Prevalence of postpartum depression in a native American population
Prevalence of postpartum depression in a native American population
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DOI：
10.1007/s10995-005-2448-2
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发表时间：
2005-03-01
影响因子：
2.3
通讯作者：
Lewis, R
中科院分区：
文献类型：
--
作者：
Baker, L;Cross, S;Lewis, R
目的：收集 2002 年 9 月至 2003 年 5 月期间从北卡罗来纳州乡村产科诊所接受产后保健服务的 151 名 16-40 岁女性的产后抑郁症数据。样本中 60.9% 是美洲印第安人（朗比部落），25.8% 是非裔美国人，13.3% 是白种人或其他人种，反映了该县的种族和社会经济构成。方法：利用产后抑郁症筛查量表（PDSS）来探讨在很大程度上未经探索的人群（少数民族妇女）中需要临床干预的产后抑郁症的患病率。结果：产后抑郁症状的发生率超过 23%，这明显高于其他人群中最自由的估计。与之前有关危险因素的文献一样，该样本表明抑郁症症状、抑郁症病史和接受抑郁症治疗之间存在很强的关联。结论：PDSS 被证明是这种情况下临床上有用的工具。研究结果支持实施常规筛查方案以指导实践和实施支持服务的重要性。
Objectives: Data were collected on postpartum depression from 151 women, ages 16-40 years who received postpartum health services from a rural obstetrical clinic in North Carolina between September 2002 and May 2003. Reflective of the racial and socio-economic makeup of the county, 60.9% of the sample were American Indian (Lumbee tribe) 25.8% were African American and 13.3% were Caucasian or other. Methods: The Postpartum Depression Screening Scale (PDSS) was utilized to explore the prevalence of postpartum depression requiring clinical intervention in a largely unexplored population, minority women. Results: The incidence of postpartum depression symptoms was over 23%, which is significantly higher than even the most liberal estimates in other populations. As with previous literature on risk factors, the sample demonstrates a strong association between symptoms of depression, history of depression and receiving treatment for depression. Conclusions: The PDSS proved to be a clinically useful tool in this setting. Findings support the importance of implementing routine screening protocols to guide practice and implement support services.