Analysis of brief screening tools for the detection of postpartum depression: Comparisons of the PRAMS 6-item instrument, PHQ-9, and structured interviews
Analysis of brief screening tools for the detection of postpartum depression: Comparisons of the PRAMS 6-item instrument, PHQ-9, and structured interviews
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DOI：
10.1007/s00737-013-0345-z
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发表时间：
2013-08-01
影响因子：
4.5
通讯作者：
Zlotnick, Caron
中科院分区：
文献类型：
--
作者：
Davis, Kristina;Pearlstein, Teri;Zlotnick, Caron
产后抑郁症（PPD）是一个重要的心理健康问题，影响到大约10%的妇女.自我报告筛查措施代表了在临床和研究环境中检测PPD的实用性。目前的研究试图检查两个筛选措施相比，临床访谈的准确性。作为一项正在进行的临床试验的一部分，使用患者健康问卷-9（PHQ-9）和由CDC妊娠风险评估问题（PRAMS-6）开发的六项量表对1，392名年龄在18至45岁之间的妇女进行了PPD筛查。还检查了PRAMS-6的三个项目分量表-三个抑郁（PRAMS-3D）和三个焦虑项目（PRAMS-3A）。受试者操作特征比较了PHQ-9、PRAMS-6、PRAMS-3D和PRAMS-3A与DSM-IV（SCID）结构化临床访谈和汉密尔顿抑郁量表的诊断准确性。PHQ-9、PRAMS-6和PRAMS-3D在诊断PPD时均显示出中等准确性。提供了诊断临界点。PRAMS-6仪器是一种简单有效的PPD筛查工具。症状评估的时间范围可能会导致PHQ-9和PRAMS筛查工具之间的准确性存在一定差异。
Postpartum depression (PPD) is an important mental health issue affecting approximately 10 % of women. Self-report screening measures represent utility for detecting PPD in both clinical and research settings. The current study sought to inspect the accuracy of two screening measures compared to clinical interviews. As part of an ongoing clinical trial, 1,392 women between the ages of 18 and 45 were screened for PPD using the Patient Health Questionnaire-9 (PHQ-9) and a six-item scale developed from CDC Pregnancy Risk Assessment questions (PRAMS-6). Three item subscales of the PRAMS-6 were also inspected-three depression (PRAMS-3D) and three anxiety items (PRAMS-3A). Receiver operating characteristics compared the diagnostic accuracy of the PHQ-9, PRAMS-6, PRAMS-3D, and PRAMS-3A to both the Structured Clinical Interview for the DSM-IV (SCID) and the Hamilton Rating Scale for Depression. The PHQ-9, PRAMS-6, and PRAMS-3D all showed moderate accuracy at diagnosing PPD. Diagnostic cut points are provided. The PRAMS-6 instrument is a brief and effective screening tool for PPD. The time frame of symptom assessment may account for some variability in accuracy between the PHQ-9 and PRAMS screening instruments.