Rodríguez-Muñoz María de la Fe, Ruiz-Segovia Natalia, Soto-Balbuena Cristina, Le Huynh-Nhu, Olivares-Crespo María Eugenia, Izquierdo-Méndez Nuria
Department of Psychology, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain.
Deparment of Gynecology and Obstetrics, Hospital Universitario Central de Asturias, 33011 Oviedo, Spain.
Int J Environ Res Public Health. 2020 Oct 19;17(20):7583. doi: 10.3390/ijerph17207583.
Perinatal anxiety and depression are common complications during pregnancy. The purpose of this study was to examine the item characteristics, reliability, validity, and factorial structure of the four-item Patient Health Questionnaire-4 (PHQ-4) and to determine the associations between scale scores and sociodemographic factors in a sample of pregnant women from Spain. A total of 845 pregnant women were recruited from two public hospitals in Spain between 2014 and 2016. Participants completed a self-report questionnaire that included Patient Health Questionnaire-4, including the two-item Patient Health Questionnaire and the two-item Generalized Anxiety Disorder Screener. Exploratory and confirmatory factor analysis and scale inter-correlations between the PHQ-4 and PHQ-9 revealed that the PHQ-4 has a bivariate structure and adequately assesses the dimensions of antenatal anxiety and depression. : The PHQ-4 is a reliable and valid instrument to screen for depression and anxiety during pregnancy. The PHQ-4 is an ultra-brief measure that can be used to screen for antenatal depression and anxiety to prevent the negative consequences associated with these mental health conditions among mothers and infants.
围产期焦虑和抑郁是孕期常见的并发症。本研究的目的是检验四项患者健康问卷-4（PHQ-4）的项目特征、信度、效度和因子结构，并确定西班牙孕妇样本中量表得分与社会人口学因素之间的关联。2014年至2016年期间，从西班牙的两家公立医院招募了845名孕妇。参与者完成了一份自我报告问卷，其中包括患者健康问卷-4，包括两项患者健康问卷和两项广泛性焦虑障碍筛查量表。探索性和验证性因子分析以及PHQ-4与PHQ-9之间的量表相互关联表明，PHQ-4具有双变量结构，并能充分评估产前焦虑和抑郁的维度。：PHQ-4是一种可靠有效的工具，可用于筛查孕期抑郁和焦虑。PHQ-4是一种超简短的测量方法，可用于筛查产前抑郁和焦虑，以预防这些心理健康状况对母婴造成的负面影响。
