Rosa Marcos-Nájera1, Huynh-Nhu Le2, María F Rodríguez-Muñoz3, María Eugenia Olivares Crespo4, Nuria Izquierdo Mendez4. 1. Department of Personality, Assessment and Psychological Treatment. Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), C/Juan del Rosal n° 10, 28040, Madrid, Spain. 2. Department of Psychology. George Washington University, USA. 3. Department of Personality, Assessment and Psychological Treatment. Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), C/Juan del Rosal n° 10, 28040, Madrid, Spain. Electronic address: mfrodriguez@psi.uned.es. 4. Hospital Clinico San Carlos Department of Ginecology and Obstetric. Instituto de Salud de la Mujer José Botella Llusia. Facultad de Medicina. Universidad Complutense de Madrid, Spain.
Abstract
OBJECTIVE: To evaluate psychometric properties and the factor structure of the Spanish version of the Patient Health Questionnaire (PHQ-9) in pregnant women received care in an urban public hospital in Spain. RESEARCH DESIGN/ SETTING: In a cross-sectional study, the reliability and factor structure were examined. Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the PHQ-9 with a pregnant Spanish-speaking sample (n = 445) recruited during the first trimester in an obstetrics clinic in Madrid. MEASUREMENTS AND FINDINGS: The Spanish version of PHQ-9 had moderate internal consistency (α = 0.81). Exploratory factor analysis revealed a two-factor (cognitive-affective, somatic) and three-factor (cognitive-affective, somatic, pregnancy-related) structure of the PHQ-9, whereas confirmatory factor analyses support a three-factor model (cognitive-affective, somatic, pregnancy-related) as the best fit to the data. KEY CONCLUSIONS: The Spanish version of PHQ-9 is reliable and can be used to screen for depression during pregnancy. A three-factor model structure is adequate to evaluate the components and symptoms of depression for Spanish pregnant women. IMPLICATION FOR PRACTICE: Midwives can screen for depression during the PHQ-9 and can tailor interventions to minimize the adverse effects on mothers and infants, before and after birth.
OBJECTIVE: To evaluate psychometric properties and the factor structure of the Spanish version of the Patient Health Questionnaire (PHQ-9) in pregnant women received care in an urban public hospital in Spain. RESEARCH DESIGN/ SETTING: In a cross-sectional study, the reliability and factor structure were examined. Exploratory and confirmatory factor analyses were conducted to examine the latent structure of the PHQ-9 with a pregnant Spanish-speaking sample (n = 445) recruited during the first trimester in an obstetrics clinic in Madrid. MEASUREMENTS AND FINDINGS: The Spanish version of PHQ-9 had moderate internal consistency (α = 0.81). Exploratory factor analysis revealed a two-factor (cognitive-affective, somatic) and three-factor (cognitive-affective, somatic, pregnancy-related) structure of the PHQ-9, whereas confirmatory factor analyses support a three-factor model (cognitive-affective, somatic, pregnancy-related) as the best fit to the data. KEY CONCLUSIONS: The Spanish version of PHQ-9 is reliable and can be used to screen for depression during pregnancy. A three-factor model structure is adequate to evaluate the components and symptoms of depression for Spanish pregnant women. IMPLICATION FOR PRACTICE: Midwives can screen for depression during the PHQ-9 and can tailor interventions to minimize the adverse effects on mothers and infants, before and after birth.
Authors: Natalia Ruiz-Segovia; Maria Fe Rodriguez-Muñoz; Maria Eugenia Olivares; Nuria Izquierdo; Pluvio Coronado; Huynh-Nhu Le Journal: Int J Environ Res Public Health Date: 2021-11-27 Impact factor: 3.390
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Authors: María Carmen Martínez Herreros; María Fe Rodríguez Muñoz; Nuria Izquierdo Méndez; María Eugenia Olivares Crespo Journal: Int J Environ Res Public Health Date: 2022-09-18 Impact factor: 4.614
Authors: Loredana Cena; Gabriella Palumbo; Fiorino Mirabella; Antonella Gigantesco; Alberto Stefana; Alice Trainini; Nella Tralli; Antonio Imbasciati Journal: Front Psychol Date: 2020-03-11
Authors: María de la Fe Rodríguez-Muñoz; Natalia Ruiz-Segovia; Cristina Soto-Balbuena; Huynh-Nhu Le; María Eugenia Olivares-Crespo; Nuria Izquierdo-Méndez Journal: Int J Environ Res Public Health Date: 2020-10-19 Impact factor: 3.390