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产后抑郁筛查量表的葡萄牙语版本。

The Portuguese version of the postpartum depression screening scale.

机构信息

Faculdade de Medicina da Universidade de Coimbra, Instituto de Psicologia Médica, Coimbra, Portugal.

出版信息

J Psychosom Obstet Gynaecol. 2010 Jun;31(2):90-100. doi: 10.3109/0167482X.2010.481736.

Abstract

The aim of the present study was to analyse whether the Portuguese version of the Postpartum Depression Screening Scale (PDSS) was a valid instrument for screening postpartum depression. For this purpose the following objectives were delineated: (1) to analyse PDSS psychometric properties; (2) to determine PDSS cut-off points and associated conditional probabilities for screening depression according to DSM-IV and ICD-10 criteria; and (3) to compare the performance of PDSS with the Beck Depression Inventory-II (BDI-II) in screening for postpartum depression. Four hundred eighty-six 3-months-postpartum women completed both questionnaires and were interviewed with the Portuguese version of Diagnostic Interview for Genetic Studies (DIGS). The Portuguese version of the operational criteria checklist for psychotic illness (OPCRIT) was used to obtain DSM-IV and ICD-10 diagnoses of depression, our gold standards for caseness. PDSS reliability and validity were very good and equivalent to those reported in other versions, including the original. PDSS was an accurate screening instrument for postpartum depression, showing satisfactory combination of sensitivity and specificity (>80%). Compared to BDI-II it has the advantage of being more specific for the motherhood context. PDSS could be very useful for clinical and epidemiological purposes.

摘要

本研究旨在分析葡萄牙版本的产后抑郁筛查量表(PDSS)是否是一种有效的产后抑郁筛查工具。为此,确定了以下目标:(1)分析 PDSS 的心理测量特性;(2)根据 DSM-IV 和 ICD-10 标准确定 PDSS 的截断点和相关条件概率,用于筛查抑郁;(3)比较 PDSS 与贝克抑郁量表-II(BDI-II)在筛查产后抑郁方面的性能。486 名产后 3 个月的妇女完成了这两个问卷,并接受了葡萄牙语版遗传研究诊断访谈(DIGS)的访谈。使用操作标准检查表(OPCRIT)的葡萄牙语版本获得了 DSM-IV 和 ICD-10 抑郁诊断,这是我们用于确定病例的金标准。PDSS 的可靠性和有效性非常好,与其他版本(包括原始版本)报告的结果相当。PDSS 是一种准确的产后抑郁筛查工具,具有令人满意的敏感性和特异性(>80%)的结合。与 BDI-II 相比,它具有针对母亲身份背景更具特异性的优势。PDSS 可用于临床和流行病学目的。

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