The First Affiliated Hospital of Soochow University, No. 188 Shizi Road, Suzhou, 215006, China.
School of Nursing, Medical College of Soochow University, Suzhou, China.
Health Qual Life Outcomes. 2023 Mar 27;21(1):30. doi: 10.1186/s12955-023-02106-0.
The public health and economic implications of perinatal mental health problems are well documented. Maternity clinicians are ideally placed to effectively identify women at risk and facilitate early intervention. However, in China as globally a number of issues are implicated in a failure to recognise and treat.
The present study sought to develop and evaluate the Chinese version 'professional issues in maternal mental health' scale (PIMMHS), explore its psychometric properties and potential application.
A cross-sectional design and instrument translation and evaluation approach was taken to investigate the psychometric properties of the PIMMHS in a Chinese population. A total of 598 obstetricians, obstetric nurses, and midwives participated in this study from 26 hospitals across China.
The Chinese PIMMHS was not a good fit to the original two factor model. The emotion/communication subscale yielded an excellent fit to the data according to all fit indices, offering compelling evidence for a single factor solution. The training (PIMMHS: Training), proved problematic throughout the analysis with divergent validity for the training subscale also being poor with a concomitant impact on the total scale performance. The performance of this subscale may be related to the nature of medical training and PMH.
The Chinese PIMMHS comprises a unidimensional scale of emotion/ communication, which is simple and may provide insight into the emotional burden of providing PMH care, with the potential to mitigate that burden. Further development and investigation of the training sub-scale could be of value.
围产期心理健康问题对公共卫生和经济都有重大影响。妇产科临床医生最适合有效地识别有风险的妇女，并促进早期干预。然而，在中国和全球范围内，许多问题都涉及到未能识别和治疗。
本研究旨在开发和评估中文版“孕产妇心理健康专业问题”量表（PIMMHS），探讨其心理测量学特性及其潜在应用。
采用横断面设计和仪器翻译评估方法，在中国人群中调查 PIMMHS 的心理测量学特性。共有来自中国 26 家医院的 598 名妇产科医生、妇产科护士和助产士参与了这项研究。
中文版 PIMMHS 与原有的两因素模型不太匹配。根据所有拟合指标，情绪/沟通分量表与数据拟合得非常好，为单一因素解决方案提供了有力的证据。培训（PIMMHS：培训）在整个分析中存在问题，培训分量表的发散有效性也较差，对总量表的性能也有影响。该分量表的性能可能与医学培训和 PMH 的性质有关。
中文版 PIMMHS 由情绪/沟通的单一维度量表组成，简单易用，可能有助于了解提供 PMH 护理的情绪负担，并有可能减轻这种负担。进一步开发和研究培训分量表可能具有价值。
