摘要
目的比较产后抑郁筛查量表(PDSS)和爱丁堡产后抑郁量表(EPDS)在产后抑郁筛查中的应用价值。方法采用PDSS、EPDS及美国精神障碍诊断与统计手册第4版轴Ⅰ障碍定式临床检查患者版(SCID—I/P)同时对445名产后6周的妇女进行评定,以SCID—I/P作为产后抑郁诊断金标准。结果两种量表的临界值分别为74分和10分。PDSS的灵敏度(93.33%)和特异度(94.75%)的组合较好。PDSS与EPDS的ROC曲线下面积分别为0.978和0.872,差异均有统计学意义(P均〈0.05)。结论与EPDS相比,PDSS具有较好的筛检价值,是早期发现产后抑郁患者的简单、快速、准确的筛查工具。
Objective To compare the value of the Postpartum Depression Screening Scale (PDSS) and the Edinburgh Postnatal Depression Scale (EPDS) in the screening of postpartum depression. Methods A total of 445 women within 6 weeks postpartum completed PDSS, EPDS and Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (SCID-I/P). The SCID-I/P was regarded as the gold standard for postpartum depression diagnosis. Results The cut-off score for PDSS and EPDS was 74 and 10, respectively. PDSS achieved the higher combination of sensitivity (93.33%) and specifity (94.75%). The area under the curve for PDSS and EPDS was 0.978 and 0. 872, respectively ( P 〈 0.05 ). Conclusions Compared with EPDS, PDSS has a higher screening value. It is a simple, fast and accurate screening tool for postpartum depression.
出处
《中华现代护理杂志》
2012年第19期2274-2276,共3页
Chinese Journal of Modern Nursing
关键词
产后抑郁
筛查
产后抑郁筛查量表
爱丁堡产后抑郁量表
Postpartum depression
Screening
Postpartum depression screening scale
Edinburgh postnatal depression scale
作者简介
通信作者:刘梅,Email:liumei80538@163.com