Detecting postnatal depression in Chinese men: A comparison of three instruments
Publication in refereed journal


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摘要Postnatal depression affects both men and women. The detection of postnatal depression is important, yet there are few validated screening tools on Chinese men. The goals of the present study were to compare the psychometric properties of the Edinburgh Postnatal Depression Scale (EPDS), the Beck Depression Inventory (BDI), and the Patient Health Questionnaire - Depression Module (PHQ-9) in screening for postnatal depression among Chinese fathers in Hong Kong. The prevalence of depression at 8 weeks postpartum was also estimated. A prospective cohort of 551 men completed the EPDS. BDI, and PHQ-9 at 8 weeks postpartum. Clinical diagnosis of depression was established with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), non-patient version (SCID-NP). The criterion validity of the instruments was evaluated against this clinical diagnosis. The EPDS was significantly more accurate than the BDI and PHQ-9 in detecting postnatal depression among Chinese men. With a cut-off score of 10 or more, the EPDS has a sensitivity of 91%, specificity of 97%, positive predictive value of 57%, and negative predictive value of 99%. Approximately 3.1% men met the DSM-IV criteria for depression at 8 weeks postpartum. The prevalence rate of postnatal depression in Chinese men is comparable to their Western counterparts. The Chinese EPDS is a valid instrument for detecting postnatal depression in men. It could be applied as a supplementary assessment tool in Chinese fathers who may be reluctant to disclose their depressive symptoms in face-to-face interviews. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
著者Lai BPY, Tang AKL, Lee DTS, Yip ASK, Chung TKH
期刊名稱Psychiatry Research
出版年份2010
月份12
日期30
卷號180
期次2-3
出版社ELSEVIER IRELAND LTD
頁次80 - 85
國際標準期刊號0165-1781
語言英式英語
關鍵詞Chinese men; Postnatal depression; Prevalence; The Beck Depression Inventory; The Edinburgh Postnatal Depression Scale; The Patient Health Questionnaire; Validation
Web of Science 學科類別Psychiatry; PSYCHIATRY, SCI; PSYCHIATRY, SSCI

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