Lee D T, Yip A S, Chiu H F, Leung T Y, Chung T K
Department of Psychiatry, The Chinese University of Hong Kong, Shatin, Hong Kong.
J Affect Disord. 2001 Mar;63(1-3):233-8. doi: 10.1016/s0165-0327(00)00193-2.
Few studies have examined the utility of rating scales developed in non-puerperal context in detecting postnatal depression. This study evaluated the utility of the General Health Questionnaire (GHQ) and the Beck Depression Inventory (BDI) in screening for depression among recently delivered women in Hong Kong.
A prospective cohort of 145 Chinese women completed the GHQ, BDI and Edinburgh Postnatal Depression Scale (EPDS) 6 weeks after delivery. They were then assessed using the non-patient version of the Structured Clinical Interview for DSM-III-R (SCID-NP) to establish psychiatric diagnosis, against which the criterion validity of the GHQ and BDI was evaluated against this clinical diagnosis. The psychometric performance of the GHQ, BDI and EPDS in detecting postnatal depression was assessed using the receiver operating characteristic (ROC) curves.
Both Chinese GHQ and BDI had satisfactory sensitivity and positive predictive value in detecting postnatal depression. Their receiver operating characteristic (ROC) curves were comparable to that of the EPDS.
The study was conducted in Chinese women using translated version of the rating scales.
The GHQ and BDI are useful for detecting postnatal depression among recently delivered Chinese women. The results of this study suggest that rating scales developed in non-puerperal context may also be applicable for postnatal depression.
很少有研究探讨在非产褥期开发的评定量表在检测产后抑郁症方面的效用。本研究评估了一般健康问卷（GHQ）和贝克抑郁量表（BDI）在香港近期分娩妇女中筛查抑郁症的效用。
一个由145名中国女性组成的前瞻性队列在产后6周完成了GHQ、BDI和爱丁堡产后抑郁量表（EPDS）。然后使用针对DSM-III-R的结构化临床访谈非患者版（SCID-NP）对她们进行评估以确立精神科诊断，并据此评估GHQ和BDI相对于该临床诊断的效标效度。使用受试者工作特征（ROC）曲线评估GHQ、BDI和EPDS在检测产后抑郁症方面的心理测量性能。
中文版的GHQ和BDI在检测产后抑郁症方面均具有令人满意的敏感性和阳性预测值。它们的受试者工作特征（ROC）曲线与EPDS的曲线相当。
本研究是在使用评定量表翻译版本的中国女性中进行的。
GHQ和BDI有助于检测近期分娩的中国女性中的产后抑郁症。本研究结果表明，在非产褥期开发的评定量表也可能适用于产后抑郁症。
