用爱丁堡产后抑郁量表在墨西哥北部孕妇样本中检测抑郁症以外的精神障碍。

IF 9 Q1 PSYCHIATRY Mental Illness Pub Date : 2016-05-18 DOI:10.4081/mi.2016.6021
Cosme Alvarado-Esquivel, Antonio Sifuentes-Alvarez, Carlos Salas-Martinez
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引用次数: 7

摘要

我们试图评估爱丁堡产后抑郁量表(EPDS)在墨西哥北部孕妇中区分抑郁症以外的精神障碍的能力。在墨西哥杜兰戈市的一家公立医院接受产前咨询的300名孕妇提交了一份有效的EPDS,并使用精神障碍诊断和统计手册-第4版(DSM-IV)标准检查抑郁症以外的精神障碍。计算EPDS分界点的敏感性和特异性,阳性预测值和阴性预测值。在被研究的300名孕妇中,有21名患有DSM-IV标准中抑郁症以外的精神障碍。筛查抑郁症以外精神障碍的EPDS得分最高为8/9。该阈值的敏感性为52.4%,特异性为67.0%,阳性预测值为11.5%,阴性预测值为95.4%,曲线下面积为0.643(95%可信区间为0.52 ~ 0.76)。当使用8/9的临界值时,EPDS可以考虑用于筛查墨西哥孕妇除抑郁症以外的精神障碍。然而,除了抑郁症之外,该工具在区分患有和没有精神障碍的孕妇方面的作用很小。
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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Detection of Mental Disorders Other Than Depression with the Edinburgh Postnatal Depression Scale in a Sample of Pregnant Women in Northern Mexico.

We sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern Mexico. Three hundred pregnant women attending prenatal consultations in a public hospital in Durango City, Mexico submitted a validated EPDS and were examined for mental disorders other than depression using the Diagnostic and Statistical Manual of Mental Disorders - 4(th) Ed. (DSM-IV) criteria. Sensitivity and specificity of cut-off points of the EPDS, and positive and negative predictive values were calculated. Of the 300 pregnant women studied, 21 had mental disorders other than depression by the DSM-IV criteria. The best EPDS score for screening mental disorders other than depression was 8/9. This threshold showed a sensitivity of 52.4%, a specificity of 67.0%, a positive predictive value of 11.5%, a negative predictive value of 95.4%, and an area under the curve of 0.643 (95% confidence interval: 0.52-0.76). The EPDS can be considered for screening mental disorders other than depression in Mexican pregnant women whenever a cut-off score of 8/9 is used. However, the tool showed small power to separate pregnant women with and without mental disorders other than depression.

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来源期刊
Mental Illness
Mental Illness PSYCHIATRY-
CiteScore
1.10
自引率
0.00%
发文量
3
审稿时长
10 weeks
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