Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity
Abstract Background It 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 Sensitiv...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05233-6 |
| _version_ | 1811204140474302464 |
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| author | Yanqing Fu Yu-an Lin Jiansheng Zheng Huilan Hong Songqing Huang Jiang Li Feifei Huang |
| author_facet | Yanqing Fu Yu-an Lin Jiansheng Zheng Huilan Hong Songqing Huang Jiang Li Feifei Huang |
| author_sort | Yanqing Fu |
| collection | DOAJ |
| description | Abstract Background It 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. Methods Women 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. Results In 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. Conclusions The 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. |
| first_indexed | 2024-04-12T03:06:26Z |
| format | Article |
| id | doaj.art-912dde474ef54f798e47a57bf03c1c24 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-12T03:06:26Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-912dde474ef54f798e47a57bf03c1c242022-12-22T03:50:29ZengBMCBMC Pregnancy and Childbirth1471-23932022-12-0122111010.1186/s12884-022-05233-6Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression SensitivityYanqing Fu0Yu-an Lin1Jiansheng Zheng2Huilan Hong3Songqing Huang4Jiang Li5Feifei Huang6Obstetrics and Gynecology, Fujian Medical University Union Hospital Department of Surgical NursingSchool of Nursing, Fujian Medical UniversitySchool of Basic Medicine, Putian UniversityObstetrics and Gynecology, The Second Affiliated Hospital of Fujian Medical UniversityObstetrics and Gynecology, Affiliated Hospital of Putian UniversityObstetrics and Gynecology, Fujian Provincial Maternity and Child Health HospitalSchool of Nursing, Fujian Medical UniversityAbstract Background It 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. Methods Women 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. Results In 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. Conclusions The 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.https://doi.org/10.1186/s12884-022-05233-6Cognitive reactivityPerinatal careDepressionReliability and validityItem response theoryLongitudinal study |
| spellingShingle | Yanqing Fu Yu-an Lin Jiansheng Zheng Huilan Hong Songqing Huang Jiang Li Feifei Huang 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 Cognitive reactivity Perinatal care Depression Reliability and validity Item response theory Longitudinal study |
| title | Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity |
| title_full | Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity |
| title_fullStr | Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity |
| title_full_unstemmed | Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity |
| title_short | Supporting routine cognitive reactivity assessment during the perinatal period: psychometric testing of the Chinese version of the Leiden Index of Depression Sensitivity |
| title_sort | supporting routine cognitive reactivity assessment during the perinatal period psychometric testing of the chinese version of the leiden index of depression sensitivity |
| topic | Cognitive reactivity Perinatal care Depression Reliability and validity Item response theory Longitudinal study |
| url | https://doi.org/10.1186/s12884-022-05233-6 |
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