Screening for antenatal maternal depression: comparative performance of the Edinburgh Postnatal Depression Scale and Patient Health Questionnaire-9.

Annali dell'Istituto superiore di sanita Pub Date : 2024-01-01 DOI:10.4415/ANN_24_01_08

Alberto Stefana, Loredana Cena, Alice Trainini, Gabriella Palumbo, Antonella Gigantesco, Fiorino Mirabella

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Abstract

Background: Maternal antenatal depression affects 21-28% of expectants globally and negatively impacts both maternal and child health in the short and long term.

Objective: To compare the psychometric properties and clinical utility of the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ-9) in pregnant individuals.

Methods: In this cross-sectional study, 953 third-trimester pregnant Italian individuals completed both the EPDS and the PHQ-9.

Results: Both scales demonstrated good internal consistency (EPDS ω=0.83, PHQ-9 ω=0.80) and a moderate correlation between their scores (r=0.59). Concordance at recommended cut-off points (≥14 for both) was moderate (k=0.55). Factor analyses indicated a bifactor solution for the EPDS (dimensions: "depression" and "anxiety") and for the PHQ-9 (dimensions: "depression", "pregnancy symptoms", "somatic"). Benchmarks for clinical change were also established.

Conclusions: The EPDS and PHQ-9 capture distinct aspects of perinatal depressive symptomatology. Clinically, these findings recommend using both scales in obstetric and gynaecologic settings to minimize false positives and negatives.

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产前产妇抑郁症筛查：爱丁堡产后抑郁量表和患者健康问卷-9 的比较结果。

背景：产前抑郁症影响全球 21-28% 的孕妇，并对母婴健康造成短期和长期的负面影响：全球有 21-28% 的孕妇患有产前抑郁症，并对母婴健康造成短期和长期的负面影响：比较爱丁堡产后抑郁量表（EPDS）和患者健康问卷（PHQ-9）在孕妇中的心理测量特性和临床实用性：在这项横断面研究中，953 名怀孕三个月的意大利孕妇完成了 EPDS 和 PHQ-9：结果：两个量表均显示出良好的内部一致性（EPDS ω=0.83，PHQ-9 ω=0.80），得分之间的相关性适中（r=0.59）。推荐截断点（两者均≥14）的一致性为中等（k=0.55）。因素分析表明，EPDS（维度："抑郁 "和 "焦虑"）和 PHQ-9（维度："抑郁"、"妊娠症状 "和 "躯体"）采用了双因素解决方案。此外，还建立了临床变化基准：结论：EPDS 和 PHQ-9 可捕捉围产期抑郁症状的不同方面。在临床上，这些发现建议在妇产科环境中使用这两种量表，以尽量减少假阳性和假阴性。

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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Annali dell'Istituto superiore di sanita

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