Edinburgh Postnatal Depression Scale (EPDS) for screening for depression in the first year post delivery in a low-resourced rural setting in Kenya
Edinburgh Postnatal Depression Scale (EPDS) for screening for depression in the first year post delivery in a low-resourced rural setting in Kenya
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DOI：
10.1177/13634615211043764
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发表时间：
2022-01-05
影响因子：
2.5
通讯作者：
Ndetei, David M.
中科院分区：
文献类型：
--
作者：
Mutiso, Victoria N.;Musyimi, Christine W.;Ndetei, David M.
产后抑郁症是产后母亲最常见的精神障碍之一，可能对母亲及其子女造成严重后果。需要当地验证的筛查工具，这些工具可以是自我管理的，也可以是非采访者管理的，以识别高危妇女，特别是在没有心理健康专家的情况下。本研究旨在评估文化适应版的爱丁堡产后抑郁量表(EPDS)在肯尼亚当地方言(坎巴语)中的效度和可靠性。受过培训的研究助理对544名讲坎巴语的妇女样本进行了当地语言版本的自我报告量表(EPDS)测试。两周后，由相同的研究助理对相同的研究参与者重新进行相同的量表测试。测试分数与根据DSM-IV标准迷你国际成人神经精神病学面试(MINI-Plus)的外部‘黄金标准’进行了比较。EPD的曲线下面积为0.867，95%可信区间为0.836~0.894，其临界点为>；=11，灵敏度为81.0%(95%可信区间70.6~89.0)，特异度为82.6%(95%可信区间78.8~85.9)。阳性预测值为44.1%，阴性预测值为96.2%。量表的内部信度为0.852，重测信度为0.496。EPDS在检测讲坎巴语的产后妇女的抑郁障碍方面显示出很好的实用性。它不一定要由精神卫生工作者(在低收入和中等收入国家很少)来管理；相反，这可以由训练有素的非专业采访者来完成。
Postnatal depression is one of the most common mental disorders among postnatal mothers and may have severe consequences for mothers and their children. Locally validated screening tools that can be self- or lay interviewer-administered are required to identify at-risk women, especially in settings with no mental health specialists. This study aimed to assess the validity and reliability of a culturally adapted version of the Edinburgh Postnatal Depression Scale (EPDS) in a local dialect (Kamba) in a Kenyan setting. Trained research assistants administered the local-language version of self-report scales (EPDS) to a sample of 544 Kamba-speaking women. The same scale was re-administered to the same research participants two weeks later by the same research assistants. The test scores were compared with an external 'gold standard' according to the DSM-IV criteria Mini-International Neuropsychiatric Interview for adults (MINI-Plus). The EPDS had an area under the curve (AUC) of 0.867 with 95% C.I of 0.836 to 0.894, with a cut-off point of >= 11, sensitivity of 81.0% (95% C.I 70.6-89.0) and specificity of 82.6% (95% CI 78.8-85.9). The positive predictive value (PPV) and negative predictive value (NPV) were 44.1% and 96.2%, respectively. The internal reliability was 0.852 and the test-retest reliability was 0.496. The EPDS showed good utility in detecting depressive disorder in Kamba-speaking postnatal women. It does not have to be administered by mental health workers (who are few in low- and middle-income countries); rather, this can be done by a trained lay interviewer.