cut off point for Nepalese version of EPDS was identified and area of the receiver operating characteristics curve was calculated. The overall prevalence of PPD was 17.1 %.The sensitivity, specificity, positive predictive value and negative predictive value of the Nepalese version EPDS was found to be 92, 95.6, 77 and 99.3 % respectively. The best cut-off point of EPDS for screening of PPD was found to be 12/13 and the area of the curve was 0.98 (95 % CI 0.970–0.994, p = 0.001). The prevalence of PPD is not that far from the previous studies of Nepal. Nepali version of EPDS was acceptable and the study demonstrates good validity, thus EPDS can be used as valid screening tool for PPD for early detection, prompt treatment and to prevent possible consequences.