Screening for depression in mothers bringing their offspring for evaluation or treatment of depression
Screening for depression in mothers bringing their offspring for evaluation or treatment of depression
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DOI：
10.1176/appi.ajp.157.3.375
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发表时间：
2000-03-01
影响因子：
17.7
通讯作者：
Weissman, MM
中科院分区：
文献类型：
--
作者：
Ferro, T;Verdeli, H;Weissman, MM
目的：许多研究表明，抑郁症首次发作的最高风险发生在育龄妇女中，并且母亲及其后代的抑郁症终生发病率之间存在很强的关联。无论母亲或孩子是否是目标患者，都发现这种关联，但是，对将其后代带到门诊进行抑郁症评估和/或治疗的母亲的当前抑郁症的发病率知之甚少。这些信息可能有助于制定干预战略。方法：117名母亲带着她们的孩子进行抑郁症的评估或治疗，用患者问题问卷进行筛选，以确定抑郁症，焦虑症和药物滥用的当前症状以及当前的精神病治疗。结果：36（31%）的母亲筛选积极的患者问题问卷调查目前的精神疾病。16名（14%）筛查阳性的患者目前患有重性抑郁症，20名（17%）为惊恐障碍，20名（17%）为广泛性焦虑障碍，2名（2%）为酒精滥用，1名（1%）为药物滥用。此外，50名（43%）母亲的精神症状不符合上述任何疾病的诊断阈值。26%（22%）的母亲表达了自杀意念或意图。在16名被诊断为重度抑郁症的母亲中，只有5名（31%）目前正在接受任何精神治疗。结论：许多母亲带着她们的孩子来接受抑郁症的评估或治疗，她们自己目前也患有抑郁症，没有得到治疗。治疗抑郁的母亲可能会帮助母亲和他们的抑郁后代。
Objective: Numerous studies have shown that the highest risk for first onset of depression occurs in women of childbearing years and that there is a strong association between lifetime rates of depressive disorders in mothers and their offspring. This association is found regardless of whether the mother or child is the targeted patient, However, little is known about rates of current depression in mothers who bring their offspring to outpatient clinics for evaluation and/or treatment of depression. This information might be useful in developing intervention strategies. Method: One hundred seventeen mothers bringing their offspring for evaluation or treatment for depression were screened with the Patient Problem Questionnaire to determine current symptoms of depression, anxiety disorders, and substance abuse as well as current psychiatric treatment. Results: Thirty-six (31%) of the mothers screened positive on the Patient Problem Questionnaire for a current psychiatric disorder. Sixteen (14%) screened positive for current major depression, 20 (17%) for panic disorder, 20 (17%) for generalized anxiety disorder, two (2%) for alcohol abuse, and one (1%) for drug abuse. In addition, 50 (43%) of the mothers had psychiatric symptoms that did not meet the diagnostic threshold for any of the above disorders. Twenty-six (22%) of mothers expressed suicidal ideation or intent. Only five (31%) of the 16 mothers diagnosed with major depression were currently receiving any psychiatric treatment. Conclusions: A substantial number of mothers bringing their offspring for evaluation or treatment of depression were themselves currently depressed and untreated. The treatment of depressed mothers may help both the mothers and their depressed offspring.