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爱丁堡产后抑郁症量表的诊断准确度,没有自伤项

Chong Chen¹, Ryo Okubo², Sumiyo Okawa³

¹Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University and Graduate School of Medicine, Ube, Japan.

Journal of psychiatric research

|July 21, 2023

概括

爱丁堡产后抑郁量表 (EPDS) 的自杀念头项目存在问题. 删除它来创建EPDS-9的结果是对围产期抑郁症的同等查工具.

科学领域:

围产期心理健康问题
心理查工具心理查工具
心理健康研究心理健康研究

背景情况:

爱丁堡产后抑郁量表 (EPDS) 被广泛用于围产期抑郁查.
该EPDS的第10项,旨在评估自杀念头,可能是不准确的,可能会引起痛苦.
以前的研究表明,通过完整的EPDS得分可以预测这个项目的反应.

研究的目的:

评估没有第十项 (EPDS-9) 的EPDS作为围产期抑郁症查工具的性能.
为了确定EPDS-9是否适合替代完整的EPDS或EPDS-10.

主要方法:

在全国范围内对5688名日本产后妇女和1639名孕妇进行了互联网调查.
分析EPDS-9和完整的EPDS/EPDS-10之间的相关性.
在区分自我报告的抑郁症诊断和基于K6的抑郁症查方面,EPDS-9和EPDS-10的性能比较.
评估EPDS-9在预测对原始EPDS第10项反应的敏感性.

主要成果:

EPDS-9与完整的EPDS和EPDS-10完全相关.
在抑郁症诊断和K6查方面,EPDS-9和EPDS-10的表现相当.
在9的切线下,EPDS-9在预测频繁的自我伤害想法方面获得了高灵敏度 (0.968-1.0).

结论:

EPDS-9是完整的EPDS的有效可靠替代品,性能与EPDS-10相当.
删除有问题的第10项并不会影响尺度对围产期抑郁症查的有效性.
可以建议EPDS-9在未来用于围产期抑郁查.

关键词:

爱丁堡产后抑郁症量表爱丁堡产后抑郁症量表在分娩后的分娩.怀孕怀孕怀孕怀孕查检查查检查查检查自己伤害的自我伤害敏感度敏感度敏感度自杀的想法自杀的想法

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