Prevalence of positive depression screen among post miscarriage women- A cross sectional study.
Prevalence of positive depression screen among post miscarriage women- A cross sectional study.
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DOI：
10.1186/s12888-018-1619-9
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发表时间：
2018-02-05
期刊：
影响因子：
4.4
通讯作者：
Mukaindo AM
中科院分区：
文献类型：
--
作者：
Mutiso SK;Murage A;Mukaindo AM
流产是一种常见的妊娠并发症，影响约10-15%的妊娠。流产可能与事件发生后不同时间点的无数精神疾病有关。抑郁症已被证明影响约10-20%的所有妇女流产后。然而，没有数据存在于当地设置告知流产后抑郁症的患病率。我们着手确定在内罗毕的阿加汗大学医院经历过流产的妇女中抑郁症筛查阳性的患病率。本研究采用横断面设计。在内罗毕的阿加汗大学医院的妇科诊所进行流产后诊所审查时招募流产患者。爱丁堡产后抑郁量表用于筛查患者的抑郁症。患病率根据达到临界值13的患者占患者总数的百分比计算。本研究共招募了182名患者。抑郁筛查阳性率为34.1%，因为182例患者中有62例抑郁筛查阳性。此外，在抑郁筛查阳性的患者中，21人（33.1%）有自残的想法。一个积极的抑郁症屏幕是目前在34.1%的妇女在我们的人口流产后两周。这些妇女中约有三分之一（33.1%）有自残的想法，因此指出在流产后使用EPDS筛查这些妇女的重要性。本文的在线版本（10.1186/s12888-018-1619-9）包含补充材料，可供授权用户使用。
Miscarriages are a common pregnancy complication affecting about 10–15% of pregnancies. Miscarriages may be associated with a myriad of psychiatric morbidity at various timelines after the event. Depression has been shown to affect about 10–20% of all women following a miscarriage. However, no data exists in the local setting informing on the prevalence of post-miscarriage depression. We set out to determine the prevalence of positive depression screen among women who have experienced a miscarriage at the Aga Khan University hospital, Nairobi. The study was cross-sectional in design. Patients who had a miscarriage were recruited at the post-miscarriage clinic review at the gynecology clinics at Aga Khan University Hospital, Nairobi. The Edinburgh postpartum depression scale was used to screen for depression in the patients. Prevalence was calculated from the percentage of patients achieving the cut –off score of 13 over the total number of patients. A total of 182 patients were recruited for the study. The prevalence of positive depression screen was 34.1% since 62 of the 182 patients had a positive depression screen. Moreover, of the patients who had a positive depression screen, 21(33.1%) had thoughts of self-harm. A positive depression screen is present in 34.1% of women in our population two weeks after a miscarriage. Thoughts of self-harm are present in about a third of these women (33.1%) hence pointing out the importance of screening these women using the EPDS after a miscarriage. The online version of this article (10.1186/s12888-018-1619-9) contains supplementary material, which is available to authorized users.
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