Screening for the patient at risk for postpartum depression.
Screening for the patient at risk for postpartum depression.
复制标题
筛查有产后抑郁症风险的患者。
作者：
J. Braverman;Roux Jf
设计了一种简单、准确和实用的装置，用于检测有产后情绪障碍(PED)风险的妇女。Sainte-Justine产前诊所的妇女被要求完成一份包含19个项目的“是/否”类型的问卷。根据预先设定的标准对每个患者进行PED的分类。将被归类为情绪障碍的患者的反应与“正常”组进行比较。13%的人患上了PED。有6项具有预测价值：1)承认经常感到丈夫不爱；2)承认怀孕是不受欢迎的；3)既往产后抑郁症史；4)单身或分居；5)承认婚姻问题；6)承认怀孕是计划外的。将这些项目作为常规患者产前调查问卷的一部分提供，将构成一种手段，以确定有患PED风险的妇女，并可采取预防措施。
A simple, accurate, and practical device was designed for detecting the woman at risk for postpartum emotional disorder (PED). Women attending the Sainte-Justine prenatal clinic were requested to complete a 19-item "yes/no" type of questionnaire. Each patient was classified for presence or absence of PED according to preestablished criteria. The responses of the patients classified as having emotional disorders were compared to the "normal" group. Thirteen percent developed PED. Six items showed predictive value: 1) admission of often feeling unloved by husband; 2) admission of feeling that pregnancy is undesired; 3) past history of postpartum depression; 4) being single or separated; 5) admission of marital problems; 6) admission that pregnancy was unplanned. The presentation of these items as part of a routine patient prenatal history questionnaire would constitute a means of identifying the woman at risk to develop PED and preventive measures could be taken.