爱丁堡产后抑郁量表在产后抑郁症筛查中的应用价值体会

Value of Edinburgh Postpartum Depression Scale in Screening Postpartum Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

郑州市妇幼保健院内科 ;

摘要
目的:研究产妇行产后抑郁筛查时采用爱丁堡产后抑郁量表(EPDS)产后抑郁症(PPD)的临床应用价值。方法:选取2017年1月-2019年1月期间本院收治的1600例分娩产妇,分别采用一般情况调查表和EPDS对产妇分娩后6周情况进行调查,并根据不同的EPDS界限值对调查结果进行分析。结果:PPD筛查界限值为EPDS评分的9/10,在单变量分析中,差异显著的因素是年龄、孕次、产次、受教育程度、人均家庭收入(月)、新生儿喂养方式、发育状况、性别与预期符合度、生活条件和婚姻关系;在多变量分析中,孕次、喂养方式,新生儿发育状况,性别与预期、生活条件和夫妻关系对PPD均有不同程度的影响,模型整体差异显著(P<0.05)。当界限值为EPDS评分的12/13时,单变量分析中,孕期、产次、分娩方式、新生儿发育状况、性别与预期符合度、生活状况、婚姻关系等差异有统计学意义(P<0.05);多变量分析中,孕次、分娩方式、分娩方式、新生儿的发育状况、性别与预期的符合程度、生活条件有显著性差异(P<0.05)。结论:在PPD筛查中,界限值设定为EPDS的9/10最佳,建立相应的风险预测模型对于早发现、早治疗PPD具有重要的积极意义。
Abstract
Objective: To study the clinical value of Edinburgh Postpartum Depression Scale (EPDS) in screening postpartum depression (PPD). Methods: 1600 parturients who were admitted to our hospital from January 2017 to January 2019 were investigated by general situation questionnaire and EPDS six weeks after delivery, and the results were analyzed according to different EPDS thresholds. Results: The limit value of PPD screening was 9/10 of EPDS score. In univariate analysis, the significant factors were age, pregnancy, parity, education level, family income per capita (month), feeding mode of newborn, development status, gender and expected conformity, living conditions and marital relationship. In multivariate analysis, the number of pregnancies, feeding mode, neonatal development status, gender. PPD was affected by expectation, living conditions and husband-wife relationship to varying degrees, and the overall difference of the model was significant (P < 0.05). When the threshold value was 12/13 of EPDS score, univariate analysis showed that there were significant differences in pregnancy, parity, mode of delivery, neonatal development, gender and expectation conformity, life status and marital relationship (P < 0.05); in multivariate analysis, the number of pregnancies, mode of delivery, mode of delivery, neonatal development, gender and expectation conformity, living conditions were significant differences (P < 0.05). The difference was significant (P < 0.05). CONCLUSION: In PPD screening, the threshold value is set at 9/10 of EPDS. Establishing the corresponding risk prediction model has an important positive significance for early detection and treatment of PPD.
关键词
爱丁堡产后抑郁量表;产后抑郁症;筛查;应用价值
KeyWord
Edinburgh Postpartum Depression Scale; Postpartum Depression; Screening; Application Value
基金项目
页码 343-346
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毋小茜*. 爱丁堡产后抑郁量表在产后抑郁症筛查中的应用价值体会 [J]. 国际精神病学杂志. 2020; 47; (2). 343 - 346.

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