Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners
Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners
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DOI：
10.1016/s0165-0327(00)00236-6
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发表时间：
2001-05-01
影响因子：
6.6
通讯作者：
Howie, P
中科院分区：
文献类型：
--
作者：
Matthey, S;Barnett, B;Howie, P
背景资料：爱丁堡产后抑郁量表（EPDS）已被验证，并广泛用于筛查抑郁症的新妈妈，无论是在英语和非英语社区。虽然一些研究报告了使用EPDS与父亲，没有验证它为这一组，因此，适当的截止评分筛查抑郁或焦虑的情况下，这一人群是未知的。方法：在产前招募夫妇，并在产后六周进行访谈。使用诊断访谈计划确定了208名父亲和230名母亲的EPDS评分和痛苦情况（抑郁或焦虑症）。结果如下：分析的EPDS父亲使用的困扰caseness（抑郁症或焦虑症）作为标准表明，截止5/6具有最佳的接收器操作特性。此外，可接受的信度（分半和内部一致性）和效度（并发）系数。对于母亲，检测窘迫病例的最佳截止筛选值为7/8。项目分析显示，父亲对十个项目中的七个项目的认可率低于母亲，其中最重要的是涉及哭泣。结论：EPDS是一个可靠和有效的测量父亲的情绪。筛查抑郁症或焦虑症的父亲需要一个两个点低于筛查抑郁症或焦虑症的母亲，我们建议这个截止到他5/6。(C)2001 Elsevier Science B. V.保留所有权利。
Background: The Edinburgh Postnatal Depression Scale (EPDS) has been validated and used extensively in screening for depression in new mothers, both in English speaking and non-English speaking communities. While some studies have reported the use of the EPDS with Fathers, none have validated it for this group, and thus the appropriate cut-off score for screening for depression or anxiety caseness for this population is not known. Method: Couples were recruited antenatally and interviewed at six weeks postpartum. EPDS scores and distress caseness (depression or anxiety disorders) for 208 fathers and 230 mothers were determined using the Diagnostic Interview Schedule. Results: Analyses of the EPDS for fathers using distress caseness (depression or anxiety disorders) as the criterion shows that a cut-off of 5/6 has optimum receiver operating characteristics. Furthermore acceptable reliability (split-half and internal consistency) and validity (concurrent) coefficients were obtained. For mothers the optimum cut-off screening value to detect distress caseness was 7/8. Item analysis revealed that fathers endorsed seven of the ten items at lower rates to mothers, with the most significant being that referring to crying. Conclusions: The EPDS is a reliable and valid measure of mood in fathers. Screening for depression or anxiety disorders in fathers requires a two point lower cut-off than screening for depression or anxiety in mothers, and we recommend this cut-off to he 5/6. (C) 2001 Elsevier Science B.V. All rights reserved.