Lee D T, Yip S K, Chiu H F, Leung T Y, Chan K P, Chau I O, Leung H C, Chung T K
Department of Psychiatry, Chinese University of Hong Kong, Shatin, Hong Kong.
Br J Psychiatry. 1998 May;172:433-7. doi: 10.1192/bjp.172.5.433.
We evaluated the utility of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) and measured the prevalence of major depression six weeks after confinement among Chinese women in Hong Kong.
A prospective cohort of 145 women completed the EPDS, the 12-item General Health Questionnaire (GHQ) and the Beck Depression Inventory (BDI) six weeks after giving birth. They were then assessed with the Structured Clinical Interview for DSM-III-R, non-patient version (SCID-NP) to establish psychiatric diagnosis. The criterion validity of EPDS was tested against this clinical diagnosis, and the concurrent validity against the GHQ and BDI scores was also evaluated. The internal consistency of the scales was measured by Cronbach's alpha coefficient.
The Chinese EPDS had satisfactory psychometric properties and a cut-off score of 9/10 is recommended for screening depressive illness in a general postnatal population. At six weeks postpartum, 5.5% of the study population suffered from major depression.
The Chinese EPDS will be useful for screening for postnatal depression.
我们评估了中文版爱丁堡产后抑郁量表（EPDS）的效用，并测定了香港中国女性产后六周时重度抑郁的患病率。
145名女性的前瞻性队列在产后六周完成了EPDS、12项一般健康问卷（GHQ）及贝克抑郁量表（BDI）。随后她们接受了针对《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）非患者版的结构化临床访谈（SCID-NP）以确立精神疾病诊断。以该临床诊断检验EPDS的标准效度，并评估其与GHQ及BDI得分的同时效度。通过克朗巴赫α系数测量量表的内部一致性。
中文版EPDS具有令人满意的心理测量特性，建议在一般产后人群中筛查抑郁疾病时采用9/10的临界值。产后六周时，5.5%的研究人群患有重度抑郁。
中文版EPDS将有助于筛查产后抑郁。
