The factor structure of the Edinburgh Postnatal Depression Scale among perinatal high-risk and community samples in London.
The factor structure of the Edinburgh Postnatal Depression Scale among perinatal high-risk and community samples in London.
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DOI：
10.1007/s00737-021-01153-0
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Craig MC
中科院分区：
文献类型：
--
作者：
Lautarescu A;Victor S;Lau-Zhu A;Counsell SJ;Edwards AD;Craig MC
及时准确地发现围产期心理健康问题对于母亲和孩子的福祉至关重要。越来越多的证据表明，爱丁堡产后抑郁量表（EPDS）并不是围产期抑郁的单维衡量标准，但可以用于筛查焦虑症。我们旨在评估 3 个不同妇女群体的 EPDS 因子结构：n = 266 名抑郁症高危孕妇（“围产期压力研究”），n = 471 名社区样本孕妇，以及 n = 637 名社区样本早期产后妇女（“发展人类连接组项目”）。进行了探索性因素分析（每个样本的 40%）和验证性因素分析（每个样本的 60%）。对 EPDS 评分与心理健康问题史之间的关系进行了调查。结果表明，三因素模型（抑郁、焦虑和快感缺乏）是最适合各组的模型。焦虑分量表（EPDS-3A）始终如一地出现，并且与产前样本中母亲的焦虑症史相关（W = 6861，p < 0.001）。 EPDS 总分与产前（W = 12,185，p < 0.001）和产后样本（W = 30,044，p < 0.001）的心理健康问题史相关。在围产期的高危样本和社区样本中，EPDS 似乎由抑郁、焦虑和快感缺乏分量表组成。更好地了解 EPDS 的多因素结构可以为女性产前和产后的诊断和管理提供信息。需要进一步研究来验证 EPDS-3A 作为焦虑筛查工具。在线版本包含可在 10.1007/s00737-021-01153-0 获取的补充材料。
Timely and accurate detection of perinatal mental health problems is essential for the wellbeing of both mother and child. Growing evidence has suggested that the Edinburgh Postnatal Depression Scale (EPDS) is not a unidimensional measure of perinatal depression, but can be used to screen for anxiety disorders. We aimed to assess the factor structure of the EPDS in 3 different groups of women: n = 266 pregnant women at high-risk of depression (“Perinatal Stress Study”), n = 471 pregnant women from a community sample, and n = 637 early postnatal women from a community sample (“developing Human Connectome Project”). Exploratory factor analysis (40% of each sample) and confirmatory factor analysis (60% of each sample) were performed. The relationship between EPDS scores and history of mental health concerns was investigated. Results suggested that a 3-factor model (depression, anxiety, and anhedonia) is the most appropriate across groups. The anxiety subscale (EPDS-3A) emerged consistently and was related to maternal history of anxiety disorders in the prenatal sample (W = 6861, p < 0.001). EPDS total score was related to history of mental health problems in both the prenatal (W = 12,185, p < 0.001) and postnatal samples (W = 30,044, p < 0.001). In both high-risk and community samples in the perinatal period, the EPDS appears to consist of depression, anxiety, and anhedonia subscales. A better understanding of the multifactorial structure of the EPDS can inform diagnosis and management of women in the prenatal and postnatal period. Further research is required to validate the EPDS-3A as a screening tool for anxiety. The online version contains supplementary material available at 10.1007/s00737-021-01153-0.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
4.4
作者：
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通讯作者：
Bowling, A
影响因子：
3
作者：
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通讯作者：
Bagner, Daniel M.
DOI：
10.1016/j.bpobgyn.2013.08.016
发表时间：
2014-01-01
影响因子：
5.5
作者：
Austin, Marie-Paule
通讯作者：
Austin, Marie-Paule
影响因子：
22.4
作者：
DZIUBAN, CD;SHIRKEY, EC
通讯作者：
SHIRKEY, EC