Validation of the Edinburgh Postnatal Depression Scale (EPDS) in Spanish mothers
Validation of the Edinburgh Postnatal Depression Scale (EPDS) in Spanish mothers
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DOI：
10.1016/s0165-0327(02)00020-4
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发表时间：
2003-06-01
影响因子：
6.6
通讯作者：
Navarro, P
中科院分区：
文献类型：
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作者：
Garcia-Esteve, L;Ascaso, C;Navarro, P
背景：EPDS是一种由10个条目组成的自我报告量表，用于检测产后抑郁。它在英国和其他国家得到了验证，但在西班牙没有得到验证。方法：我们报告了1201例在产后6周进行产后常规检查的妇女(n=1201)的数据。采用两阶段研究方法：在第一阶段，所有被选中的个体都完成了EPDS；在第二阶段，EPDS评分为9的“可能病例”(n=261)和EPDS评分<9的10%的随机样本(n=126)由精神科医生使用DSM-IV非患者结构化临床访谈(SCID-NP)进行访谈，以建立对重度和轻度抑郁症的精神病学诊断。结果：西班牙版EPDS评分的最佳界值为10/11，敏感性为79%，特异性为95.5%，阳性预测值为63.2%，阴性预测值为97.7%。在这个分界点上，所有的重度抑郁症病例都被检测到了。ROC曲线下面积为0.976(P<；0.0001)，在0.968-0.984之间的渐近可信区间为95%。结论：我们的数据证实了EPDS在西班牙语版本中识别产后抑郁症的有效性。在西班牙样本中，以10/11作为重度和轻度合并抑郁症的分界值，有助于对后继精神评估进行筛查。(C)2002 Elsevier Science B.V.保留所有权利。
Background: The EPDS is a 10-items self-report scale designed as a specific instrument to detect postnatal depression. It was validated in the UK and in other countries, but not in Spain. Method: We report data from all women (n = 1201) attending in a routine postnatal check-up at 6 weeks postpartum during I year. A two-stage method was used: for the first stage, all individuals selected completed the EPDS; in the second one, 'probable cases' (n = 261) with EPDS score : 9, and a randomised sample of 10% with EPDS score less than 9 (n = 126) were interviewed by a psychiatrist using the Structured Clinical Interview for DSM-IV, non-patient (SCID-NP), to establish psychiatric diagnosis of major and minor depression. Results: The best cut-off of the Spanish validation of the EPDS was 10/11 for combined major and minor depression, the sensitivity was 79%, and specificity was 95.5%, with a positive predictive value of 63.2% and a negative predictive value of 97.7%. At this cut-off all cases of major depression were detected. The area under the ROC curve was 0.976 (P < 0.0001) with an asymptotic interval of confidence of 95% between 0.968 and 0.984. Conclusions: Our data confirm the validity of the EPDS to identify postnatal depression in its Spanish version. The cut-off 10/11 for major and minor combined depression is useful to screen for a posterior psychiatric evaluation in Spanish sample. (C) 2002 Elsevier Science B.V. All rights reserved.