爱丁堡产后抑郁量表中文版在产妇中的适应性验证OACHSSCD

Objective:To adapt and validate the Edinburgh Postnatal Depression Scale(EPDS)for use among postpartum women,in China.Methods:The English version of the EPDS was translated,back-translated,reviewed by an expert panel,and pretested to develop the Chinese version.A total of 300 postpartum women were recruited from two maternal and child health hospitals in Hunan Province.Exploratory factor analysis(EFA)was conducted in a randomly selected 100 participants,while confirmatory factor analysis(CFA)was performed on the remaining 200.The participants completed the Chinese version of the EPDS,followed by diagnostic interviews based on DSM-IV diagnostic criteria.Results:EFA extracted two common factors,with factor loadings ranging from 0.48 to 0.79 and 0.47 to 0.84,respectively,and a cumulative variance contribution rate of 55.33%.CFA results indicated a good model fit(χ2/df=2.09,RMR=0.02,RMSEA=0.07,GFI=0.94,NFI=0.88,CFI=0.93,IFI=0.94,TLI=0.91).The Cronbach's αof the Chinese version of the EPDS was 0.83,the test-retest reliability was 0.93.Based on the results of diagnostic interviews,the optimal cutoff score for screening postpartum depression using the Chi-nese version of the EPDS was identified as 14/15,yielding a sensitivity of 85.7%,specificity of 94.5%,positive predictive value of 27.1%,and negative predictive value of 99.6%.The area under the curve(AUC)was 0.94(95%CI:0.87-1.00).Conclusion:The Chinese version of the Edinburgh Postnatal Depression Scale(EPDS)demonstrates good validity and reliability and could be used as an effective tool for screening postpartum depression.However,attention should be paid to the issue of high false-positive rates.