Pollock J I, Manaseki-Holland S, Patel V
Health & Social Care, University of the West of England, Bristol, Blackberry Hill, UK.
J Affect Disord. 2006 Jun;92(2-3):267-71. doi: 10.1016/j.jad.2006.02.020. Epub 2006 Apr 17.
This study assesses, for the first time, the validity and internal reliability of the Edinburgh Post Natal Depression Scale (EPDS) and the WHO Self-Reporting Questionnaire 20-item version (SRQ-20) in detecting depression in Mongolian women of reproductive age.
100 women age recruited from two psychiatric units specialising in depression (n = 55) and three community-based child immunisation clinics (n = 45) in Ulaanbataar, Mongolia, were formally psychiatrically assessed by a clinician and by administering the revised Clinical Interview Schedule (CIS-R). Each woman also completed the EPDS and SRQ-20.
Ninety four women provided complete data and identical optimal cut-off points for both the EPDS (11.5) and SRQ-20 (8.5) were determined against both the psychiatrist's and CIS-R based diagnosis using standard validation parameters. On all parameters the SRQ-20 performed better than the EPDS. The sensitivity of the SRQ-20 in detecting depression was 93% and the specificity 97% against the psychiatrist's diagnosis. Internal reliability was satisfactory.
The use of a mixed clinical and community sample for validation, and a single psychiatrist may limit the generalisability of these results.
The SRQ-20 performed well and better than the EPDS in detecting depression in this group of Mongolian women.
本研究首次评估了爱丁堡产后抑郁量表（EPDS）和世界卫生组织20项自评问卷（SRQ - 20）在检测蒙古育龄妇女抑郁症方面的有效性和内部信度。
从蒙古乌兰巴托两家专门诊治抑郁症的精神科机构（n = 55）和三家社区儿童免疫诊所（n = 45）招募了100名女性，由一名临床医生通过修订的临床访谈表（CIS - R）对她们进行正式的精神评估。每位女性还完成了EPDS和SRQ - 20问卷。
94名女性提供了完整数据，根据标准验证参数，针对精神科医生的诊断以及基于CIS - R的诊断，确定了EPDS（11.5）和SRQ - 20（8.5）相同的最佳临界值。在所有参数上，SRQ - 20的表现均优于EPDS。针对精神科医生的诊断，SRQ - 20检测抑郁症的敏感性为93%，特异性为97%。内部信度令人满意。
使用混合的临床和社区样本进行验证，且仅由一名精神科医生参与，可能会限制这些结果的普遍性。
在检测这组蒙古女性的抑郁症方面，SRQ - 20表现良好且优于EPDS。
