Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score
Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score
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DOI：
10.1515/jpm-2019-0472
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发表时间：
2020-06-01
影响因子：
2.4
通讯作者：
Goodin, Amie J.
中科院分区：
文献类型：
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作者：
Padilla, Mikela M.;Roussos-Ross, Dikea;Goodin, Amie J.
目的：检查健康起始筛查 (HSS) 的效用，该筛查是对佛罗里达州所有孕妇提供的健康、环境和行为风险因素评估，用于识别有患产后抑郁症 (PPD) 风险的女性。方法：这项经机构审查委员会 (IRB) 批准的回顾性研究的样本由前往妇女诊所进行新产前检查的患者组成。那些在产前访视时完成 HSS 和在产后访视时完成爱丁堡产后抑郁量表 (EPDS) 的患者均被纳入其中。我们重点关注 HSS 的第 1-10 项，其中患者可以回答“是”或“否”，并将任何大于或等于 12 的分数确定为阳性 EPDS。结果：认为情绪低落、抑郁或绝望、在面临问题时感到孤独、曾经接受过心理健康服务或在支付账单方面遇到困难的女性更有可能 EPDS 分数大于或等于 12。结论：目前由国家强制执行的 HSS佛罗里达州的一项计划将向所有孕妇提供，是识别患产后抑郁症风险增加的女性的有用工具。
Objective: To examine the utility of the Healthy Start Screen (HSS), which is an assessment of health, environment, and behavioral risk factors offered to all pregnant women in the state of Florida, in identifying women at risk for developing postpartum depression (PPD).Methods: The sample for this Institutional Review Board (IRB)-approved, retrospective study consisted of patients who presented to a women's clinic for a new prenatal visit. Those patients who completed both the HSS at their prenatal visit and the Edinburgh Postnatal Depression Scale (EPDS) at their postpartum visit were included. We focused on items 1-10 of the HSS, where patients could respond with either "yes" or "no", and identified a positive EPDS as any score greater than or equal to 12.Results: Women who identified as feeling down, depressed or hopeless, feeling alone when facing problems, to having ever received mental health services, or to having any trouble paying bills were more likely to have an EPDS score greater than or equal to 12.Conclusion: The HSS, currently mandated by the state of Florida to be offered to all pregnant women, is a useful tool for identifying women at increased risk of developing PPD.