...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of clinical psychiatry >The mental health characteristics of pregnant women with depressive symptoms identified by the edinburgh postnatal depression scale
【24h】

The mental health characteristics of pregnant women with depressive symptoms identified by the edinburgh postnatal depression scale

机译：爱丁堡产后抑郁量表确定的具有抑郁症状的孕妇的心理健康特征

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: Few studies are available on the effectiveness of screening tools such as the Edinburgh Postnatal Depression Scale (EPDS) in pregnancy or the extent to which such tools may identify women with mental disorders other than depression. We therefore aimed to investigate the mental health characteristics of pregnant women who screen positive on the EPDS. Method: Consecutive women receiving antenatal care in primary care clinics (from November 2006 to July 2011) were invited to complete the EPDS in week 16 of pregnancy. All women who scored above 11 (screen positive) on the EPDS and randomly selected women who scored below 12 (screen negative) were invited to participate in a psychiatric diagnostic interview. Results:2,411 women completed the EPDS.Two hundred thirty-three women (9.7%) were screened positive in week 16, of whom 153 (66%) agreed to a psychiatric diagnostic interview. Forty-eight women (31.4%) were diagnosed with major depressive disorder according to D5M-/Vcriteria, 20(13.1%) with bipolar disorder, 93 (60.8%) with anxiety disorders (including 27 [17.6%] with obsessive-compulsive disorder [OCD]), 8(5.2%) with dysthymia, 18(11.8%) with somatoform disorder, 3 (2%) with an eating disorde and 7 (4.6%) with current substance abuse. Women who screened positive were significantly more likely to have psychosocial risk factors, including being unemployed (X2i 23.37, P<.001), lower educational status (X2i 31.68, P <.001), and a history of partner violence (X2i 10.30, P <001), compared with the women who screened negative. Conclusions: Use of the EPDS early in the second trimester of pregnancy identifies a substantial number of women with potentially serious mental disorders other than depression, including bipolar disorde OCD, and eating disorders. A comprehensive clinical assessment is therefore necessary following use of the EPDS during pregnancy to ensure that women who screen positive receive appropriate mental health management.
机译：目的：关于筛查工具（例如爱丁堡产后抑郁量表（EPDS））在妊娠中的有效性或在何种程度上可以鉴定患有抑郁症以外的精神障碍妇女的研究很少。因此，我们旨在调查在EPDS上筛查阳性的孕妇的心理健康特征。方法：邀请在基层医疗诊所接受连续产前检查的妇女（2006年11月至2011年7月）在怀孕的第16周完成EPDS。邀请所有在EPDS上得分高于11（筛查阳性）的女性和随机选择得分低于12（筛查阴性）的女性参加精神病学诊断访谈。结果：2,411名女性完成了EPDS。在第16周，有233名女性（9.7％）被筛查为阳性，其中153名（66％）同意接受精神病学诊断性访谈。根据D5M- / Vcriteria诊断为重度抑郁症的女性有48名（31.4％），患有躁郁症的有20名（13.1％），患有焦虑症的有93名（60.8％）（其中包括27名[17.6％]的强迫症） [OCD]），8例（5.2％）伴有心境障碍，18例（11.8％）伴有躯体形式障碍，3例（2％）伴饮食失调，7例（4.6％）伴有当前滥用药物。筛查呈阳性的女性更有可能具有社会心理风险因素，包括失业（X2i 23.37，P <.001），低学历（X2i 31.68，P <.001）和伴侣暴力史（X2i 10.30， P <001），与筛查阴性的女性相比。结论：在妊娠中期早期使用EPDS可以识别出大量女性，除了抑郁症（包括双相性强迫症强迫症和进食障碍）以外，还有可能患有严重的精神疾病。因此，在怀孕期间使用EPDS之后，有必要进行全面的临床评估，以确保筛查阳性的妇女得到适当的心理健康管理。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号