Research and Training Centre for Community Development, Hanoi, Vietnam; Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Research and Training Centre for Community Development, Hanoi, Vietnam.
J Affect Disord. 2012 Jan;136(1-2):104-109. doi: 10.1016/j.jad.2011.08.012. Epub 2011 Sep 9.
Perinatal non-psychotic common mental disorders (PCMDs) are less well recognised in men than in women. However, there are adverse consequences of PCMD for men, their partners and their infants. There is a need for simple, readily administered screening tools for use in research and primary health care for men, including in low income settings. The aim of this study was to validate three scales for screening PCMDs in men in northern Vietnam.
Translated and culturally verified versions of the Edinburgh Postnatal Depression Scale (EPDS), Zung's Self-rated Anxiety Scale (Zung SAS), and the General Health Questionnaire 12 items (GHQ-12) were validated against a gold-standard diagnostic tool, the Structured Clinical Interview for DSM IV diagnoses in a community-based sample of 231 Vietnamese men who were partners of pregnant women or women who had recently given birth. Post-hoc analyses, Receiver Operating Characteristic (ROC) analyses, and Cronbach's alpha were performed to examine the validity and internal reliability of the three scales.
The prevalence of PCMDs in men was 17.8% (95%CI: 13.3-22.3). The AUROC of the EPDS 76.7% (95%CI: 67.9-85.5), the Zung SAS was 77.5% (95%CI: 68.9-86.0) and the GHQ-12 was 79.2% (95%CI: 71.2-87.1). The selected cut-off point to detect clinically significant symptoms in men using the EPDS was 4/5 (Sensitivity (Se) 68.3% and specificity (Sp) 77.4%), the Zung SAS was 35/36 (Se 70.7% and Sp 79.0%) and the GHQ-12 was 0/1 (Se 75.6% and Sp 74.7%).
PCMDs in men are an unrecognised public health problem in northern Vietnam. Overall the cut off scores to detect clinically significant symptoms are lower than those reported in high income settings. Cut off scores on the EPDS and Zung SAS are slightly higher in men than in women in northern Vietnam, but these scales are suitable for use with men in this setting. Although not suitable to detect PCMD in women, the GHQ-12 is suitable to detect PCMD in men.
围产期非精神病性常见精神障碍（PCMD）在男性中不如女性中常见。然而，PCMD 会对男性、他们的伴侣及其婴儿造成不良后果。因此，我们需要为男性开发简单、易于管理的筛查工具，以便在研究和初级保健中使用，包括在低收入环境中。本研究的目的是验证三种在越南北部男性中筛查 PCMD 的量表。
对爱丁堡产后抑郁量表（EPDS）、Zung 自评焦虑量表（Zung SAS）和一般健康问卷 12 项（GHQ-12）进行翻译和文化验证后，与基于社区的 231 名越南男性进行比较，这些男性是孕妇或刚分娩女性的伴侣。使用结构临床访谈 DSM-IV 诊断对他们进行金标准诊断工具诊断。对三种量表进行事后分析、受试者工作特征（ROC）分析和 Cronbach's alpha 分析，以检验其有效性和内部可靠性。
男性 PCMD 的患病率为 17.8%（95%CI：13.3-22.3）。EPDS 的 AUROC 为 76.7%（95%CI：67.9-85.5），Zung SAS 为 77.5%（95%CI：68.9-86.0），GHQ-12 为 79.2%（95%CI：71.2-87.1）。使用 EPDS 检测男性临床显著症状的最佳截断值为 4/5（灵敏度（Se）为 68.3%，特异性（Sp）为 77.4%），Zung SAS 为 35/36（Se 为 70.7%，Sp 为 79.0%），GHQ-12 为 0/1（Se 为 75.6%，Sp 为 74.7%）。
越南北部男性的 PCMD 是一个未被认识到的公共卫生问题。总体而言，检测临床显著症状的截断值低于高收入环境中的报告值。在越南北部，EPDS 和 Zung SAS 的截断值在男性中略高于女性，但这些量表在该环境中适用于男性。尽管 GHQ-12 不适用于检测女性的 PCMD，但它适用于检测男性的 PCMD。
