NON-PSYCHOTIC PSYCHIATRIC-DISORDER AFTER CHILDBIRTH - A PROSPECTIVE-STUDY OF PREVALENCE, INCIDENCE, COURSE AND NATURE
NON-PSYCHOTIC PSYCHIATRIC-DISORDER AFTER CHILDBIRTH - A PROSPECTIVE-STUDY OF PREVALENCE, INCIDENCE, COURSE AND NATURE
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DOI：
10.1192/bjp.152.6.799
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发表时间：
1988-06-01
影响因子：
10.5
通讯作者：
BOND, A
中科院分区：
文献类型：
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作者：
COOPER, PJ;CAMPBELL, EA;BOND, A
483名妇女的精神状态进行了检查产前和产后3个月，6个月和12个月。对所有妇女进行产前全面评估，并对出生后全部样本的亚组进行全面评估。采用一般健康问卷、现状检查和蒙哥马利和阿斯伯格抑郁评定量表评估精神状态。根据PSE标准，产前非精神病性精神障碍的点患病率为6.0%，产后3个月估计为8.7%，6个月为8.8%，12个月为5.2%。将这些患病率与非产褥期妇女的一般人群样本中的患病率进行比较，发现并不更高。在整个抽样的一个亚组中，分娩后一年中精神疾病的发病率估计为15.1%，这接近于以前报告的社区妇女的数字。在大多数情况下，精神障碍的发病是分娩后不久，并且，对于大多数人来说，发作的干扰持续3个月或less.The PSE Catego类和综合征之间的产前和产后样本的分布被发现是相似的那些在非产褥期的比较样本。因此，分娩后12个月内非精神病性精神障碍的患病率、发病率和性质似乎不能将其与其他时间出现的此类精神障碍区分开来。
The psychiatric state of 483 women was examined antenatally and at 3, 6, and 12 months postpartum. Comprehensive assessments were made of all women antenatally and of subgroups of the full sample postnatally. Psychiatric state was assessed using the General Health Questionnaire, the Present State Examination and the Montgomery and Asberg Depression Rating Scale. In terms of PSE criteria, the point prevalence of non-psychotic psychiatric disorder antenatally was found to be 6.0%, and postnatally it was estimated to be 8.7% at 3 months, 8.8% at 6 months and 5.2% at 12 months after delivery. These prevalence rates were compared to the rate in a general population sample of non-puerperal women and found to be no greater. In a subgroup of the full sample, the incidence of psychiatric disorder in the year following delivery was estimated to be 15.1%, which is close to a figure previously reported for women in the community. The onset of psychiatric disturbance was soon after delivery in most instances, and, for the majority, the episode of disturbance lasted for 3 months or less. The distribution of PSE Catego classes and syndromes among the antenatal and postnatal samples were found to be similar to those in the non-puerperal comparison sample. Thus, the prevalence, incidence, and nature of non-psychotic psychiatric disorder in the 12 months following delivery do not appear to distinguish it from such disorders arising at other times.