Della Vedova Anna Maria, Bani Chiara, Capretti Margherita, Lucariello Silvia, Simonetti Rita, Pelamatti Serena, Beretta Emanuela
Department of Clinical and Experimental Sciences, University of Brescia, Viale Europa, 11, 25123 Brescia, Italy.
Obstetric Psychology, Department of Gynecology and Obstetrics Operational Unit 1, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Piazzale Spedali Civili, 1, 25123 Brescia, Italy.
Behav Sci (Basel). 2025 Jun 3;15(6):767. doi: 10.3390/bs15060767.
Pregnancy is a period of great complexity and potential psychological vulnerability which may increase in unfavorable conditions, such as hospitalization. Therefore, early identification of emotional, anxious, or depressive difficulties is important in terms of maternal and fetal well-being. International guidelines recommend the use of brief screening tools to identify perinatal women for further investigation, but which of the measures is optimal remains to be clarified. The objective of this study was to compare the Whooley depression questions used together with the Generalized Anxiety Disorder-2 (GAD-2), versus the Matthey Generic Mood Questionnaire (MGMQ), to evaluate their concordance in screening results and their clinical usefulness in the hospital setting. Hospitalized pregnant women, numbering 228, and 55 male partners completed both questionnaires. The women's results showed high similar screen positive rates on both measures, but the screen positive concordance between the two instruments was low (around 50%). The Whooley/GAD-2 missed a significant percentage of women who, on the MGMQ, wished to talk with a professional, or who expressed moderate to high distress. The data from male partners were too few to be interpretable. Findings suggest that screening is important in hospitalized women, and clinicians should consider the respective merits and possible weaknesses of different screening tools.
怀孕是一个极为复杂且心理上可能较为脆弱的时期，在诸如住院等不利情况下这种脆弱性可能会增加。因此，就母婴健康而言，尽早识别情绪、焦虑或抑郁方面的问题很重要。国际指南建议使用简短的筛查工具来识别围产期妇女以便进一步检查，但哪种措施最为理想仍有待明确。本研究的目的是比较将Whooley抑郁问卷与广泛性焦虑障碍-2（GAD-2）联合使用，与Matthey通用情绪问卷（MGMQ）相比，评估它们在筛查结果上的一致性以及在医院环境中的临床实用性。228名住院孕妇和55名男性伴侣完成了这两份问卷。女性的结果显示，两种测量方法的筛查阳性率高度相似，但两种工具之间的筛查阳性一致性较低（约50%）。Whooley/GAD-2遗漏了很大一部分在MGMQ上希望与专业人士交谈或表达了中度至高度痛苦的女性。男性伴侣的数据太少，无法进行解读。研究结果表明，筛查对住院女性很重要，临床医生应考虑不同筛查工具的各自优点和可能存在的不足。
