摘要
目的:探讨9条目患者健康问卷(PHQ-9)在社区产妇中的产后抑郁筛查应用。方法:2020年12月1日-2021年6月31日在长沙市开福区和长沙县招募符合产后上门访视条件的产妇,在问卷星上完成一般信息表和PHQ-9量表。访视后的7d内由精神科医生通过视频会议对其进行诊断性访谈,以DSM-IV诊断标准为参照,分析PHQ-9的Cronbachα系数、分半信度、受试者工作曲线下面积(AUC)、灵敏度、特异度、阳性预测值(PPV)、阴性预测值(NPV)和最佳截断值。结果:共有1862名产妇完成了PHQ-9量表和诊断性访谈,其中62人(3.3%)为现患抑郁障碍。PHQ-9的Cronbach′sα系数为0.85,分半信度为0.81;最佳临界值为4/5分时,AUC为0.87(SE=0.02,95%CI:0.85~0.93,P<0.001),灵敏度为73%,特异度77%,PPV为10%,NPV为99%。结论:PHQ-9可能是社区产后抑郁筛查的有效工具,但阳性预测值较低。
Objective:To evaluate the application of the Patient Health Questionnaire-9(PHQ-9)in postpar-tum depression screening among postpartum women during home visit in the community.Methods:From December 1,2020 to June 30,2021,all mothers who had postnatal home visits and were at least 18 years old in Changsha City were recruited.The mothers were asked to complete the general information form and PHQ-9 online.Within 7 days after screening,diagnostic interview was conducted through video meeting by 3 qualified mental health special-ists.The Cronbach's a coefficient,split-half reliability,area under the receiver operator characteristic curve(AUC),sensitivity,specificity,positive predictive value(PPV),negative predictive value(NPV)and cut-off value of PHQ-9 were evaluated.Results:Totally 1862 women completed the electronic questionnaire and the diagnostic interview,and 62(3.3%)mothers were diagnosed with a current depressive episode.The Cronbach's a coefficient of PHQ-9 was 0.85,the split-half reliability was 0.81.AUC of PHQ-9 was 0.87(SE=0.02,95%CI:0.85-0.93,P<0.001).The best cut-off for PHQ-9 was 4/5,with sensitivity of 73%,specificity of 77%,PPV of 10%,and NPV of 99%.Conclusion:It suggests that the Patient Health Questionnaire-9(PHQ-9)may be an effective screening tool for postpartum depression during home visits in the community,but the positive predictive value is low.
作者
李巧
曾榛
金欣
郑家强
龚雯洁
LI Qiao;ZENG Zhen;JIN Xin;CHENG Karkeung;GONG Wenjie(HER Team and Department of Matermal and Child Health,Xiangya School of Public Health,Central South University,Changsha 410078,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2023年第7期564-569,共6页
Chinese Mental Health Journal
基金
国家自然科学基金(面上项目),基于复杂干预概念框架的围生期抑郁高风险孕产妇转诊促进策略研究(81973059)。
关键词
产后抑郁
9条目患者健康问卷
筛查
社区
家庭访视
postpartum depression
Patient Health Questionnaire-9(PHQ-9)
screening
community
home
