Alberto Stefana, Loredana Cena, Alice Trainini, Gabriella Palumbo, Antonella Gigantesco, Fiorino Mirabella
{"title":"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。","authors":"Alberto Stefana, Loredana Cena, Alice Trainini, Gabriella Palumbo, Antonella Gigantesco, Fiorino Mirabella","doi":"10.4415/ANN_24_01_08","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Maternal antenatal depression affects 21-28% of expectants globally and negatively impacts both maternal and child health in the short and long term.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>In this cross-sectional study, 953 third-trimester pregnant Italian individuals completed both the EPDS and the PHQ-9.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":502090,"journal":{"name":"Annali dell'Istituto superiore di sanita","volume":"60 1","pages":"55-63"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Screening for antenatal maternal depression: comparative performance of the Edinburgh Postnatal Depression Scale and Patient Health Questionnaire-9.\",\"authors\":\"Alberto Stefana, Loredana Cena, Alice Trainini, Gabriella Palumbo, Antonella Gigantesco, Fiorino Mirabella\",\"doi\":\"10.4415/ANN_24_01_08\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Maternal antenatal depression affects 21-28% of expectants globally and negatively impacts both maternal and child health in the short and long term.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>In this cross-sectional study, 953 third-trimester pregnant Italian individuals completed both the EPDS and the PHQ-9.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":502090,\"journal\":{\"name\":\"Annali dell'Istituto superiore di sanita\",\"volume\":\"60 1\",\"pages\":\"55-63\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annali dell'Istituto superiore di sanita\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4415/ANN_24_01_08\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annali dell'Istituto superiore di sanita","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4415/ANN_24_01_08","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Screening for antenatal maternal depression: comparative performance of the Edinburgh Postnatal Depression Scale and Patient Health Questionnaire-9.
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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