Multidimensionality within the Edinburgh postnatal depression scale: application issues of specific structure.

IF 2.1 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Reproductive and Infant Psychology Pub Date : 2025-07-01 Epub Date: 2023-11-23 DOI:10.1080/02646838.2023.2285837

Kateřina Ratislavová, Eva Hendrych Lorenzová, Alena Lochmannová, Colin R Martin

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引用次数: 0

Abstract

Objective and background: The 10-item Edinburgh Postnatal Depression Scale (EPDS) is a widely-used screening measure for postnatal depression. Factor analysis studies have suggested an embedded sub-scale could be used for screening for anxiety disorders. The current investigation sought to replicate and extend a recent study supporting this assertion.

Methods: A cross-sectional design. EPDS data were collected at up to two years postpartum. Confirmatory factor analysis, correlational and distributional characteristics of the measure were examined. Participants were a large sample (N = 985) of postpartum women in the Czech Republic.

Results: Factor structure findings substantially replicated the models evaluated by Della Vedova et al. (2022). Bifactor models, however, offered a better fit to data. A general factor of depression explained most of the variance in data in most models compared to embedded sub-scales across models.

Conclusion: The model proposed by Della Vedova et al. (2022) offered an excellent fit to data. However, the findings from the bifactor modelling suggest the dominance of a general factor of depression which indicates the potential application of an embedded anxiety sub-scale for screening may be overstated.

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爱丁堡产后抑郁量表的多维度:特定结构的应用问题。

目的与背景:10项爱丁堡产后抑郁量表(EPDS)是一种广泛使用的产后抑郁筛查量表。因子分析研究表明，嵌入的子量表可用于筛查焦虑症。目前的调查试图复制和扩展最近的一项研究支持这一说法。方法:横断面设计。EPDS数据是在产后两年收集的。检验了验证性因子分析、相关特征和分布特征。参与者是一个大样本(N = 985)的产后妇女在捷克共和国。结果:因素结构发现基本上重复了Della Vedova等人(2022)评估的模型。然而，双因素模型提供了更好的数据拟合。与模型间嵌入的子尺度相比，抑郁的一般因素解释了大多数模型中数据的大部分差异。结论:Della Vedova et al.(2022)提出的模型对数据具有很好的拟合性。然而，双因素模型的研究结果表明，抑郁的一般因素占主导地位，这表明嵌入焦虑子量表用于筛查的潜在应用可能被夸大了。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.80

自引率

8.00%

发文量

期刊介绍： The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.