Using the Edinburgh postnatal depression scale to screen for anxiety disorders: Conceptual and methodological considerations
Using the Edinburgh postnatal depression scale to screen for anxiety disorders: Conceptual and methodological considerations
复制标题
DOI：
10.1016/j.jad.2012.09.009
复制
发表时间：
2013-01-01
影响因子：
6.6
通讯作者：
Rowe, Heather
中科院分区：
文献类型：
--
作者：
Matthey, Stephen;Fisher, Jane;Rowe, Heather
背景资料：围产期焦虑症状和障碍普遍存在且致残，但迄今为止尚未成为特定临床和公共卫生关注的焦点。EPDS被广泛用于检测可能的抑郁症，许多研究还发现，在产前和产后时期，该量表中的三个项目都加载了焦虑因素。此外，研究发现EPDS与围产期各种焦虑特异性措施之间存在临床显著相关性。本文的目的是研究解决的EPDS检测焦虑症的能力，以评估是否EPDS表现不同的女性抑郁症或焦虑症，并考虑未来的研究和临床practice.Methods的影响：英语围产期心理健康文献进行了搜索。六项研究的数据有关的能力的EPDS检测围产期焦虑症的妇女被确定。这些研究提供了以下信息：i）通过诊断焦虑和抑郁来比较EPDS总评分; ii）通过诊断焦虑和抑郁来比较焦虑子量表评分（EPDS-3A）。结果：从这两组信息中有证据表明EPDS对筛查女性焦虑是有用的，并且有新的证据表明EPDS总评分和EPDS-3A可以可靠地区分焦虑和抑郁。这些发现是基于少数研究，在不同语言和国家的各种临床和社区环境中进行的，样本量可变，其中一些缺乏确保可靠结论的能力。结论：EPDS似乎可以检测围产期焦虑症，但需要进一步的研究来确定EPDS在这方面的临床和公共卫生价值，以及它是否具有更稳健的心理测量特性或比现有的焦虑特异性测量更可行和可接受。皇冠版权所有（C）2012由Elsevier B. V.出版。保留所有权利。
Background: Perinatal anxiety symptoms and disorders are prevalent and disabling but have not to date been a focus for specific clinical and public health attention. The EPDS is widely used to detect probable depression, and many studies have also found that three items from this scale load on an anxiety factor, in both the antenatal and postnatal periods. In addition, studies have found clinically significant correlations between the EPDS and various anxiety-specific measures in the perinatal period. The aim of this paper is to examine studies which address the capacity of the EPDS to detect anxiety disorders, to assess whether the EPDS performs differently in women with depressive or anxiety disorders and to consider the implications for future research and clinical practice.Methods: The English-language perinatal mental health literature was searched. Six studies with data pertaining to the capacity of the EPDS to detect perinatal anxiety disorders in women were identified. These studies provide information on i) comparison of total EPDS score by diagnoses of anxiety and depression and ii) comparison of the anxiety subscale score (EPDS-3A) by diagnoses of anxiety and depression.Results: There is evidence from both sets of information that the EPDS is useful for screening for anxiety in women and emerging evidence that Total EPDS and EPDS-3A can distinguish depression from anxiety reliably.Limitations: The findings are based on a small number of studies, conducted in a variety of clinical and community settings in different languages and countries, and with variable sample sizes, some of which lack power to ensure reliable conclusions.Conclusions: The EPDS appears to detect perinatal anxiety disorders, but further research is required to establish the clinical and public health value of the EPDS for this purpose, and whether it has more robust psychometric properties or is more feasible and acceptable than existing anxiety-specific measures. Crown Copyright (C) 2012 Published by Elsevier B.V. All rights reserved.