Reliability and validity of Chinese version of the Maternal Blues Suryani Scale in the antepartum period
WANG Wei1, KONG Yan2, LI Zhihui2, YU Guiling2,3
1. School of Nursing, Health Science Center, Qingdao University, Qingdao, Shandong 266021, China; 2. Qingdao Women and Children's Hospital, Qingdao, Shandong 266001, China; 3. Peking University People's Hospital, Qingdao, Qingdao, Shandong 266000, China
Abstract：Objective To translate the Maternal Blues Suryani Scale in the antepartum period (MBS-ante) into Chinese and evaluate the reliability and validity of the Chinese version of MBS-ante. Methods Based on Brislin's model, MBS-ante was translated, back-translated, culturally adapted and pre-investigated to develop the Chinese version. From January to April 2025, pregnant women in the third trimester were recruited from three tertiary A hospitals in Shandong Province using convenience sampling to investigate. Content validity of the Chinese version of MBS-ante was evaluated based on expert ratings. Criterion-related validity was assessed using the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) as the criterion. Structural validity was evaluated using exploratory and confirmatory factor analysis. Reliability of the Chinese version of MBS-ante was assessed by calculating Cronbach's α, split-half reliability coefficient and test-retest reliability coefficient. Receiver operating characteristic curve (ROC) was used to evaluate the predictive performance of the Chinese version of MBS-ante. Results A total of 530 questionnaires were allocated, and 512 valid ones were recovered, with an effective recovery rate of 96.60%. The Chinese version of MBS-ante consisted of 24 items across two dimensions: maternal role and tasks, and culture and social support. The item-level content validity index ranged from 0.833 to 1.000, and the scale-level content validity index/average was 0.972. The correlation coefficient between the Chinese version of MBS-ante scores and the Chinese version of EPDS scores was 0.699 (P<0.05). Exploratory factor analysis extracted two common factors, accounting for 62.97% of the total variance. Confirmatory factor analysis indicated a good model fit. The root mean square error of approximation, goodness of fit index, comparative fit index; incremental fit index; normed fit index; Tucker-Lewis fit index were 0.072, 0.829, 0.973, 0.973, 0.954, and 0.971, respectively. The overall Cronbach's α of the Chinese version of MBS-ante was 0.966, the split-half reliability coefficient was 0.856, and the test-retest reliability coefficient was 0.926. The Cronbach's α of the two dimensions were 0.933 and 0.980, the split-half reliability coefficients were 0.895 and 0.974, and the test-retest reliability coefficients were 0.942 and 0.885, respectively. The area under the ROC curve was 0.913 (95%CI: 0.889-0.937). At the optimal cutoff score of 49.5, the Youden index reached its maximum of 0.755, with a sensitivity of 0.940 and a specificity of 0.815. Conclusion The Chinese version of MBS-ante demonstrates good reliability and validity, and can be used to assess blues in the antepartum period among pregnant women in the third trimester in China.
王炜, 孔燕, 李智慧, 于桂玲. 产前忧郁量表汉化及信度、效度检验[J]. 预防医学, 2026, 38(10): 1055-1059,1065.
WANG Wei, KONG Yan, LI Zhihui, YU Guiling. Reliability and validity of Chinese version of the Maternal Blues Suryani Scale in the antepartum period. Preventive Medicine, 2026, 38(10): 1055-1059,1065.
[1] 杨泽敏. 围生期性激素、甲状腺激素水平变化与孕妇负性情绪变化相关性分析[J].中国实用医药,2018,13(17):92-93. [2] Andrade Miño M A,Vásquez Flores G N.Risk factors associated with maternity blues and postpartum depression in Ecuadorian women going through their immediate puerperium during 2021:a cross-sectional study[J].Rev Colomb De Psiquiatría Engl Ed,2025,54(3):486-492. [3] Li H R,Ning W,Zhang N,et al.Association between maternal depression and neonatal outcomes:evidence from a survey of nationally representative longitudinal studies[J/OL].Front Public Health,2022,10[2026-07-19].http://doi.org/10.3389/fpubh.2022.893518. [4] Roy U,Swain D.A prospective cohort study to assess the prevalence and risk factors of antepartum depression and its effect on maternal and fetal outcome[J/OL].Asian J Psychiatr,2024,91[2026-07-19].http://doi.org/10.1016/j.ajp.2023.103873. [5] Manurung S,Setyowati S,Ginanjar A S,et al.The item development of Maternal Blues Suryani(MBS)Scale in the antepartum period through bonding attachment that predicting postpartum blues[J].Enfermería Clínica,2019,29:752-759. [6] 王炜,李智慧,孔燕,等.产后忧郁量表的汉化及信度、效度检验[J].预防医学,2024,36(12):1086-1091. [7] 王晓娇,夏海鸥.基于Brislin经典回译模型的新型翻译模型的构建及应用[J].护理学杂志,2016,31(7):61-63. [8] 吴瑕,翁丽君,柏艳萍,等.爱丁堡产后抑郁量表中文版在产妇中的适应性验证[J].中国心理卫生杂志,2026,40(3):257-262. [9] 胡雁,王志稳.护理研究[M].5版.北京:人民卫生出版社,2017. [10] 张晨,周云仙.我国护理测量工具文献中内容效度指数应用误区分析[J].护理学杂志,2020,35(4):86-88,92. [11] 吴明隆. 问卷统计分析实务——SPSS操作与应用[M].重庆:重庆大学出版社,2022. [12] 吴明隆. 结构方程模型——AMOS的操作与应用[M].2版.重庆:重庆大学出版社,2022. [13] 李建华,黄惠根,李小梅,等.护理时间管理量表的汉化及其信度、效度检验[J].现代临床护理,2025,24(2):61-67. [14] 季永志,陈汀芷,张冰洁,等.更年期感知量表汉化及信度、效度检验[J].预防医学,2025,37(7):722-726. [15] 杨绪梅. 孕妇妊娠期身体不满影响因素的混合性研究[D].贵阳:贵州医科大学,2025:51-53. [16] 何丽,于静,别荔,等.焦虑症状在孕妇社会支持与抑郁症状的关系中的中介作用[J].现代预防医学,2022,49(20):3712-3716,3729. [17] Altman D G,Bland J M.Statistics notes:diagnostic tests 1:sensitivity and specificity[J/OL].BMJ,1994,308(6943)[2026-07-19].http://doi.org/10.1136/bmj.308.6943.1552. [18] 詹思延,叶冬青,谭红专.流行病学[M].8版.北京:人民卫生出版社,2017. [19] Pop V J,Truijens S E,Spek V,et al.A new concept of maternity blues:is there a subgroup of women with rapid cycling mood symptoms?[J].J Affect Disord,2015,177:74-79. [20] Rogers A M,Youssef G J,Teague S,et al.Association of maternal and paternal perinatal depression and anxiety with infant development:a longitudinal study[J].J Affect Disord,2023,338:278-288.
