The Psychometric Properties of the Patient Health Questionnaire-4 for Pregnant Women

被引:19
作者
de la Fe Rodriguez-Munoz, Maria [1 ]
Ruiz-Segovia, Natalia [1 ]
Soto-Balbuena, Cristina [2 ]
Le, Huynh-Nhu [3 ]
Olivares-Crespo, Maria Eugenia [4 ]
Izquierdo-Mendez, Nuria [4 ]
机构
[1] Univ Nacl Educ Distancia UNED, Dept Psychol, Madrid 28040, Spain
[2] Hosp Univ Cent Asturias, Deparment Gynecol & Obstet, Oviedo 33011, Spain
[3] George Washington Univ, Dept Psychol, Washington, DC 20052 USA
[4] Univ Complutense Madrid, Inst Salud Mujer Jose Botella Llusia, Hosp Clin San Carlos, Deparment Gynecol & Obstet,Fac Med, Madrid 28040, Spain
关键词
depression; anxiety; pregnancy; PHQ-4; assessment tools; SCREENING SCALE; POSTPARTUM DEPRESSION; PERINATAL ANXIETY; PREVALENCE; DISORDERS; STRESS; RISK;
D O I
10.3390/ijerph17207583
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: Perinatal anxiety and depression are common complications during pregnancy. The purpose of this study was to examine the item characteristics, reliability, validity, and factorial structure of the four-item Patient Health Questionnaire-4 (PHQ-4) and to determine the associations between scale scores and sociodemographic factors in a sample of pregnant women from Spain. Method: A total of 845 pregnant women were recruited from two public hospitals in Spain between 2014 and 2016. Participants completed a self-report questionnaire that included Patient Health Questionnaire-4, including the two-item Patient Health Questionnaire and the two-item Generalized Anxiety Disorder Screener. Results: Exploratory and confirmatory factor analysis and scale inter-correlations between the PHQ-4 and PHQ-9 revealed that the PHQ-4 has a bivariate structure and adequately assesses the dimensions of antenatal anxiety and depression. Conclusion: The PHQ-4 is a reliable and valid instrument to screen for depression and anxiety during pregnancy. The PHQ-4 is an ultra-brief measure that can be used to screen for antenatal depression and anxiety to prevent the negative consequences associated with these mental health conditions among mothers and infants.
引用
收藏
页码:1 / 10
页数:10
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