Institute of Behavioral Sciences, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Department of Otorhinolaryngology, Head and Neck Surgery, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Sci Rep. 2024 Jun 5;14(1):12880. doi: 10.1038/s41598-024-63673-w.
Infertility patients, often in high distress, are entitled to being informed about their mental status compared to normative data. The objective of this study was to revalidate and test the accuracy of the SCREENIVF, a self-reported tool for screening psychological maladjustment in the assisted reproduction context. A cross-sectional, questionnaire-based online survey was carried out between December 2019 and February 2023 in a consecutive sample of female patients (N = 645, response rate 22.9%) in a university-based assisted reproduction center in Hungary. Confirmatory factor analysis and cluster and ROC analyses were applied to test validity, sensitivity and specificity in relation to Beck Depression Inventory (BDI) scores. Model fit was optimal (chi-square = 630.866, p < 0.001; comparative fit index = 0.99; root-mean-square error of approximation = 0.018 (90% CI 0.013-0.023); standardized-root-mean-square-residual = 0.044), and all dimensions were reliable (α > 0.80). A specific combination of cutoffs correctly predicted 87.4% of BDI-scores possibly indicative of moderate-to-severe depression (χ(1) = 220.608, p < 0.001, Nagelkerke R = 0.462, J = 66.4). The Hungarian version of the SCREENIVF is a valid and reliable tool, with high accuracy in predicting BDI-scores. Low response rate may affect generalizability. The same instrument with different cutoffs can serve various clinical goals.
不孕不育患者往往承受着巨大的压力,他们有权了解自己的心理状态与常模数据相比的情况。本研究的目的是重新验证和测试 SCREENIVF 的准确性,SCREENIVF 是一种用于辅助生殖背景下筛查心理失调的自我报告工具。在匈牙利一家大学辅助生殖中心,对连续样本中的女性患者(N=645,应答率 22.9%)进行了一项横断面、基于问卷的在线调查。采用验证性因子分析、聚类和 ROC 分析来测试与贝克抑郁量表(BDI)评分相关的有效性、敏感性和特异性。模型拟合度最佳(卡方=630.866,p<0.001;比较拟合指数=0.99;均方根误差近似值=0.018(90%置信区间 0.013-0.023);标准化均方根残差=0.044),所有维度均可靠(α>0.80)。特定的组合可以正确预测 87.4%的 BDI 评分,可能表明存在中重度抑郁(χ(1)=220.608,p<0.001,Nagelkerke R=0.462,J=66.4)。匈牙利版的 SCREENIVF 是一种有效且可靠的工具,在预测 BDI 评分方面具有很高的准确性。低应答率可能会影响其普遍性。具有不同切点的相同工具可以用于不同的临床目标。