Prevalence trends of pre- and postnatal depression in Japanese women: A population-based longitudinal study
Prevalence trends of pre- and postnatal depression in Japanese women: A population-based longitudinal study
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DOI：
10.1016/j.jad.2017.08.008
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发表时间：
2018-01-01
影响因子：
6.6
通讯作者：
Kubo, Takahiko
中科院分区：
文献类型：
--
作者：
Takehara, Kenji;Tachibana, Yoshiyuki;Kubo, Takahiko
背景资料：本研究的目的是描述的患病率趋势的产前和产后抑郁症，通过测量的爱丁堡产后抑郁量表（EPDS）的总得分和因子得分，从20周的怀孕到产后3个月，分层的奇偶校验，在日本女性population.Methods：一个纵向的，以人口为基础的研究进行了围产期妇女分娩的产科设施世田谷区，日本。在参与的1775名女性中，1311名女性符合本分析的纳入标准。所有数据，包括EPDS，通过自填式问卷在妊娠20周和产后5个时间点收集，从产后最初几天到3个月。结果：产后2周，产后抑郁症状、EPDS总分及各因子分均达到高峰（EPDS总分为5.58，快感缺乏为0.47，焦虑为2.64，抑郁为1.23）。相比之下，EPDS总分和“焦虑”和“抑郁”的因子得分从产前到产后逐渐下降（EPDS总分为3.33，3.03，3.03，2.72，2.76和2.37）。局限性：每个因子得分没有加权;相反，我们简单地将每个问题的项目得分从0到3相加。此外，日本妇女的人口代表性不高，虽然样本是以人口为基础的，并有很高的后续rate.Conclusions：这项研究表明，EPDS的总的趋势和因子分数不同的奇偶校验在整个日本女性人口的产前和产后期间。
Background: This study aimed to describe the prevalence trends of pre- and postnatal depression, via measures of the Edinburgh Postnatal Depression Scale (EPDS) total and factor scores, from 20 weeks' gestation to 3 months postpartum, stratified by parity, in a Japanese female population.Methods: A longitudinal, population-based study was conducted among perinatal women giving birth at maternity facilities in Setagaya area of Tokyo, Japan. Of the 1775 women who participated, 1311 women met the inclusion criteria of this analysis. All data, including EPDS, were collected via self-administrated questionnaires at 20 weeks' gestation and at 5 time points postpartum, from the first few days to 3 months postpartum. We divided EPDS items into three factors: "anxiety," "anhedonia," and "depression," according to factor analysis.Results: The prevalence of individuals exhibiting depressive symptoms, EPDS total score, and each factor score peaked at two weeks postpartum in primiparas (EPDS total = 5.58, anhedonia = 0.47, anxiety = 2.64, and depression = 1.23). In contrast, the EPDS total score and factor scores for "anxiety" and "depression" gradually decreased for multiparas, from the prenatal to postpartum period (EPDS total 3.33, 3.03, 3.03, 2.72, 2.76, and 2.37).Limitations: Each factor score was not weighted; instead, we simply added up the item scores ranging from 0 to 3 for each question. Additionally, the population representativeness of Japanese women was not high, although the sample was population-based and had a high follow-up rate.Conclusions: This study shows that the trends of EPDS total and factor scores differ by parity throughout the pre- and postnatal periods among a Japanese female population.