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一项关于巴西版爱丁堡产后抑郁量表新六项版本的提议。

A proposal for a new Brazilian six-item version of the Edinburgh Postnatal Depression Scale.

作者信息

Albuquerque Maicon Rodrigues, Corrêa Humberto, Couto Tiago Castro E, Santos Wallace, Romano-Silva Marco Aurelio, Santos Leonor Maria Pacheco

机构信息

Departamento de Esportes, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

Instituto Nacional de Ciência e Tecnologia em Medicina Molecular (INCT-MM), UFMG, Belo Horizonte, MG, Brazil.

出版信息

Trends Psychiatry Psychother. 2017 Jan-Mar;39(1):29-33. doi: 10.1590/2237-6089-2016-0056.

DOI:10.1590/2237-6089-2016-0056
PMID:28403320
Abstract

INTRODUCTION

: Factor analysis of the Edinburgh Postnatal Depression Scale (EPDS) could result in a shorter and easier to handle screening tool. Therefore, the aim of this study was to check and compare the metrics of two different 6-item EPDS subscales.

METHODS

: We administered the EPDS to a total of 3,891 women who had given birth between 1 and 3 months previously. We conducted confirmatory and exploratory factor analyses and plotted receiver-operating characteristics (ROC) curves to, respectively, determine construct validity, scale items' fit to the data, and ideal cutoff scores for the short versions.

RESULTS

: A previously defined 6-item scale did not exhibit construct validity for our sample. Nevertheless, we used exploratory factor analysis to derive a new 6-item scale with very good construct validity. The area under the ROC curve of the new 6-item scale was 0.986 and the ideal cutoff score was ≥ 6.

CONCLUSIONS

: The new 6-item scale has adequate psychometric properties and similar ROC curve values to the10-item version and offers a means of reducing the cost and time taken to administer the instrument.

摘要

引言

对爱丁堡产后抑郁量表(EPDS)进行因素分析可能会得出一个更简短且更易于操作的筛查工具。因此,本研究的目的是检验和比较两种不同的6项EPDS子量表的指标。

方法

我们对总共3891名在1至3个月前分娩的女性进行了EPDS测试。我们进行了验证性和探索性因素分析,并绘制了受试者操作特征(ROC)曲线,以分别确定结构效度、量表项目与数据的拟合度以及简短版本的理想临界分数。

结果

先前定义的6项量表对我们的样本未表现出结构效度。然而,我们使用探索性因素分析得出了一个具有非常好的结构效度的新6项量表。新6项量表的ROC曲线下面积为0.986,理想临界分数为≥6。

结论

新的6项量表具有足够的心理测量学特性,其ROC曲线值与10项版本相似,并提供了一种降低使用该工具的成本和时间的方法。

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