Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity

BMC Pregnancy and Childbirth

Research

Songqing Huang¹  Yanqing Fu²  Jiang Li³  Huilan Hong⁴  Jiansheng Zheng⁵  Yu-an Lin⁶  Feifei Huang⁶ 

[1] Obstetrics and Gynecology, Affiliated Hospital of Putian University, Putian, Fujian, China;Obstetrics and Gynecology, Fujian Medical University Union Hospital Department of Surgical Nursing, Fuzhou, Fujian, China;Obstetrics and Gynecology, Fujian Provincial Maternity and Child Health Hospital, Fuzhou, Fujian, China;Obstetrics and Gynecology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China;School of Basic Medicine, Putian University, Putian, Fujian, China;School of Nursing, Fujian Medical University, 350108, Fuzhou, China;

关键词: Cognitive reactivity;    Perinatal care;    Depression;    Reliability and validity;    Item response theory;    Longitudinal study;   

DOI  :  10.1186/s12884-022-05233-6

 received in 2022-03-17, accepted in 2022-11-23,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundIt is critical to find optimal forms to identify perinatal depression (PND) and its vulnerable factors and make them more applicable to depression screening. This study aims to evaluate the reliability and validity of the Chinese version of the Leiden Index of Depression Sensitivity (LEIDS-RR-CV) among perinatal women in China and determine the cut-off values for screening for high-risk depression.MethodsWomen in their third trimester of pregnancy and six weeks postpartum completed the LEIDS-RR-CV and a diagnostic reference standard online. We assessed the LEIDS-RR-CV using classical test theory (CTT) and item response theory (IRT). We also assessed the test performance for cut-off scores using receiver operator characteristic analysis to further screen for high-risk depression at each time point.ResultsIn total, 396 (third trimester) and 321 (six weeks postpartum) women participated. Cronbach’s alpha, two-week test–retest reliability, and marginal reliability for the scale were all greater than 0.8. It showed a five-factor model; the cut-off values were 58 (third trimester) and 60 (six weeks postpartum). The areas under the curve were acceptable (≥ 0.7), and the LEIDS-RR-CV was positively correlated with the total Edinburgh Postnatal Depression Scale (EPDS) score (r = 0.52 and 0.56, p = 0.00), indicating its predictive validity. An IRT analysis further confirmed its discriminative validity.ConclusionsThe LEIDS-RR-CV was found to be reliable, valid, and can be used to quantify cognitive reactivity among perinatal Chinese women and for screening for high-risk depression during this period.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 4

Fig. 3

Fig. 5