产后说意大利语女性中爱丁堡产后抑郁量表的探索性与验证性因素分析研究

An exploratory and confirmatory factor analysis study of the EPDS in postnatal Italian-speaking women.

作者信息

Della Vedova Anna Maria, Loscalzo Yura, Giannini Marco, Matthey Stephen

机构信息

Clinical and Experimental Sciences Department, University of Brescia, Brescia, Italy.

Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy.

出版信息

J Reprod Infant Psychol. 2022 Apr;40(2):168-180. doi: 10.1080/02646838.2020.1822993. Epub 2020 Sep 30.

DOI:10.1080/02646838.2020.1822993

PMID:32993358

Abstract

BACKGROUND

Depression and anxiety are the most prevalent emotional difficulties in the perinatal period and there is agreement that early intervention is an important strategy to prevent long-lasting effects on mother and child. Literature has recently shown that the Edinburgh Postnatal Depression Scale (EPDS) is able to measure not only depression but also anxiety.

OBJECTIVE

To investigate the factorial structure of the EPDS in Italian-speaking new mothers.

METHOD

416 women attending vaccination services between 2 and 4 months postpartum filled in the EPDS. Exploratory (EFA) and Confirmatory (CFA) analyses were carried out.

RESULTS

The EFA on the first part of the sample ( = 208) showed a two-factor structure. The CFAs on the second sample of mothers ( = 208) provided support for the 'EPDS-4A', with items 3,4,5,6 belonging to the Anxiety factor and items 1,2,7,8,9,10 to the Depression factor. The fit for the model was good: χ/df = 1.41, <.001; GFI =.99; CFI =.99; TLI =.88; RMSEA =.04.

CONCLUSION

A two-factor structure of the EPDS was confirmed suggesting that the EPDS can be used to screen for both depression and anxiety for Italian mothers in the postnatal period.

摘要

背景

抑郁和焦虑是围产期最常见的情绪问题，人们一致认为早期干预是预防对母婴产生长期影响的重要策略。最近的文献表明，爱丁堡产后抑郁量表（EPDS）不仅能够测量抑郁，还能测量焦虑。

目的

调查EPDS在说意大利语的初产妇中的因子结构。

方法

416名在产后2至4个月期间参加疫苗接种服务的女性填写了EPDS。进行了探索性（EFA）和验证性（CFA）分析。

结果

对样本第一部分（n = 208）的EFA显示出两因素结构。对第二组母亲样本（n = 208）的CFA为“EPDS - 4A”提供了支持，其中第3、4、5、6项属于焦虑因子，第1、2、7、8、9、10项属于抑郁因子。模型拟合良好：χ/df = 1.41，p <.001；GFI =.99；CFI =.99；TLI =.88；RMSEA =.04。