Bergant A M, Heim K, Ulmer H, Illmensee K
Department of Obstetrics, University of Innsbruck, Austria.
J Psychosom Res. 1999 Apr;46(4):391-4. doi: 10.1016/s0022-3999(98)00116-0.
The central purpose of this investigation was to detect incidence and influencing factors on early postnatal depressive mood in a large hospital sample. By means of an interview we acquired information on sociodemographic data, physical and psychiatric anamnesis, and obstetric and psychologic variables. The Edinburgh Postnatal Depression Scale (EPDS) served to determine the depressive mood of our patients. The interview was carried out on 1250 women at two postnatal wards 5 days after delivery. According to the results of the German validation of the EPDS, where a cutoff of 9/10 indicates at least mild depressive disorder, the whole sample was divided into group A (EPDS score < or = 9; n = 996, 79.7%) and group B (EPDS score > or = 10; n = 254, 20.3%). Early postnatal depressive mood, as assessed by the EPDS, appeared with 20% of all women taking part in our investigation on the fifth postnatal day. Subjective measurements such as high childbirth burden, elevated trait anxiety, low life satisfaction and lower social class, and low birth weight of the infant seem to be of predominant relevance for early postnatal depressive mood.
本调查的核心目的是在一个大型医院样本中检测产后早期抑郁情绪的发生率及其影响因素。通过访谈，我们收集了社会人口统计学数据、身体和精神病史以及产科和心理变量等信息。爱丁堡产后抑郁量表（EPDS）用于确定我们患者的抑郁情绪。访谈在两个产后病房于分娩后5天对1250名女性进行。根据EPDS德国版验证的结果，其中9/10的临界值表明至少为轻度抑郁障碍，整个样本被分为A组（EPDS评分≤9；n = 996，79.7%）和B组（EPDS评分≥10；n = 254，20.3%）。根据EPDS评估，在参与我们调查的所有女性中，20%在产后第5天出现了产后早期抑郁情绪。诸如高分娩负担、高特质焦虑、低生活满意度、低社会阶层以及婴儿低出生体重等主观测量指标似乎与产后早期抑郁情绪最为相关。
