Diagnosing postpartum depression: Can we do better?
Diagnosing postpartum depression: Can we do better?
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DOI：
10.1067/mob.2002.123404
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发表时间：
2002-05-01
影响因子：
9.8
通讯作者：
Lindsay, M
中科院分区：
文献类型：
--
作者：
Fergerson, SS;Jamieson, DJ;Lindsay, M
目的：本研究的目的是评估爱丁堡产后抑郁量表与常规临床评估的有效性，以检测低收入市中心人群的产后抑郁症，并评估与爱丁堡产后抑郁量表阳性评分相关的危险因素。 研究设计：根据每月的日期，所有进行产后访视的英语母语患者被分配进行产后抑郁症的常规临床评估或常规临床评估评估加上使用包含 10 个问题的爱丁堡产后抑郁量表。 结果：在为期 7 周的研究期间，72 名女性参与了研究：常规评估组有 35 名女性，爱丁堡产后抑郁量表组有 37 名女性。完成爱丁堡产后抑郁量表的女性比常规评估组的女性更有可能被确定为有抑郁症风险：37 名女性中有 11 名 (30%)，而 35 名女性中有 0 名 (P < .001)。母乳喂养失败与爱丁堡产后抑郁量表得分为 l 0 的风险增加相关（相对风险，3.78；95% Cl，1.03-13.89）。结论：爱丁堡产后抑郁量表似乎是识别有产后抑郁风险的患者的有价值且有效的工具。
OBJECTIVE: The purpose of this study was to evaluate the efficacy of the Edinburgh Postnatal Depression Scale versus routine clinical evaluation to detect postpartum depression among a low-income inner-city population and to evaluate risk factors associated with a positive score on the Edinburgh Postnatal Depression Scale.STUDY DESIGN: On the basis of the day of the month, all English-speaking patients who were seen for their postpartum visit were assigned either to routine clinical evaluation for postpartum depression or routine clinical evaluation plus the use of the 10-question Edinburgh Postnatal Depression Scale.RESULTS: During the 7-week study period, 72 women participated in the study: 35 women in the routine evaluation group and 37 women in the Edinburgh Postnatal Depression Scale group. Women who completed the Edinburgh Postnatal Depression Scale were significantly more likely than those in the routine evaluation group to be identified as being at risk for depression: 11 of 37 women (30%) versus 0 of 35 women (P < .001). A failed attempt at breast-feeding was associated with an increased risk of a score of l 0 on the Edinburgh Postnatal Depression Scale (relative risk, 3.78; 95% Cl, 1.03-13.89).CONCLUSION: The Edinburgh Postnatal Depression Scale appears to be a valuable and efficient tool for the identification of patients who are at risk for postpartum depression.