King Patricia Ann Lee
School of Social Work at the University of Southern California, 1150 South Olive St., Suite 320, Los Angeles, CA 90015, USA.
J Health Care Poor Underserved. 2012 Nov;23(4):1431-56. doi: 10.1353/hpu.2012.0163.
This integrative literature review evaluates the construct validity and potential for bias of commonly used postpartum depression screening tools in women with low socioeconomic status. Multiple search strategies were applied to identify literature addressing the validity of the Beck Depression Inventory, Center for Epidemiological Studies-Depression Scale, Edinburgh Postnatal Depression Scale, and Postpartum Depression Screening Scale from January 1980 thru January 2010. Twenty articles were identified, eight of which explicitly included women with low-socioeconomic status. Only three of these articles directly evaluated construct validity. The screening tools reviewed lack the comprehensive psycho-metric evaluation needed to support their extensive use across socioeconomically diverse populations that may result in missed opportunities to identify postpartum depression. This issue stems from serious limitations in the understanding of postpartum depression itself. An alternate understanding of and approach to screening for depression across all women in their developmental and environmental context is recommended.
这篇综合性文献综述评估了社会经济地位较低的女性常用产后抑郁筛查工具的结构效度和偏倚可能性。采用了多种检索策略来识别1980年1月至2010年1月期间涉及贝克抑郁量表、流行病学研究中心抑郁量表、爱丁堡产后抑郁量表和产后抑郁筛查量表效度的文献。共识别出20篇文章，其中8篇明确纳入了社会经济地位较低的女性。这些文章中只有3篇直接评估了结构效度。所审查的筛查工具缺乏全面的心理测量评估，而这种评估是支持其在社会经济背景多样的人群中广泛使用所必需的，否则可能会导致错过识别产后抑郁的机会。这个问题源于对产后抑郁本身理解上的严重局限。建议从另一个角度理解并采用一种方法，在所有女性的发育和环境背景下对抑郁进行筛查。
