Depression in fathers in the postnatal period: assessment of the Edinburgh Postnatal Depression Scale as a screening measure.

Depression in fathers in the postnatal period: assessment of the Edinburgh Postnatal Depression Scale as a screening measure.
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DOI:
10.1016/j.jad.2010.01.069
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发表时间:
2010-09
影响因子:
6.6
通讯作者:
Ramchandani, Paul G.
Ramchandani, Paul G.
中科院分区:
医学2区
文献类型:
--
作者:
Edmondson, Olivia J. H.;Psychogiou, Lamprini;Vlachos, Haido;Netsi, Elena;Ramchandani, Paul G.

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产后抑郁症通常会在孩子出生后影响妇女,并与孩子不良后果的风险增加有关。各种各样的措施已被用于筛查产后抑郁症,但很少有研究调查这些措施与男性。然而,抑郁症此时也会影响男性,这与儿童不良后果的风险独立增加有关。本研究的目的是确定是否可以建立一个可靠的切断点爱丁堡产后抑郁量表(EPDS)筛选父亲。在孩子出生后7周,父亲的样本被发送EPDS。对192名男性进行了结构化的临床访谈,以确定他们是否患有抑郁症。患有抑郁症的父亲在EPDS上的得分显著高于非抑郁症的父亲。大于10分被认为是筛查抑郁症的最佳分界点,其敏感性为89.5%,特异性为78.2%。相对较低的参与率意味着结果可能无法完全推广到整个人口。EPDS显示出在超过10的截止分数时具有合理的灵敏度和特异性。这项研究表明,它是可能的筛选父亲抑郁症在产后期间,它可能是有价值的管理这项措施,以新的父亲。
Postnatal depression commonly affects women after the birth of a child, and is associated with an increased risk of adverse outcomes for their children. A wide variety of measures have been used to screen for depression in the postnatal period but little research has investigated such measures with men. However depression can also affect men at this time, and this is associated with an independently increased risk of adverse child outcomes. The present study aimed to determine whether a reliable cut off point for the Edinburgh Postnatal Depression Scale (EPDS) can be established to screen fathers. A sample of fathers was sent the EPDS at 7 weeks after the birth of their child. A structured clinical interview was conducted with 192 men to determine whether they were suffering from depression. Fathers with depression scored significantly higher on the EPDS than non-depressed fathers. A score of greater than 10 was found to be the optimal cut off point for screening for depression, with a sensitivity of 89.5% and a specificity of 78.2%. The relatively modest participation rate means the results may not be fully generalisable to the whole population. The EPDS is shown to have reasonable sensitivity and specificity at a cut off score of over 10. The study shows that it is possible to screen fathers for depression in the postnatal period and it may be valuable to administer this measure to new fathers.
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