Screening Beyond Postpartum Depression: Occluded Anxiety Component in the EPDS (EPDS-3A) in French Mothers
Screening Beyond Postpartum Depression: Occluded Anxiety Component in the EPDS (EPDS-3A) in French Mothers
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DOI：
10.1007/s10995-020-02885-8
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发表时间：
2020-03-01
影响因子：
2.3
通讯作者：
Rascle, N.
中科院分区：
文献类型：
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作者：
Loyal, D.;Sutter, A. -L.;Rascle, N.
前言：根据许多研究，焦虑在围产期是普遍存在的，并且有许多有害的影响。因此，筛查措施不应仅限于评估抑郁症状。广泛使用的爱丁堡产后抑郁量表(EPDS)可以评估抑郁，也可以评估焦虑症状。本研究探讨焦虑维度(EPDS-3A)在法国女性孕期和产后是否存在并有效。方法分别于妊娠晚期、产后2个月、4个月对144例、138例、129例法国妇女进行随访。他们完成了EPDS和医院焦虑和抑郁量表(HADS-A)。进行探索性因素分析。为检验其效度，将EPDS-3A与焦虑(HADS-A)和抑郁(EPDS-D)得分进行相关分析。最后，根据推荐的截断点计算患病率估计值。结果EPDS-3A测评的焦虑维度在产后观察到，而在孕期未观察到。双因素结构(抑郁和焦虑)增加了产后2个月和4个月的解释差异(分别为6%和12%)。EPDS-3A具有良好的内部一致性(>；=0.70)，并且与焦虑(HADS-A)(0.48-0.57)比抑郁(EPDS-D)(0.30-0.39)有更强的相关性。近28%的母亲的得分超过了EPDS-3A的临界值(=4)，但没有完全达到EPDS的临界值(=13或更高)。讨论EPDS包含焦虑成分(EPDS-3A)，在法国妇女中可以在产后时期发现，但在怀孕期间不存在。它显示出内部一致性和有效性的迹象。产后焦虑筛查可参考EPDS-3A。
Introduction According to many studies, anxiety in the perinatal period is widespread and has many detrimental effects. Thus, screening measures should not be limited to assessing depression symptoms. The widely used Edinburgh Postnatal Depression Scale (EPDS) might assess depression but also anxiety symptoms. This study explores whether an anxiety dimension (EPDS-3A) was found and valid in French women during pregnancy and the postpartum period. Methods French women were followed-up at late pregnancy and 2 and 4 months postpartum (N = 144, 138 and 129). They completed the EPDS and the Hospital Anxiety and Depression Scale (HADS-A). Exploratory factor analyses were performed. Then to test its validity, the EPDS-3A was correlated with anxiety (HADS-A) and depression (EPDS-D) scores. Finally, prevalence estimates were computed according to recommended cut off. Results The anxiety dimension assessed through the EPDS-3A was observed during the postpartum period but not during pregnancy. A two-factor structure (depression and anxiety) increases the variance explained at 2 and 4 months postpartum (respectively 6 and 12%). The EPDS-3A shows good internal consistency (>= .70) and was more strongly associated with anxiety scores (HADS-A) (.48-.57) than with depression scores (EPDS-D) (.30-.39). Nearly 28% of mothers had scores that exceeded the EPDS-3A cut off (>= 4) but not the full EPDS cut off (>= 13 or more). Discussion The EPDS contains an anxiety component (EPDS-3A) that can be found in French women during the postnatal period but not during pregnancy. It shows signs of internal consistency and validity. The EPDS-3A could be considered when screening for postpartum anxiety.