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验证不同文化或语言背景的妇女和男性使用的围产期心理健康情绪筛查工具的截断分数是否真的有必要?

Is Validating the Cutoff Score on Perinatal Mental Health Mood Screening Instruments, for Women and Men from Different Cultures or Languages, Really Necessary?

机构信息

Department of Clinical and Experimental Sciences, Faculty of Medicine and Surgery, Università degli Studi di Brescia, 25123 Brescia, Italy.

出版信息

Int J Environ Res Public Health. 2022 Mar 28;19(7):4011. doi: 10.3390/ijerph19074011.

DOI:10.3390/ijerph19074011
PMID:35409694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8998276/
Abstract

: The most commonly used mood screening instrument in perinatal health is the Edinburgh Depression Scale. The screen-positive cut-off score on this scale, as for others, has been determined, via validation techniques, for over 20 languages/cultures, and for both women and men. While such validation appears to be considered essential, there are studies that could be interpreted to suggest that this is not an important consideration. : Selective studies have been chosen to indicate these opposing points of view. : Examples of studies that support the notion of validating cut-off scores are described, as are examples of studies that appear not to support this point of view. : (i) Clinical services and researchers need to be mindful of these opposing points of view, and openly discuss them when using screening cut-off scores for their respective populations. (ii) Researchers and Journals need to be more rigorous in ensuring this issue is correctly reported in studies, and/or openly discussed when relevant.

摘要

: 在围产期健康中,最常用的情绪筛查工具是爱丁堡抑郁量表。该量表的阳性筛查截断分数,与其他量表一样,已经通过验证技术,针对 20 多种语言/文化,以及男性和女性进行了确定。虽然这种验证似乎被认为是必不可少的,但也有一些研究可以被解释为表明这不是一个重要的考虑因素。: 选择了一些有代表性的研究来表明这两种对立的观点。: 描述了支持截断分数有效性观点的研究示例,以及似乎不支持这一观点的研究示例。: (i) 临床服务和研究人员需要注意这些对立的观点,并在为各自的人群使用筛查截断分数时公开讨论这些观点。(ii) 研究人员和期刊需要更加严格地确保在研究中正确报告这一问题,或者在相关时公开讨论。

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J Affect Disord. 2021 May 15;287:165-173. doi: 10.1016/j.jad.2021.03.013. Epub 2021 Mar 11.
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Locally contextualizing understandings of depression, the EPDS, and PHQ-9 among a sample of postpartum women living with HIV in Malawi.在马拉维,对一组感染艾滋病毒的产后妇女进行的研究中,根据当地情况对抑郁、EPDS 和 PHQ-9 的理解进行了定位。
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Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: systematic review and meta-analysis of individual participant data.爱丁堡产后抑郁量表(EPDS)筛查孕妇和产后妇女中重度抑郁症的准确性:系统评价和个体参与者数据荟萃分析。
BMJ. 2020 Nov 11;371:m4022. doi: 10.1136/bmj.m4022.
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