Predicting postnatal mental disorder with a screening questionnaire: a prospective cohort study from Zimbabwe
Predicting postnatal mental disorder with a screening questionnaire: a prospective cohort study from Zimbabwe
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DOI：
10.1136/jech.52.4.262
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发表时间：
1998-04-01
影响因子：
6.3
通讯作者：
Acuda, W
中科院分区：
文献类型：
--
作者：
Nhiwatiwa, S;Patel, V;Acuda, W
背景-产后精神障碍是发病的常见原因，但很少在发展中国家的忙碌繁忙的初级保健诊所诊断或治疗。500名妇女在怀孕第8个月由传统的助产士和初级保健诊所确定。样本-“高风险”队列包括所有妇女谁得分8或以上的Shona症状问卷（SSQ），土著精神问卷（n=95）。低风险队列包括105名妇女随机选择的其余部分的抽样frame.Outcome测量，修订后的临床访谈时间表在产后6至8周;分数为14或更多的精神caseness.Results-The产后精神疾病的患病率为16%。高危妇女产后发病的比值比（95%可信区间）分别为10.6、4.8、23.9，P
Background-Postnatal mental disorders are common causes of morbidity but are rarely diagnosed or treated in busy primary care clinics in developing countries.Objective-To determine whether a brief psychiatric screening questionnaire used in the 8th month of pregnancy can predict postnatal mental disorder.Study design-Prospective cohort studySite-A peri-urban settlement in Zimbabwe.Population-500 women in the 8th month of pregnancy identified by traditional birth attendants and primary care clinics.Sample--"High risk" cohort consisted of all women who scored 8 or more on the Shona Symptom Questionnaire (SSQ), an indigenous psychiatric questionnaire (n=95). Low risk cohort consisted of 105 women randomly selected from the remainder of the sampling frame.Outcome measure-Revised Clinical Interview Schedule at six to eight weeks postpartum; scores of 14 or more indicate psychiatric caseness.Results-The prevalence of postnatal mental illness was 16%. Odds ratios (95% confidence intervals) for high risk women becoming cases in the postnatal period were 10.6, 4.8, 23.9, p