A community-based screening initiative to identify mothers at risk for postpartum depression.
A community-based screening initiative to identify mothers at risk for postpartum depression.
复制标题
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
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发表时间：
2011-01
期刊：
影响因子：
--
通讯作者：
Wojcik J
中科院分区：
文献类型：
--
作者：
Horowitz JA;Murphy CA;Gregory KE;Wojcik J
开展基于社区的产后抑郁症 (PPD) 筛查计划，并推荐 PPD 筛查实践。描述性相关性。两个学术医疗中心、一个大学研究办公室和参与者之家。五千一百六十九 (5,169) 名 14-49 岁的产后妇女。医疗保健研究和质量局 (AHRQ) 框架的实施方式是确定一组母亲并进行 PPD 筛查，然后对筛查结果呈阳性的母亲进行诊断评估。从两个学术医疗中心招募产后母亲，并在产后 4-6 周通过电话或邮件使用爱丁堡产后抑郁量表 (EPDS) 进行 PPD 筛查。 EPDS 评分≥ 10 的母亲被邀请参加 DSM IV 结构化临床访谈 (SCID) 以确认 PPD。六百七十四 (674) (13%) 名女性的 EPDS 评分≥10； 185 名 EPDS 分数较高的女性同意接受 SCID 诊断访谈，其中 144 名女性被诊断患有轻度或重度抑郁症。自我管理并邮寄 EPDS 的女性分数 ≥ 10 的女性比例显着高于通过电话筛查的女性。PPD 分数升高与年龄或胎次无关。除白人以外的种族/族裔识别以及高中以下学历均与较高的 PPD 分数相关。AHRQ 框架通过识别有 PPD 风险的母亲，有效地指导了大规模 PPD 筛查计划。结果支持了先前关于患病率、选定的危险因素以及在 SCID 确认下继续使用 EPDS 的发现。
To conduct a community-based, postpartum depression (PPD) screening initiative, and recommend PPD screening practices. Descriptive correlational. Two academic medical centers, a university research office, and participants’ homes. Five thousand one hundred sixty nine (5,169) postpartum women aged 14–49 years. The Agency for Healthcare Research and Quality (AHRQ) framework was implemented by identifying a cohort of mothers and conducting PPD screening followed by diagnostic evaluation of those with positive screens. Mothers in the postpartum period were recruited from two academic medical centers and screened for PPD at 4–6 weeks postpartum by telephone or mail using the Edinburgh Postnatal Depression Scale (EPDS). Mothers with EPDS scores ≥ 10 were invited to participate in the Structured Clinical Interview for DSM IV (SCID) to confirm PPD. Six hundred seventy four (674) (13%) women had EPDS scores ≥10; 185 women with elevated EPDS scores agreed to have a SCID diagnostic interview, and 144 were diagnosed with minor or major depression. A significantly higher percentage of women who self-administered and mailed in the EPDS than women who were screened via telephone had scores ≥ 10. Elevated PPD scores were not associated with age or parity. Race/ethnicity identification other than White, and having less than high school education were associated with higher PPD scores The AHRQ framework was effective in guiding a large-scale PPD screening initiative by identifying mothers at risk for PPD. Results support previous findings regarding prevalence, selected risk factors, and continued use of the EPDS with SCID confirmation.
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影响因子：
2.8
作者：
OHara, MW;Swain, AM
通讯作者：
Swain, AM
影响因子：
4.5
作者：
Noorlander, Y.;Bergink, V.;van den Berg, M. P.
通讯作者：
van den Berg, M. P.
影响因子：
4.6
作者：
TROUTMAN, BR;CUTRONA, CE
通讯作者：
CUTRONA, CE
影响因子：
2.5
作者：
Segre, Lisa S.;Losch, Mary E.;O'Hara, Michael W.
通讯作者：
O'Hara, Michael W.
DOI：
10.1176/appi.ps.60.11.1432
发表时间：
2009-11
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Horowitz JA;Murphy CA;Gregory KE;Wojcik J
通讯作者：
Wojcik J