高危妊娠女性精神障碍的筛查：三种心理工具的准确性
Screening of psychiatric disorders in women with high-risk pregnancy: Accuracy of three psychological tools.
作者信息
Hamidia Angela, Kheirkhah Farzan, Chehrazi Mohammad, Basirat Zahra, Ghadimi Reza, Barat Shahnaz, Cuijpers Pim, O'Connor Elizabeth, Mirtabar Seyyedeh Mahboubeh, Faramarzi Mahbobeh
机构信息
Social Determinants of Health Research Center, Health Research Institute, Department of Psychiatry Babol University of Medical Sciences Babol Iran.
Department of Biostatistics and Epidemiology, School of Public Health Babol University of Medical Sciences Babol Iran.
出版信息
Health Sci Rep. 2022 Feb 18;5(2):e518. doi: 10.1002/hsr2.518. eCollection 2022 Mar.
Abstract
PURPOSE
This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high-risk pregnancy.
DESIGN AND METHODS
In this cross-sectional study (N = 155), ensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53-items (BSI-53), and the BSI-18 were computed with respect to having a psychiatric diagnosis based on the clinical interview.
RESULTS
The usual cutoffs (≥13 for EPDS, T-score of 63 for BSI-53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI-53, and GSI = 0.5 for BSI-18.
PRACTICE IMPLICATIONS
The use of psychological tools among pregnant women with high-risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.
摘要
目的
本研究调查了三种心理工具用于筛查高危妊娠女性精神障碍的最佳切点。
设计与方法
在这项横断面研究（N = 155）中，根据临床访谈得出的精神科诊断，计算爱丁堡产后抑郁量表（EPDS）、53项简明症状量表（BSI-53）和18项简明症状量表（BSI-18）的敏感性/特异性。
结果
常用切点（EPDS≥13，BSI-53的T分数为63）显示出较差的诊断准确性。计算得出的最佳阈值为：EPDS切点为6.5，BSI-53的总体严重程度指数（GSI）=0.47，BSI-18的GSI = 0.5。
实践意义
为了准确识别精神障碍，高危妊娠孕妇使用心理工具的方式可能需要调整。
相似文献
1
Screening of psychiatric disorders in women with high-risk pregnancy: Accuracy of three psychological tools.
Health Sci Rep. 2022 Feb 18;5(2):e518. doi: 10.1002/hsr2.518. eCollection 2022 Mar.
2
Screening for emotional disorders in patients with cancer using the Brief Symptom Inventory (BSI) and the BSI-18 versus a standardized psychiatric interview (the World Health Organization Composite International Diagnostic Interview).
Cancer. 2018 Jun 1;124(11):2415-2426. doi: 10.1002/cncr.31340. Epub 2018 Apr 16.
3
Different cutoff points for different trimesters? The use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to screen for depression in pregnant Taiwanese women.
Gen Hosp Psychiatry. 2007 Sep-Oct;29(5):436-41. doi: 10.1016/j.genhosppsych.2007.05.005.
4
Validation of the Edinburgh Postnatal Depression Scale against both DSM-5 and ICD-10 diagnostic criteria for depression.
BMC Psychiatry. 2018 Dec 20;18(1):393. doi: 10.1186/s12888-018-1965-7.
5
Depressive symptoms and psychological distress from antenatal to postnatal period in women with high-risk pregnancy: A prospective study during the COVID-19 pandemic.
Indian J Psychiatry. 2021 Nov-Dec;63(6):536-542. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1272_20. Epub 2021 Dec 3.
6
Antenatal screening timeline and cutoff scores of the Edinburgh Postnatal Depression Scale for predicting postpartum depressive symptoms in healthy women: a prospective cohort study.
BMC Pregnancy Childbirth. 2022 Jun 28;22(1):527. doi: 10.1186/s12884-022-04740-w.
7
Mental Health Diagnoses on the Mini International Psychiatric Interview Are Associated With Higher Scores on the Edinburgh Postnatal Depression Scale.
Nurs Womens Health. 2024 Jun;28(3):177-186. doi: 10.1016/j.nwh.2023.11.007. Epub 2024 Mar 11.
8
Validity of the Brief Symptom Inventory-18 (BSI-18) for identifying depression and anxiety in young adult cancer survivors: Comparison with a Structured Clinical Diagnostic Interview.
Psychol Assess. 2017 Oct;29(10):1189-1200. doi: 10.1037/pas0000427. Epub 2017 Jan 12.
9
Predictive validity of the Edinburgh postnatal depression scale and other tools for screening depression in pregnant and postpartum women: a systematic review and meta-analysis.
Arch Gynecol Obstet. 2023 May;307(5):1331-1345. doi: 10.1007/s00404-022-06525-0. Epub 2022 Apr 13.
10
Validation of the Edinburgh postnatal depression scale as a screening tool for depression in Spanish pregnant women.
J Affect Disord. 2019 Mar 1;246:515-521. doi: 10.1016/j.jad.2018.12.075. Epub 2018 Dec 24.
引用本文的文献
1
Alloimmunization in Pregnancy: Patient-reported Quality of Care, Mental Health Effects, and Impact Upon Daily Life.
AJP Rep. 2025 Sep 8;15(3):e146-e153. doi: 10.1055/a-2690-9547. eCollection 2025 Jul.
2
Effectiveness of Psychological Counseling Intervention in High-Risk Pregnancies in Italy.
J Pers Med. 2024 Sep 15;14(9):976. doi: 10.3390/jpm14090976.
3
Prevalence and Risk Factors of Prenatal and Postnatal Depressive Symptoms in Babol Pregnancy Mental Health Registry: A Cross-Sectional Study.
Int J Fertil Steril. 2024 Jun 9;18(3):271-277. doi: 10.22074/ijfs.2023.1983056.1412.
4
Antepartum Psychosis in the Setting of Preeclampsia With Severe Features: A Case Report.
Cureus. 2023 Nov 29;15(11):e49678. doi: 10.7759/cureus.49678. eCollection 2023 Nov.
5
Psychological distress in pregnancy and postpartum: a cross-sectional study of Babol pregnancy mental health registry.
BMC Pregnancy Childbirth. 2023 Nov 14;23(1):793. doi: 10.1186/s12884-023-06024-3.
6
Prevalence and risk factors of prenatal anxiety disorders: A cross-sectional study.
Health Sci Rep. 2023 Aug 21;6(8):e1491. doi: 10.1002/hsr2.1491. eCollection 2023 Aug.
7
Cluster Analysis on the Mental Health States in a Community Sample of Young Women During Pre-Pregnancy, Pregnancy, or the Postpartum Period.
Psychiatry Investig. 2023 May;20(5):445-451. doi: 10.30773/pi.2023.0002. Epub 2023 May 25.
8
Development and psychometric evaluation of the High-Risk Pregnancy Well-Being Index in Mashhad: a methodological study.
Reprod Health. 2022 Dec 1;19(1):218. doi: 10.1186/s12978-022-01529-0.
9
Effects of Yoga exercise on anxiety and fetus growth in pregnant women with small for gestational age fetus.
Am J Transl Res. 2022 Aug 15;14(8):5685-5692. eCollection 2022.
10
The role of psychological self-care on worry of vaccination against COVID-19 in Iranian pregnant women: A cross-sectional study.
Health Sci Rep. 2022 Jul 11;5(4):e711. doi: 10.1002/hsr2.711. eCollection 2022 Jul.
本文引用的文献
1
Pre-existingmental health disorders affect pregnancy and neonatal outcomes: a retrospectivecohort study.
BMC Pregnancy Childbirth. 2020 Jul 25;20(1):419. doi: 10.1186/s12884-020-03094-5.
2
Prevalence and factors related to psychiatric symptoms in low risk pregnancy.
Caspian J Intern Med. 2020;11(2):211-218. doi: 10.22088/cjim.11.2.211.
3
The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990-2017.
Lancet Psychiatry. 2020 Feb;7(2):148-161. doi: 10.1016/S2215-0366(19)30475-4. Epub 2019 Dec 23.
4
Maternal mid- and late-pregnancy distress and birth outcome: A causal model of the mediatory role of pregnancy-specific distress.
Int J Reprod Biomed. 2019 Sep 3;17(8):585-590. doi: 10.18502/ijrm.v17i8.4824. eCollection 2019 Aug.
5
Epidemiology of antenatal depression among women with high-risk pregnancies due to obstetric complications: a scoping review.
Arch Gynecol Obstet. 2019 Oct;300(4):849-859. doi: 10.1007/s00404-019-05270-1. Epub 2019 Aug 17.
6
Screening for emotional disorders in patients with cancer using the Brief Symptom Inventory (BSI) and the BSI-18 versus a standardized psychiatric interview (the World Health Organization Composite International Diagnostic Interview).
Cancer. 2018 Jun 1;124(11):2415-2426. doi: 10.1002/cncr.31340. Epub 2018 Apr 16.
7
Depressive Symptoms in Women with Gestational Diabetes Mellitus: The LINDA-Brazil Study.
J Diabetes Res. 2017;2017:7341893. doi: 10.1155/2017/7341893. Epub 2017 Jun 8.
8
Relationship between Maternal General and Specific-Pregnancy Stress, Anxiety, and Depression Symptoms and Pregnancy Outcome.
J Clin Diagn Res. 2017 Apr;11(4):VC04-VC07. doi: 10.7860/JCDR/2017/24352.9616. Epub 2017 Apr 1.
9
Antenatal depression among women hospitalized due to threatened preterm labor in a high-risk pregnancy unit in Greece.
J Matern Fetal Neonatal Med. 2018 Apr;31(7):919-925. doi: 10.1080/14767058.2017.1301926. Epub 2017 Mar 21.
10
Obstetrical, pregnancy and socio-economic predictors for new-onset severe postpartum psychiatric disorders in primiparous women.
Psychol Med. 2017 Jun;47(8):1427-1441. doi: 10.1017/S0033291716003020. Epub 2017 Jan 23.
Zotero 插件