Psychometric Properties and Diagnostic Accuracy of the Edinburgh Postnatal Depression Scale in a Sample of Iranian Women
Psychometric Properties and Diagnostic Accuracy of the Edinburgh Postnatal Depression Scale in a Sample of Iranian Women
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爱丁堡产后抑郁量表对伊朗女性样本的心理测量特性和诊断准确性
DOI：
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发表时间：
2012
影响因子：
2.4
通讯作者：
N. Masaeli
中科院分区：
文献类型：
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作者：
G. Kheirabadi;M. Maracy;S. Akbaripour;N. Masaeli
背景：爱丁堡产后抑郁量表（EPDS）已被许多国家用作产后抑郁症的可靠筛查工具。本研究的目的是评估的心理测量学特性和诊断准确性的EPDS在伊朗妇女的样本。研究方法：采用分层抽样的方法，从伊斯法罕市城乡卫生中心抽取262名产后妇女（产后2周~ 3个月）。采用EPDS和汉密尔顿抑郁量表（HDRS）进行调查。采用因子分析、受试者工作特征曲线、Cronbach’s alpha和Pearson相关系数进行分析。结果：研究对象年龄18-45岁（26.6±5.1）岁。基于HDRS的临界点>13，18.3%的参与者。EPDS的总体信度（Cronbach’s alpha）为0.79。EPDS与HDRS之间有显著相关性（r ~ 2 =0.60，P <0.01）。双因素分析显示，快感缺乏和抑郁是两个解释因素。在截止点12，问卷的敏感性为78%（95% CI：73%-83%），特异性为75%（95% CI：72%-78%）。结论：波斯语版EPDS具有较好的心理测量学特征，诊断准确性指数较高。卫生系统专业人员可利用它来检测、评估和治疗患有产后抑郁症的母亲。
Background: Edinburgh Postnatal Depression Scale (EPDS) has been used as a reliable screening tool for postpartum depression in many countries. This study aimed to assess the psychometric properties and diagnostic accuracy of the EPDS in a sample of Iranian women. Methods: Using stratified sampling 262 postpartum women (2 weeks-3 months after delivery) were selected from urban and rural health center in the city of Isfahan. They were interviewed using EPDS and Hamilton depression rating scale (HDRS). Data were assessed using factor analysis, diagnosis analysis of receiver operating characteristic (ROC) curve, Cronbach's alpha and Pearson correlation coefficient. Results: The age of then participants ranged 18-45 years (26.6±5.1). Based on a cut-off point of >13 for HDRS, 18.3% of the participants. The overall reliability (Cronbach's alpha) of EPDS was 0.79. There was a significant correlation (r2=0.60, P value<0.01) between EPDS and HDRS. Two factor analysis showed that anhedonia and depression were two explanatory factors. At a cut-off point12 the sensitivity of the questionnaire was 78% (95% CI: 73%-83%) and its specificity was 75% (95% CI: 72%-78%). Conclusion: The Persian version of the EPDS showed appropriate psychometric properties diagnostic accuracy index. It can be used by health system professionals for detection, assessment and treatment for mothers with post partum depression.