Validation of Chinese Multidimensional Depression Assessment Scale (MDAS) in Inner Mongolia pregnant women and risk factors of antenatal depression in Inner Mongolia in the era of one-child policy

Abstract

BackgroundPregnancy involves physiological changes in reproductive and endocrine systems, and social role changes that can increase the risk of mental health problems. In China, greater emphasis has been given to postpartum depression and its negative impact on infant development. This study examined depression in pregnant women in Inner Mongolia, who are under the influence of cultural values of collectivism and social factors specific to China. Chinese society adheres firmly to traditional values, while market reform, birth-control policy, together with high parental investment in childcare and rearing construct a unique and sometimes unfavorable environment for Chinese women that may influence their depression expression. The aims of this study are twofoldFirst, it validated the Chinese Multidimensional Depression Assessment Scale (MDAS), a holistic self-report questionnaire measuring depression severity in four domains of depression-emotional, somatic, cognitive and interpersonal in pregnant women in Inner Mongolia; second, it examined the influences of demographic characteristics (including age, education and employment), pregnancy characteristics (week of gestation, first pregnancy), selfesteem, social support, social activity, work stress, and work-family balance on depression. MethodsA total of 234 pregnant women, mostly in their third trimester, were recruited in an antenatal hospital in Inner Mongolia and self-reported questionnaires were completed.

Measurement invariance of the Multidimensional Depression Assessment Scale (MDAS) across gender and ethnic groups of Asian, Caucasian, Black, and Hispanic

“…Consistent with previous studies on the psychometric properties of MDAS (Cheung et al, 2020a;Cheung et al, 2020b), a high Cronbach's alpha (>0.9) was replicated in the current multi-ethnic sample for the total MDAS and each subscale, with a high Spearman correlation observed with PHQ-9 and CES-D, pointing to good concurrent validity of the same clinical factors (Fava et al, 2012). This observation is likely because MDAS encompasses a more comprehensive list of symptoms that covers the items in PHQ-9 and CES-D (e.g.…”

“…For example, MDAS items are also consistent with most of the symptoms in USDI (lethargy and physical exhaustion, cognitive and emotional difficulties and low motivation for study) (Habibi et al, 2014;Khawaja and Bryden, 2006) and symptoms of life satisfaction, depression affect and withdrawal in the Geriatric Depression Scale (GDS) (Zhao et al, 2019), making it a potentially useful scale across a wide age range of populations. The scale has been tested in Chinese clinical (Cheung, Williams, and Chan, 2020) and pregnant samples (Cheung et al, 2020a) with good psychometric characteristics, including high reliability and validity. It has also been validated in clinical and community samples in Iran (Darharaj et al, 2016;Darharaj et al, 2018)(Table 1).…”

A cultural validation of the Chinese version of multidimensional depression assessment scale (MDAS) in clinically depressed patients in Inner Mongolia

“…A significant high positive correlation (r = 0.77) between this scale and the BDI-II indicates a good convergent validity (Cheung and Power 2012). The MDAS has also been validated with high internal consistency (α=0.96) and a significant moderate positive correlation (r = 0.59) between this scale and the BDI in a sample of pregnant individuals in Inner Mongolia (Cheung et al 2020). Descriptions of the items are given in Table 3.…”

Kecemasan Ibu Hamil Semala Pandemi Covid-19

“…Kehamilan adalah peristiwa besar dalam hidup dan juga merupakan periode kehidupan yang berpotensi menimbulkan stres, di mana wanita hamil beradaptasi dengan berbagai perubahan psiko-sosial dan fisiologis, meningkatkan kerentanan mereka terhadap kecemasan bahkan depresi (Cheung et al, 2020). Kecemasan merupakan suatu keadaan normal, dimana jika ada jiwa yang mengalami tekanan atau perasaan yang sangat dalam sehingga dapat menyebakan masalah psikiatris.…”