A CONTROLLED-STUDY OF THE ONSET, DURATION AND PREVALENCE OF POSTNATAL DEPRESSION
A CONTROLLED-STUDY OF THE ONSET, DURATION AND PREVALENCE OF POSTNATAL DEPRESSION
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DOI：
10.1192/bjp.163.1.27
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发表时间：
1993-07-01
影响因子：
10.5
通讯作者：
CHAPMAN, G
中科院分区：
文献类型：
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作者：
COX, JL;MURRAY, D;CHAPMAN, G
在使用爱丁堡产后抑郁量表和戈德堡标准化精神病学访谈的两阶段筛查程序中，将分娩六个月后的232名女性与从全科医生名单中获得的年龄、婚姻状况和子女数量单独匹配的对照女性进行了比较，这些女性在过去12个月内没有怀孕也没有生过孩子。产后妇女（9.1%）和对照妇女（8.2%）在6个月时的抑郁症患病率没有显著差异，6个月期间的患病率也没有显著差异（产后妇女13.8%，对照妇女13.4%），但在分娩后5周内发现抑郁症发病率高出3倍。可能的解释是，有年幼子女的妇女抑郁症持续时间长，分娩的压力及其心理社会后遗症。
In a two-stage screening procedure using the Edinburgh Postnatal Depression Scale and Goldberg's Standardised Psychiatric Interview, 232 women six months after delivery were compared with control women individually matched for age, marital status and number of children, obtained from general practitioner lists, who were not pregnant nor had had a baby in the previous 12 months. No significant difference in the point prevalence of depression at six months was found between the postnatal (9.1%) and control women (8.2%) nor in the six-month period prevalence (13.8% postnatal, 13.4% controls), but a threefold higher rate of onset of depression was found within five weeks of childbirth. The possible explanations relate to the long duration of depression in women with young children, and the stressful effect of childbirth and its psychosocial sequelae.