对比EPDS和PHQ-9的因子结构和可靠性,用于查产前和产后抑郁症:多组确认因子分析
Alberto Stefana1, Joshua A Langfus2, Gabriella Palumbo3
1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy. alberto.stefana@gmail.com.
Archives of women's mental health
|July 18, 2023
概括
爱丁堡产后抑郁量表 (EPDS) 比患者健康问卷 (PHQ) 更可靠,用于评估孕妇和产后患者的抑郁症. 这两种尺度最好用作准确的周边心理健康评估的单因素措施.
科学领域:
- 精神病学是一个精神病学.
- 心理测量 心理测量 心理测量
- 围产期心理健康问题
背景情况:
- 准确评估抑郁症状对于周围产妇患者至关重要.
- 爱丁堡产后抑郁量表 (EPDS) 和患者健康问卷 (PHQ) 是常用的查工具.
- 在产前和产后人群中了解这些尺度的因子结构和可靠性对于临床实用性至关重要.
研究的目的:
- 在产前和产后样本中比较EPDS和PHQ的因子结构和可靠性.
- 评估使用这些规模作为单因素或多因素措施的适用性.
- 为了测试产前和产后组之间的尺度的测量不变性.
主要方法:
- 探索性因子分析和并行分析被用来确定尺度结构.
- 麦当劳的omega统计评估了单因素和多因素解释的得分可靠性.
- 多组确认因子分析 (MCFA) 检查了产前和产后组之间的测量不变性.
主要成果:
- 双因素模型最适合产前和产后组的EPDS,其中一个一般因素解释了最可靠的差异.
- 在产前组中,PHQ-9表现出双因素结构,但在产后组中不太适合.
- MCFA表示因子负载的弱不变性和组之间的项目值的部分不变性.
结论:
- 在PHQ-9上推EPDS用于测量周围人群的抑郁症状.
- 无论是EPDS还是PHQ都应该被管理和解释为单因素尺度.
- 产前和产后组之间的分数比较需要仔细考虑,因为测量不变性有限.
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