Marcos-Nájera Rosa, Le Huynh-Nhu, Rodríguez-Muñoz María F, Olivares Crespo María Eugenia, Izquierdo Mendez Nuria
Department of Personality, Assessment and Psychological Treatment. Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), C/Juan del Rosal n° 10, 28040, Madrid, Spain.
Department of Psychology. George Washington University, USA.
Midwifery. 2018 Jul;62:36-41. doi: 10.1016/j.midw.2018.03.011. Epub 2018 Mar 27.
To evaluate psychometric properties and the factor structure of the Spanish version of the Patient Health Questionnaire (PHQ-9) in pregnant women received care in an urban public hospital in Spain.
RESEARCH DESIGN/SETTING: In a cross-sectional study, the reliability and factor structure were examined. Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the PHQ-9 with a pregnant Spanish-speaking sample (n = 445) recruited during the first trimester in an obstetrics clinic in Madrid.
The Spanish version of PHQ-9 had moderate internal consistency (α = 0.81). Exploratory factor analysis revealed a two-factor (cognitive-affective, somatic) and three-factor (cognitive-affective, somatic, pregnancy-related) structure of the PHQ-9, whereas confirmatory factor analyses support a three-factor model (cognitive-affective, somatic, pregnancy-related) as the best fit to the data.
The Spanish version of PHQ-9 is reliable and can be used to screen for depression during pregnancy. A three-factor model structure is adequate to evaluate the components and symptoms of depression for Spanish pregnant women.
Midwives can screen for depression during the PHQ-9 and can tailor interventions to minimize the adverse effects on mothers and infants, before and after birth.
评估西班牙版患者健康问卷（PHQ-9）在西班牙一家城市公立医院接受护理的孕妇中的心理测量特性和因子结构。
研究设计/背景：在一项横断面研究中，对可靠性和因子结构进行了检查。对马德里一家产科诊所孕早期招募的讲西班牙语的孕妇样本（n = 445）进行探索性和验证性因子分析，以检验PHQ-9的潜在结构。
西班牙版PHQ-9具有中等内部一致性（α = 0.81）。探索性因子分析揭示了PHQ-9的两因子（认知-情感、躯体）和三因子（认知-情感、躯体、妊娠相关）结构，而验证性因子分析支持三因子模型（认知-情感、躯体、妊娠相关）最适合数据。
西班牙版PHQ-9可靠，可用于孕期抑郁症筛查。三因子模型结构足以评估西班牙孕妇抑郁症的组成部分和症状。
助产士可在使用PHQ-9时筛查抑郁症，并可在产前和产后调整干预措施，以尽量减少对母婴的不利影响。
