Postpartum depression assessments at well-baby visits: Screening feasibility, prevalence, and risk factors
Postpartum depression assessments at well-baby visits: Screening feasibility, prevalence, and risk factors
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DOI：
10.1089/jwh.2005.14.929
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发表时间：
2005-12-01
影响因子：
3.5
通讯作者：
Weibrecht, JM
中科院分区：
文献类型：
--
作者：
Freeman, MP;Wright, R;Weibrecht, JM
背景：产后抑郁症（PPD）是一种具有广泛公共卫生影响和后果的疾病，几乎影响到儿童发育的各个方面。方法：在这项初步研究中，研究参与者是96名妇女，她们带着自己的孩子到亚利桑那大学儿科诊所进行为期8周的婴儿健康访问。参与者完成了一份由人口统计学、产后抑郁症潜在相关因素和爱丁堡产后抑郁症量表（EPDS）组成的问卷。有英文本和西班牙文本。结果：在172名带着孩子来进行为期8周的健康婴儿访问的妇女中，96名妇女完成了这些包，总体反应率为56.9%。观察到的EPDS评分范围为0 ~ 18，平均值为5.44，标准差（SD）为4.83。使用EPDS >= 12的截止值，14.6%的参与者可能患有临床显著的抑郁症。较高的EPDS评分和抑郁症分类与报告的吸烟和精神健康问题家族史有统计学关联。结论：我们的结论是，在婴儿健康检查中对母亲进行筛查是可行的，并且收集的数据质量足够高，即使样本量小，也可以确定可靠的预测因素。
Background: Postpartum depression (PPD) is a disorder with broad public health implications and consequences that impact almost every aspect of child development.Methods: In this pilot study, study participants were 96 women who brought their babies to the University of Arizona Pediatrics Clinic for their 8-week well-baby visit. Participants completed a packet that consisted of questions about demographics, potential correlates of PPD, and the Edinburgh Postpartum Depression Scale (EPDS). English and Spanish versions were available.Results: Of a total of 172 women who brought their babies in for their 8-week well-baby visit, 96 women completed the packets, for an overall response rate of 56.9%. Observed EPDS scores ranged from 0 to 18, with a mean of 5.44 and a standard deviation (SD) of 4.83. Using the cutoff of EPDS >= 12, 14.6% of participants were likely suffering from clinically significant depression. Higher EPDS scores and also categorical depression classification were statistically associated with reported smoking and a family history of mental health problems.Conclusions: We conclude that screening for mothers at well-baby visits is feasible and that the data collected are of sufficient quality to identify reliable predictors even with small sample sizes.