作者
Armando D’Agostino,Corrado Garbazza,Daniele Malpetti,Laura Azzimonti,Francesca Mangili,Hans‐Christian Stein,Renata Del Giudice,Alessandro Cicolin,Fabio Cirignotta,Mauro Manconi,Daniele Aquilino,Simone Baiardi,Alessandra Bianconcini,Mariapaola Canevini,Alessandro Cicolin,Fabio Cirignotta,Armando D’Agostino,Renata Del Giudice,Valentina Fanti,Filippos Filippakos,Giulia Fior,Cristina Fonti,Francesca Del Furia,Orsola Gambini,Corrado Garbazza,Alessandra Giordano,Barbara Giordano,Mauro Manconi,Anna Maria Marconi,Angelita Martini,Susanna Mondini,Nicoletta Piazza,Erika Raimondo,Silvia Riccardi,N Rizzo,Raffaela Santoro,Chiara Serrati,Giuliana Simonazzi,Hans‐Christian Stein,Elena Zambrelli
摘要
This study aimed to assess the concordance of various psychometric scales in detecting Perinatal Depression (PND) risk and diagnosis. A cohort of 432 women was assessed at 10-15th and 23-25th gestational weeks, 33-40 days and 180-195 days after delivery using the Edinburgh Postnatal Depression Scale (EPDS), Visual Analogue Scale (VAS), Hamilton Depression Rating Scale (HDRS), Montgomery-Åsberg Depression Rating Scale (MADRS), and Mini International Neuropsychiatric Interview (MINI). Spearman's rank correlation coefficient was used to assess agreement across instruments, and multivariable classification models were developed to predict the values of a binary scale using the other scales. Moderate agreement was shown between the EPDS and VAS and between the HDRS and MADRS throughout the perinatal period. However, agreement between the EPDS and HDRS decreased postpartum. A well-performing model for the estimation of current depression risk (EPDS > 9) was obtained with the VAS and MADRS, and a less robust one for the estimation of current major depressive episode (MDE) diagnosis (MINI) with the VAS and HDRS. When the EPDS is not feasible, the VAS may be used for rapid and comprehensive postpartum screening with reliability. However, a thorough structured interview or clinical examination remains necessary to diagnose a MDE.