Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan.
Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan.
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DOI：
10.3390/ijerph18031075
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发表时间：
2021-01-26
影响因子：
--
通讯作者：
Sikander S
中科院分区：
文献类型：
--
作者：
Mohsin S;Waqas A;Atif N;Rabbani MW;Ali Khan S;Bilal S;Sharif M;Bibi A;Sikander S
孕产妇抑郁症是一个全球性的心理健康问题，也是一个公共卫生优先事项。尽管有优先权，但其主动检测仍然是一个挑战。我们测试了适应版本的社区知情人检测工具孕产妇抑郁症（CIDT-MD）在巴基斯坦农村环境的准确性。使用单阶段设计，经过培训的社区信息提供者（女卫生工作者和非专业同行）确定妇女（孕妇和/或有孩子的）可能抑郁症的症状，使用CIDT-MD。随后立即由受过训练的评估人员使用诊断和统计手册（SCID-V）的结构化临床访谈对所有女性进行诊断访谈，以评估当前的重性抑郁发作，对CIDT-MD的结果不知情。使用Statistical Package for Social Sciences（版本25.0，IBM Corp.，阿尔蒙克，纽约州，美国）和FACTOR软件（版本。10.3.01，Escherichili大学，塔拉戈纳，西班牙）。采用描述性统计、因素分析、效度、信度和已知组效度对CIDT-MD量表进行了评价。总共有425名女性参与，平均年龄为28岁（SD = 4.7）。近10%的人是文盲，其余的人（90%）受过8至15年的学校教育。大多数参与者（73.2%）有1-3个孩子，而只有17.4%有3个以上的孩子。CIDT-MD诊断抑郁症状的敏感性为97.5%（95% CI：94.2-99.1），特异性为82.4%（95% CI：77.8-86.4）。其阳性预测值（PPV）为77.3%（95%CI：72.9-81.2），阴性预测值（NPV）为98.17%（95%CI：95.7-99.2）。因子分析显示，大多数项目的项目间相关性很高（0.62-0.77），Kaiser-Meyer-Olkin（KMO）抽样充分（0.73），Bartlett的球度检验显著（p < 0.001）。CIDT-MD的单维性基于一维一致性（0.97）、解释共同方差（0.85）、极好的内部一致性（0.90）、良好的标准效度（曲线下面积= 81%）、测试者-测试可靠性（0.87-0.89）和统计学显著的已知组分析（p < 0.001）。经改编的社区产妇抑郁症知情人检测工具是巴基斯坦农村地区积极检测产妇抑郁症病例的有效和可靠工具。
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of probable depression using CIDT-MD. This was immediately followed by diagnostic interviews of all the women using the Structured Clinical Interview for the Diagnostic and Statistical Manual (SCID-V) for current major depressive episode by trained assessors, blinded to the outcome of CIDT-MD. Data were analyzed using Statistical Package for Social Sciences (Version 25.0, IBM Corp., Armonk, NY, USA) and FACTOR software (Version. 10.3.01, Virgili University, Tarragona, Spain). Descriptive statistics, factor analysis, validity, reliability and known group validity was conducted to evaluate the psychometric properties of the adapted CIDT-MD. In all, 425 women, with mean age of 28 years (SD = 4.7), participated. Nearly 10% were illiterate, while the rest (90%) had an education ranging from eight to 15 years of schooling. The majority (73.2%) of the participants had 1–3 children while only 17.4% had >3 children. The sensitivity and specificity of CIDT-MD in detecting depressive symptoms was 97.5% (95% CI: 94.2–99.1) and 82.4% (95% CI: 77.8–86.4) respectively. It’s positive predictive value (PPV), 77.3% (95% CI: 72.9–81.2) and the negative predictive value (NPV) was 98.17% (95% CI: 95.7–99.2). While factor analysis revealed high inter-item correlation for most items (0.62–0.77) with an adequately fair Kaiser-Meyer-Olkin (KMO) sampling adequacy (0.73), significant Bartlett’s test of sphericity (p < 0.001). Uni-dimensionality for the CIDT-MD based on one-dimensional congruence (0.97), explained common variance (0.85), excellent internal consistency (0.90), good criterion validity (Area Under Curve = 81%), tester-test reliability (0.87–0.89) and statistically significant known group analysis (p < 0.001). The adapted version of the Community Informant Detection Tool for Maternal Depression is a valid and a reliable tool for active case detection of maternal depression in rural settings of Pakistan.
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影响因子：
4.4
作者：
Azale T;Fekadu A;Hanlon C
通讯作者：
Hanlon C
影响因子：
3.7
作者：
Chin WY;Choi EP;Chan KT;Wong CK
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11.1
作者：
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Komproe, Ivan H.
影响因子：
7
作者：
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通讯作者：
Yamada, Mitsuhiko
影响因子：
7.4
作者：
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通讯作者：
Carson, Kathy