Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong.
Psychiatry Res. 2010 Dec 30;180(2-3):80-5. doi: 10.1016/j.psychres.2009.07.015. Epub 2010 May 21.
Postnatal depression affects both men and women. The detection of postnatal depression is important, yet there are few validated screening tools on Chinese men. The goals of the present study were to compare the psychometric properties of the Edinburgh Postnatal Depression Scale (EPDS), the Beck Depression Inventory (BDI), and the Patient Health Questionnaire - Depression Module (PHQ-9) in screening for postnatal depression among Chinese fathers in Hong Kong. The prevalence of depression at 8 weeks postpartum was also estimated. A prospective cohort of 551 men completed the EPDS, BDI, and PHQ-9 at 8 weeks postpartum. Clinical diagnosis of depression was established with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), non-patient version (SCID-NP). The criterion validity of the instruments was evaluated against this clinical diagnosis. The EPDS was significantly more accurate than the BDI and PHQ-9 in detecting postnatal depression among Chinese men. With a cut-off score of 10 or more, the EPDS has a sensitivity of 91%, specificity of 97%, positive predictive value of 57%, and negative predictive value of 99%. Approximately 3.1% men met the DSM-IV criteria for depression at 8 weeks postpartum. The prevalence rate of postnatal depression in Chinese men is comparable to their Western counterparts. The Chinese EPDS is a valid instrument for detecting postnatal depression in men. It could be applied as a supplementary assessment tool in Chinese fathers who may be reluctant to disclose their depressive symptoms in face-to-face interviews.
产后抑郁症影响男性和女性。检测产后抑郁症很重要，但针对中国男性的经过验证的筛查工具却很少。本研究的目的是比较爱丁堡产后抑郁量表（EPDS）、贝克抑郁量表（BDI）和患者健康问卷-抑郁模块（PHQ-9）在筛查香港中国父亲产后抑郁症方面的心理测量特性。还估计了产后 8 周时的抑郁患病率。前瞻性队列研究纳入了 551 名男性，他们在产后 8 周时完成了 EPDS、BDI 和 PHQ-9。采用精神障碍诊断与统计手册第四版（DSM-IV）非患者版（SCID-NP）的结构临床访谈对抑郁进行临床诊断。评估了这些工具对该临床诊断的标准效度。在检测中国男性产后抑郁症方面，EPDS 明显比 BDI 和 PHQ-9 更准确。以 10 分或以上为界值，EPDS 的敏感性为 91%，特异性为 97%，阳性预测值为 57%，阴性预测值为 99%。约 3.1%的男性在产后 8 周时符合 DSM-IV 抑郁标准。中国男性产后抑郁症的患病率与西方男性相当。中文版 EPDS 是检测男性产后抑郁症的有效工具。对于那些在面对面访谈中可能不愿意透露抑郁症状的中国父亲，它可以作为一种补充评估工具应用。
