The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy
The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy
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DOI：
10.3109/08039488.2011.590606
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发表时间：
2011-12-01
影响因子：
1.8
通讯作者：
Sydsjo, Gunilla
中科院分区：
文献类型：
--
作者：
Rubertsson, Christine;Borjesson, Karin;Sydsjo, Gunilla
鲁伯特森·C，Borjesson K，Berglund A，Josefsson，Sydsjo G.爱丁堡产后抑郁量表(EPDS)在孕期的瑞典验证。Nord J精神病学2011；65：414-418.背景：大约10%-15%的妇女在怀孕期间或产后第一年患有抑郁症。孕期抑郁是孕期紧张和早产的危险因素。在瑞典，还没有经过验证的筛查工具来检测怀孕期间的抑郁症。目的：验证爱丁堡产后抑郁量表(EPDS)与DSM-IV诊断妊娠期抑郁症的标准，建立可靠的临界值，并估计EPDS与医院焦虑和抑郁量表(HAD-S)的相关性。方法：在以人群为基础的社区样本中，对1175名孕妇进行问卷调查，918名孕妇(78%)使用EPDS和HAD-S进行问卷调查。总共有121人接受了PRIME-MD(精神障碍初级护理评估)的采访，以诊断抑郁症。受访妇女的平均孕周为13周(8-21周)。对于EPDS，计算受试者工作特征(ROC)曲线以预测抑郁。采用皮尔逊相关系数分析EPDS与HAD-S评分之间的关系。结果：EPDS量表诊断抑郁症的最佳分界值为>；=13(标准误系数为1.09，c-统计量为0.84)，其敏感性为77%，特异性为94%。EPDS评分与HAD-S评分显著相关，相关系数为0.83(P<；0.0001)。结论：本研究证实EPDS是检测孕期抑郁症状的有效筛查工具。EPDS显示了令人信服的测量结果，最佳截止值为13。临床意义：孕妇的医疗保健应考虑抑郁症状的筛查程序和后续程序。
Rubertsson C, Borjesson K, Berglund A, Josefsson, Sydsjo G. The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy. Nord J Psychiatry 2011;65:414-418.Background: Around 10-15% of women suffer from depressive illness during pregnancy or the first year postpartum. Depression during pregnancy constitutes a risk for prenatal stress and preterm birth. No validated screening instrument for detecting depression during pregnancy was available in Swedish. Aims: We aimed to validate the Edinburgh Postnatal Depression Scale (EPDS) against DSM-IV criteria for depression during pregnancy, establish a reliable cut-off and estimate the correlation between the EPDS and HAD-S (Hospital Anxiety and Depression Scale). Methods: In a population-based community sample of 1175 pregnant women, 918 women (78%) answered questionnaires with the EPDS and HAD-S. In all, 121 were interviewed using the PRIME-MD (Primary Care Evaluation of Mental disorders) for diagnosing depression. Women were interviewed in mean gestational week 13 (range 8-21). For the EPDS, a receiver operating characteristic (ROC) curve was calculated for prediction of depression. Pearson's correlation coefficient was used to investigate the association between EPDS and HAD-S scores. Results: The optimal cut-off score on the EPDS scale for detecting depression was >= 13 (standard error coefficient of 1.09 and c-statistics of 0.84) giving a sensitivity of 77% and specificity of 94%. The EPDS scores correlated strongly with the HAD-S, Pearson's correlation was 0.83 (P < 0.0001). Conclusions: This study confirms that the EPDS is a valid screening instrument for detection of depressive symptoms during pregnancy. The EPDS shows persuasive measuring outcomes with an optimal cut-off at >= 13. Clinical implications: Healthcare for pregnant women should consider screening procedures and follow-up routines for depressive symptoms.