Clinically identified maternal depression before, during, and after pregnancies ending in live births
Clinically identified maternal depression before, during, and after pregnancies ending in live births
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DOI：
10.1176/appi.ajp.2007.06111893
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发表时间：
2007-10-01
影响因子：
17.7
通讯作者：
Hornbrook, Mark C.
中科院分区：
文献类型：
--
作者：
Dietz, Patricia M.;Williams, Selvi B.;Hornbrook, Mark C.
目的：本研究估计了妊娠前、妊娠期间和妊娠后的抑郁症患病率和治疗情况。方法：之前经过验证的算法确定了在 1998 年 1 月 1 日至 2001 年 12 月 31 日期间至少怀孕过一次的健康计划成员。妊娠期间妊娠一次或多次并从妊娠前 39 周到妊娠后 39 周连续登记的妇女符合资格。从医疗记录中发现了产妇抑郁症。抑郁症治疗包括抗抑郁药物和/或心理健康就诊。作者检查了抑郁症的患病率和接受的治疗。结果：在 4,398 名连续登记的合格妊娠并最终活产的女性中，678 名 (15.4%) 至少在一个怀孕阶段发现了抑郁症；分别有 8.7%、6.9% 和 10.4% 在怀孕前、怀孕期间和/或怀孕后发现患有抑郁症。在怀孕前 39 周内确诊为抑郁症的女性中，56.4% 的人在怀孕期间也被诊断为抑郁症。在怀孕后 39 周内确诊患有抑郁症的女性中，54.2% 在怀孕期间或怀孕前诊断出抑郁症。大多数被诊断患有抑郁症的女性都接受过抗抑郁药物治疗和/或至少进行过一次心理健康检查。在怀孕前、怀孕期间或怀孕后进行至少一次心理健康检查并没有发生变化；然而，怀孕期间抗抑郁药物的使用量低于怀孕前或怀孕后。结论：大约七分之一的女性在怀孕前 39 周至怀孕后 39 周期间被诊断患有抑郁症并接受治疗，其中一半以上的女性有抑郁症复发迹象。
objective: This study estimated the prevalence of diagnosed depression and treatment among women before, during, and after pregnancies ending in live births.Method: A previously validated algorithm identified health plan members with at least one pregnancy between Jan. 1, 1998, and Dec. 31, 2001. Women with a pregnancy ending in one or more live births and continuously enrolled from 39 weeks before pregnancy through 39 weeks after pregnancy were eligible. maternal depression was identified from the medical records. Depression treatment included antidepressant medication and/or mental health visits. The authors examined the prevalence of depression and treatments received.Results: Among 4,398 continuously enrolled women with eligible pregnancies ending in live births, 678 (15.4%) had depression identified during at least one pregnancy phase; 8.7%, 6.9%, and 10.4% had depression identified before, during, and/or after pregnancy, respectively. Among women with identified depression during the 39 weeks before pregnancy, 56.4% also had a depression diagnosis during pregnancy. of women identified with depression during the 39 weeks following pregnancy, 54.2% had depression diagnoses either during or preceding pregnancy. Most women diagnosed with depression received antidepressant medications and/or had at least one mental health visit. Having at least one mental health visit did not vary before, during, or after pregnancy; however, antidepressant use was lower during pregnancy than before or after pregnancy.Conclusions: Approximately one in seven women was identified with and treated for depression during 39 weeks before through 39 weeks after pregnancy, and more than half of these women had recurring indicators for depression.