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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Postdelivery screening for postpartum depression.
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Postdelivery screening for postpartum depression.

机译：产后抑郁症的产后筛查。

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OBJECTIVE: Postpartum depression (PPD) is a serious psychiatric disorder affecting 10% to 20% of women after childbirth. Research has shown that systematic screening for PPD using self-report questionnaires helps improve the identification of PPD and expedite treatment. Most studies on PPD screening have been conducted in the second and third postpartum months; little is known about whether PPD screening can be carried out on the days immediately after delivery. METHODS: A prospective cohort of 145 women completed the Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI), and General Health Questionnaire (GHQ) within 2 days of delivery. Six weeks after delivery, the participants were interviewed by a psychiatrist, who used the Structured Clinical Interview for DSM-III-R (SCID, nonpatient version) to establish the diagnosis. The psychometric performance of the EPDS, BDI, and GHQ in detecting PPD was assessed using the SCID diagnosis as the gold standard. RESULTS: When the cutoffs of the EPDS, BDI, and GHQ were lowered to achieve a sensitivity of 80%, the positive predictive values of these scales were to 13%, 18%, and 21%, respectively. When the cutoffs were raised to achieve a positive predictive value of 50%, the sensitivity rates were 6% (EPDS), 14% (GHQ), and 36% (BDI). CONCLUSIONS: When commonly used depression rating scales were administered to identify PPD immediately after delivery, their psychometric properties were unsatisfactory. Healthcare providers should not screen for PPD in the first few days after delivery.
机译：目的：产后抑郁症（PPD）是一种严重的精神疾病，分娩后影响10％至20％的妇女。研究表明，使用自我报告调查表对PPD进行系统筛查有助于提高PPD的识别​​率并加快治疗速度。大多数关于PPD筛查的研究都是在产后第二个月和第三个月进行的。关于PPD筛查是否可以在分娩后立即进行的日子知之甚少。方法：前瞻性队列的145名妇女在分娩后两天内完成了爱丁堡产后抑郁量表（EPDS），贝克抑郁量表（BDI）和一般健康问卷（GHQ）。分娩后六周，参加者接受了一名精神科医生的采访，后者使用DSM-III-R（SCID，非患者版本）的结构化临床访谈来确定诊断。使用SCID诊断作为黄金标准评估了EPDS，BDI和GHQ在检测PPD方面的心理测量性能。结果：当降低EPDS，BDI和GHQ的临界值以达到80％的敏感性时，这些量表的阳性预测值分别为13％，18％和21％。当提高临界值以达到50％的阳性预测值时，敏感性率为6％（EPDS），14％（GHQ）和36％（BDI）。结论：在分娩后立即使用常用的抑郁量表来识别PPD时，其心理计量学性能不能令人满意。医护人员不应在分娩后的头几天筛查PPD。

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