Development of a screening and recruitment registry to facilitate perinatal depression research in obstetrics settings in the USA

Development of a screening and recruitment registry to facilitate perinatal depression research in obstetrics settings in the USA
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DOI:
10.1016/j.ijgo.2014.09.015
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发表时间:
2015-03-01
影响因子:
3.8
通讯作者:
Flynn, Heather A.
Flynn, Heather A.
中科院分区:
医学4区
文献类型:
--
作者:
Allbaugh, Lucy J.;Marcus, Sheila M.;Flynn, Heather A.

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目的:创建一个多站点登记处,以便将来能够对美国产科诊所的妇女进行围产期抑郁症的大规模研究。方法:建立了一项筛查和招募登记册,其中包括 2008 年 9 月 8 日至 2011 年 6 月 9 日期间在密歇根大学卫生系统(美国密歇根州安阿伯市)七个产科诊所接受产前护理的年满 18 岁的女性。参与者完成了抑郁症筛查和研究招募材料。结果:在 4745 名返回筛查表的女性中,2983 名完成了筛查,总体同意率为 62.9%。共有 630 名参与者通过登记注册参加了 10 项研究。在获得爱丁堡产后抑郁量表分数的 2982 名女性中,494 名(16.6%)处于危险范围内或分数提示患有临床抑郁症。结论:目前的登记系统可以改善围产期抑郁症状的检测,并有可能作为在其他有兴趣研究与围产期抑郁症相关因素的地方传播和实施的模型。 (C) 2014 年国际妇产科联合会。由爱思唯尔爱尔兰有限公司出版。保留所有权利。
Objective: To create a multi-site registry to enable future large-scale studies of perinatal depression among women attending obstetrics clinics in the USA. Methods: A screening and recruitment registry was developed that included women aged at least 18 years who attended seven obstetric clinics in the University of Michigan Health System (Ann Arbor, MI, USA) for prenatal care between September 8, 2008, and June 9, 2011. Participants completed depression screening and research recruitment materials. Results: Of 4745 women who returned a screening form, 2983 had completed it, giving an overall agreement rate of 62.9%. A total of 630 participants were enrolled into ten research studies via the registry. Among the 2982 women for whom scores on the Edinburgh Postnatal Depression Scale were available, 494(16.6%) fell within the at-risk range or had scores suggestive of clinical depression. Conclusion: The present registry could improve detection of perinatal depression symptoms and potentially serve as a model for dissemination and implementation at other sites with an interest in studying factors linked to perinatal depression. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.