Using the WHO Self-Reporting Questionnaire-20 (SRQ-20) to Detect Symptoms of Common Mental Disorders among Pregnant Women in Vietnam: a Validation Study.
Using the WHO Self-Reporting Questionnaire-20 (SRQ-20) to Detect Symptoms of Common Mental Disorders among Pregnant Women in Vietnam: a Validation Study.
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DOI：
10.2147/ijwh.s404993
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发表时间：
2023
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在像越南这样资源匮乏的地区，产前常见精神障碍的检测非常重要，需要一种可靠、有效和实用的筛查工具。目前，越南还没有经过验证可用于孕妇的此类工具。本研究旨在评估越南版的20项自我报告问卷（SRQ-20）的有效性，通过评估其可靠性，因子结构，并在检测常见的精神障碍（CMD）症状的性能，从而确定最佳的截止分数CMD筛查在越南孕妇。来自四个农村社区的210名孕妇参加了一个面对面的访谈，使用越南版的SRQ-20，然后根据ICD-10诊断标准的CMD的临床诊断访谈。SRQ-20的信度通过计算量表的Cronbach’s alpha来衡量内部一致性。进行了因素分析，以检查该工具的因素结构。进行受试者工作特征（ROC）曲线分析，以评估SRQ-20针对临床诊断的性能，并确定最佳截止评分。内部一致性良好，Cronbach α为0.87。因子分析得到了4个因子的解。检测CMD的ROC曲线下面积（AUC）为0.90。SRQ-20检测越南孕妇CMD症状的最佳截止评分为5/6。越南版SRQ-20能够有效检测孕妇中的CMD，并建议在越南产前护理机构中用作CMD的筛查工具。
Detection of antenatal common mental disorders in low-resource settings like Vietnam is important and requires a reliable, valid and practical screening tool. Currently, there is no such tool validated for use among pregnant women in Vietnam. This study aims to assess the validity of the Vietnamese version of the 20-item Self Reporting Questionnaire (SRQ-20) by evaluating its reliability, factorial structure, and performance in detecting common mental disorder (CMD) symptoms, thereby identifying the optimum cut-off score for CMD screening among pregnant women in Vietnam. A total of 210 pregnant women from four rural communes participated in a face-to-face interview using the Vietnamese version of the SRQ-20, followed by a clinical diagnostic interview based on ICD-10 diagnostic criteria of CMDs. The reliability of the SRQ-20 was assessed by calculating the scale’s Cronbach’s alpha to measure internal consistency. Factor analyses were undertaken to examine the factor structure of the instrument. The Receiver Operating Characteristic (ROC) curve analysis was performed to assess the performance of the SRQ-20 against the clinical diagnosis and to identify the optimum cut-off score. Internal consistency was good, with a Cronbach’s alpha of 0.87. Factor analyses resulted in a 4-factor solution. The area under the ROC curve (AUC) for detection of CMDs was 0.90. The optimum cut-off score of the SRQ-20 for detection of CMD symptoms among Vietnamese pregnant women was 5/6. The Vietnamese version of the SRQ-20 has the capacity to detect CMDs among pregnant women effectively and is recommended for use as a screening tool for CMDs in antenatal care settings in Vietnam.