Individual participant data meta-analysis to compare EPDS accuracy to detect major depression with and without the self-harm item.
Individual participant data meta-analysis to compare EPDS accuracy to detect major depression with and without the self-harm item.
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单个参与者数据荟萃分析以比较EPDS的精度，以检测有或没有自我伤害项目的重大抑郁症。
DOI：
10.1038/s41598-023-29114-w
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发表时间：
2023-03-10
影响因子：
4.6
通讯作者：
Thombs, Brett
中科院分区：
文献类型：
--
作者：
Qiu, Xia;Wu, Yin;Sun, Ying;Levis, Brooke;Tian, Jizhou;Boruff, Jill T.;Cuijpers, Pim;Ioannidis, John P. A.;Markham, Sarah;Ziegelstein, Roy C.;Vigod, Simone N.;Benedetti, Andrea;Thombs, Brett
爱丁堡产后抑郁量表（EPDS）的第10项旨在评估故意自残的想法，但也可能引起对意外自残的担忧。它并不特别针对自杀意念，但有时被用作自杀倾向的指标。EPDS的9项版本（EPDS-9）省略了第10项，有时用于研究，因为担心第10项的积极认可和必要的后续行动。我们评估了在孕妇和产后妇女中使用EPDS-9与完整EPDS检测重度抑郁症的总分相关性和筛查准确性的等效性。我们搜索了从数据库成立到2018年10月3日的Medline、Medline In-Process和其他非索引引文、PsycInfo和Web of Science，寻找管理EPDS并根据经过验证的半结构化或完全结构化访谈对重度抑郁症进行诊断分类的研究。18岁或以上女性在怀孕期间或产后12个月内进行的访谈。我们进行了个体参与者数据的荟萃分析。我们使用随机效应模型计算了EPDS-9和完整EPDS总分之间的Pearson相关性和95%预测区间（PI）。拟合双变量随机效应模型以评估筛选准确性。通过比较合并灵敏度和特异性差异的置信区间（CI）与等效性界值δ = 0.05进行等效性检验。个体参与者数据来自41项符合条件的研究（10，906名参与者，1407例重度抑郁症病例）。EPDS-9与EPDS总分之间的相关性为0.998（95%PI 0.991，0.999）。对于灵敏度，EPDS-9和完整EPDS在临界值7-12时等效（差异范围为-0.02，0.01），在临界值13-15时等效性不确定（所有差异均为-0.04）。对于特异性，EPDS-9和完整EPDS在所有临界值下均等同（差异范围0.00，0.01）。第九号电子数据显示系统的表现与整份电子数据显示系统相若，当有人关注实施电子数据显示系统第10项的影响时，便可使用该系统。试验注册：原始IPDMA在PROSPERO（CRD 42015024785）中注册。
Item 10 of the Edinburgh Postnatal Depression Scale (EPDS) is intended to assess thoughts of intentional self-harm but may also elicit concerns about accidental self-harm. It does not specifically address suicide ideation but, nonetheless, is sometimes used as an indicator of suicidality. The 9-item version of the EPDS (EPDS-9), which omits item 10, is sometimes used in research due to concern about positive endorsements of item 10 and necessary follow-up. We assessed the equivalence of total score correlations and screening accuracy to detect major depression using the EPDS-9 versus full EPDS among pregnant and postpartum women. We searched Medline, Medline In-Process and Other Non-Indexed Citations, PsycINFO, and Web of Science from database inception to October 3, 2018 for studies that administered the EPDS and conducted diagnostic classification for major depression based on a validated semi-structured or fully structured interview among women aged 18 or older during pregnancy or within 12 months of giving birth. We conducted an individual participant data meta-analysis. We calculated Pearson correlations with 95% prediction interval (PI) between EPDS-9 and full EPDS total scores using a random effects model. Bivariate random-effects models were fitted to assess screening accuracy. Equivalence tests were done by comparing the confidence intervals (CIs) around the pooled sensitivity and specificity differences to the equivalence margin of δ = 0.05. Individual participant data were obtained from 41 eligible studies (10,906 participants, 1407 major depression cases). The correlation between EPDS-9 and full EPDS scores was 0.998 (95% PI 0.991, 0.999). For sensitivity, the EPDS-9 and full EPDS were equivalent for cut-offs 7–12 (difference range − 0.02, 0.01) and the equivalence was indeterminate for cut-offs 13–15 (all differences − 0.04). For specificity, the EPDS-9 and full EPDS were equivalent for all cut-offs (difference range 0.00, 0.01). The EPDS-9 performs similarly to the full EPDS and can be used when there are concerns about the implications of administering EPDS item 10. Trial registration: The original IPDMA was registered in PROSPERO (CRD42015024785).
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DOI：
10.4088/pcc.10m00978blu
发表时间：
2010-01-01
期刊：
Primary care companion to the Journal of clinical psychiatry
影响因子：
--
作者：
Dube, Priyanka;Kurt, Kroenke;Williams, Linda S
通讯作者：
Williams, Linda S
影响因子：
2.3
作者：
Loyal, D.;Sutter, A. -L.;Rascle, N.
通讯作者：
Rascle, N.
DOI：
10.1192/bjp.2018.54
发表时间：
2018-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Levis B;Benedetti A;Riehm KE;Saadat N;Levis AW;Azar M;Rice DB;Chiovitti MJ;Sanchez TA;Cuijpers P;Gilbody S;Ioannidis JPA;Kloda LA;McMillan D;Patten SB;Shrier I;Steele RJ;Ziegelstein RC;Akena DH;Arroll B;Ayalon L;Baradaran HR;Baron M;Beraldi A;Bombardier CH;Butterworth P;Carter G;Chagas MH;Chan JCN;Cholera R;Chowdhary N;Clover K;Conwell Y;de Man-van Ginkel JM;Delgadillo J;Fann JR;Fischer FH;Fischler B;Fung D;Gelaye B;Goodyear-Smith F;Greeno CG;Hall BJ;Hambridge J;Harrison PA;Hegerl U;Hides L;Hobfoll SE;Hudson M;Hyphantis T;Inagaki M;Ismail K;Jetté N;Khamseh ME;Kiely KM;Lamers F;Liu SI;Lotrakul M;Loureiro SR;Löwe B;Marsh L;McGuire A;Mohd Sidik S;Munhoz TN;Muramatsu K;Osório FL;Patel V;Pence BW;Persoons P;Picardi A;Rooney AG;Santos IS;Shaaban J;Sidebottom A;Simning A;Stafford L;Sung S;Tan PLL;Turner A;van der Feltz-Cornelis CM;van Weert HC;Vöhringer PA;White J;Whooley MA;Winkley K;Yamada M;Zhang Y;Thombs BD
通讯作者：
Thombs BD
DOI：
10.1136/bmj.m4022
发表时间：
2020-11-11
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Levis B;Negeri Z;Sun Y;Benedetti A;Thombs BD;DEPRESsion Screening Data (DEPRESSD) EPDS Group
通讯作者：
DEPRESsion Screening Data (DEPRESSD) EPDS Group
影响因子：
2
作者：
Higgins, JPT;Thompson, SG
通讯作者：
Thompson, SG