产后忧郁量表的汉化及信度、效度检验  

Reliability and validity of Chinese version of Maternal Blue Scale

作　　者：王炜 李智慧 孔燕 于桂玲 WANG Wei;LI Zhihui;KONG Yan;YU Guiling(School of Nursing,Qingdao University,Qingdao,Shandong 266021,China;Qingdao Women and Children's Hospital,Qingdao,Shandong 266034,China)

机构地区：[1]青岛大学护理学院,山东青岛266021 [2]青岛市妇女儿童医院,山东青岛266034

出　　处：《预防医学》2024年第12期1086-1091,共6页China Preventive Medicine Journal

基　　金：青岛市医药卫生科研指导项目(2022-WJZD152)。

摘　　要：目的 汉化产后忧郁量表(MBS),并检验中文版MBS的信效度。方法 根据Brislin翻译模型对MBS进行翻译、回译、跨文化调适和预调查,形成中文版MBS。采用便利抽样法抽取山东省3所三甲综合医院产科中心产妇进行调查,检验中文版MBS的信效度。根据专家咨询的评分结果评价内容效度,以中文版爱丁堡产后抑郁量表(EPDS)作为效标评价中文版MBS的效标关联效度,采用探索性因子和验证性因子分析评价结构效度;计算Cronbach's α、折半信度评价信度。绘制受试者操作特征(ROC)曲线评估预测效能。结果 发放500份问卷,回收有效问卷479份,问卷有效率为95.80%。中文版MBS包括母婴交流、婴儿喂养、角色适应、母亲职责、家庭接纳和社会支持6个维度,共32个条目。各条目水平内容效度指数为0.900~1.000,量表平均水平的内容效度指数为0.990;中文版MBS得分与中文版EPDS得分的相关系数为0.675 (P<0.05)。探索性因子分析提取6个公因子,累计方差贡献率为74.581%;验证性因子分析结果显示,近似误差均方根为0.014,拟合优度指数为0.896,比较拟合指数为0.996,递增拟合指数为0.996,规范拟合指数为0.913,非规范拟合指数为0.995,模型拟合度较好。总Cronbach'sα为0.924,折半信度系数为0.765;各维度Cronbach's α为0.809~0.956,折半信度系数为0.807~0.966。ROC曲线下面积为0.909 (95%CI:0.880~0.937),最佳临界值为75.5分时,约登指数最大为0.698,灵敏度为0.874,特异度为0.824。结论 中文版MBS信效度良好,可作为我国产妇产后忧郁的评估工具。Objective To translate the Maternal Blue Scale(MBS)into Chinese,and evaluate the reliability and validi⁃ty.Methods The MBS was translated back-translated,culturally adapted and pre-tested according to the Brislin trans⁃lation model to develop the Chinese version of MBS.Postpartum women from obstetrics centers in three tertiary gener⁃al hospitals in Shandong Province were selected using convenience sampling method to assess the reliability and va⁃lidity of the Chinese version of MBS.Content validity was evaluated based on expert ratings.Criterion-related validity was evaluated using the Chinese version of the Edinburgh Postnatal Depression Scale(EPDS)as the criterion.Structur⁃al validity was evaluated using exploratory and confirmatory factor analyses.Reliability was assessed by calculating Cronbach'sαand split-half reliability.Receiver operating characteristic(ROC)curve was plotted to evaluate predictive validity.Results Totally 500 questionnaires were allocated,and 479 valid ones were recovered,with an effective re⁃covery rate of 95.80%.The Chinese version of MBS consisted of 32 items across 6 dimensions:mother-infant commu⁃nication,infant feeding,role adaptation,maternal responsibilities,family acceptance and social support.The item-level content validity index ranged from 0.900 to 1.000,and the scale-level content validity index/average was 0.990.The correlation coefficient between the Chinese version of MBS scores and the Chinese version of EPDS scores was 0.675(P<0.05).Exploratory factor analysis extracted 6 common factors,with a cumulative variance contribution rate of 74.581%.Confirmatory factor analysis indicated good model fit,with a root mean square error of approximation of 0.014,a goodness of fit index of 0.896,a comparative fit index of 0.996,an incremental fit index of 0.996,a normed fit index of 0.913,and a Tucker-Lewis index of 0.995.The overall Cronbach'sαwas 0.924,and the split-half reliability was 0.765.The Cronbach'sαof each dimension ranged from 0.809 to 0.956,and the split-h

关 键 词：产后忧郁量表 信度 效度 跨文化调适 

分 类 号：R714.6[医药卫生—妇产科学] R749.4[医药卫生—临床医学]