中国心理卫生杂志2026，Vol.40Issue(3)：257-262,6.DOI:10.3969/j.issn.1000-6729.2026.03.12
爱丁堡产后抑郁量表中文版在产妇中的适应性验证
Cultural adaptation and validation of the Edinburgh Postnatal Depression Scale among postpartum women in China
摘要
Abstract
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.关键词
爱丁堡产后抑郁量表/产后抑郁/翻译/适应性验证/效度/信度Key words
Edinburgh Postnatal Depression Scale/postpartum depression/translation/cultural adaptation/validity/reliability分类
医药卫生引用本文复制引用
吴瑕,翁丽君,柏艳萍,王英雯,谢怡媚,曾榛,董子瑶,龚雯洁..爱丁堡产后抑郁量表中文版在产妇中的适应性验证[J].中国心理卫生杂志,2026,40(3):257-262,6.基金项目
国家自然科学基金(81973059、82273643),湖南省自然科学青年科学基金A类(2025 JJ 20095),湖南省自然科学基金(2023JJ30712) （81973059、82273643）
