Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings.
Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings.
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DOI：
10.1001/jamapsychiatry.2013.87
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发表时间：
2013-05
期刊：
影响因子：
25.8
通讯作者：
Hanusa, Barbara H.
中科院分区：
文献类型：
--
作者：
Wisner, Katherine L.;Sit, Dorothy K. Y.;McShea, Mary C.;Rizzo, David M.;Zoretich, Rebecca A.;Hughes, Carolyn L.;Eng, Heather F.;Luther, James F.;Wisniewski, Stephen R.;Costantino, Michelle L.;Confer, Andrea L.;Moses-Kolko, Eydie L.;Famy, Christopher S.;Hanusa, Barbara H.
产后第一年妇女抑郁症的流行率为21.9%；然而，关于抑郁症筛查的价值仍然存在疑问。筛查产后女性抑郁症，评估阳性筛查结果，以确定发作的时间、自残意念的发生率和强度，以及原发性和继发性DSM-IV障碍，为治疗和政策决策提供信息。最近分娩的妇女的连续病例系列。城市学术妇女医院。在产妇住院期间，妇女在分娩后4至6周通过电话接受检查。筛查结果呈阳性的妇女被邀请在家中接受精神评估。筛查结果阳性的是爱丁堡产后抑郁量表（EPDS）得分在10分或更高。自我伤害的想法在EPDS项目10中被评估：“我曾经有过伤害自己的想法”（是的，经常；有时；很少；从来没有）。筛查阳性的妇女接受DSM-IV的结构化临床访谈，以评估轴I的原发性和继发性诊断。1万名母亲接受了筛查，1396例（14.0%）呈阳性；其中，826人（59.2%）完成了家访，147人（10.5%）完成了电话诊断访谈。筛查呈阳性的女性更可能是年轻、非裔美国人、公共保险、单身、受教育程度较低的女性。产后发病较多（40.1%），其次是孕期（33.4%）和孕前（26.5%）。在这个人群中，19.3%的人有自残的想法。所有自残意念强度最高的母亲的EPDS得分均在10分以上。最常见的原发诊断为单相抑郁症（68.5%），近三分之二的患者伴有焦虑症。22.6%的人患有双相情感障碍。在筛查阳性的女性中，最常见的诊断是重度抑郁症合并广泛性焦虑症。需要采取策略来区分女性双相情感障碍和单相情感障碍。clinicaltrials.gov标识符：NCT00282776
The period prevalence of depression among women is 21.9% during the first postpartum year; however, questions remain about the value of screening for depression. To screen for depression in postpartum women and evaluate positive screen findings to determine the timing of episode onset, rate and intensity of self-harm ideation, and primary and secondary DSM-IV disorders to inform treatment and policy decisions. Sequential case series of women who recently gave birth. Urban academic women’s hospital. During the maternity hospitalization, women were offered screening at 4 to 6 weeks post parturn by telephone. Screen-positive women were invited to undergo psychiatric evaluations in their homes. A positive screen finding was an Edinburgh Postnatal Depression Scale (EPDS) score of 10 or higher. Self-harm ideation was assessed on EPDS item 10: “The thought of harming myself has occurred to me” (yes, quite often; sometimes; hardly ever; never). Screen-positive women underwent evaluation with the Structured Clinical Interview for DSM-IV for Axis I primary and secondary diagnoses. Ten thousand mothers underwent screening, with positive findings in 1396 (14.0%); of these, 826 (59.2%) completed the home visits and 147 (10.5%) completed a telephone diagnostic interview. Screen-positive women were more likely to be younger, African American, publicly insured, single, and less well educated. More episodes began post partum (40.1%), followed by during pregnancy (33.4%) and before pregnancy (26.5%). In this population, 19.3% had self-harm ideation. All mothers with the highest intensity of self-harm ideation were identified with the EPDS score of 10 or higher. The most common primary diagnoses were unipolar depressive disorders (68.5%), and almost two-thirds had co-morbid anxiety disorders. A striking 22.6% had bipolar disorders. The most common diagnosis in screen-positive women was major depressive disorder with comorbid generalized anxiety disorder. Strategies to differentiate women with bipolar from unipolar disorders are needed. clinicaltrials.gov Identifier: NCT00282776
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影响因子：
7
作者：
Flynn HA;Henshaw E;O'Mahen H;Forman J
通讯作者：
Forman J
影响因子：
3.1
作者：
Howard, Louise M.;Flach, Clare;Tylee, Andre
通讯作者：
Tylee, Andre
一项基于社区的筛查计划，以确定有产后抑郁症风险的母亲。
DOI：
10.1111/j.1552-6909.2010.01199.x
发表时间：
2011-01
期刊：
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子：
--
作者：
Horowitz JA;Murphy CA;Gregory KE;Wojcik J
通讯作者：
Wojcik J
影响因子：
8
作者：
Chaudron, Linda H.;Szilagyi, Peter G.;McInerny, Thomas K.
通讯作者：
McInerny, Thomas K.
影响因子：
5.3
作者：
Arvilommi, Petri;Suominen, Kirsi S.;Isometsae, Erkki T.
通讯作者：
Isometsae, Erkki T.