Fergerson Sarah Smallwood, Jamieson Denise J, Lindsay Michael
Department of Gynecology and Obstetrics, Division of Maternal Fetal Medicine, Emory University School of Medicine, Atlanta, Ga 30303, USA.
Am J Obstet Gynecol. 2002 May;186(5):899-902. doi: 10.1067/mob.2002.123404.
The purpose of this study was to evaluate the efficacy of the Edinburgh Postnatal Depression Scale versus routine clinical evaluation to detect postpartum depression among a low-income inner-city population and to evaluate risk factors associated with a positive score on the Edinburgh Postnatal Depression Scale.
On the basis of the day of the month, all English-speaking patients who were seen for their postpartum visit were assigned either to routine clinical evaluation for postpartum depression or routine clinical evaluation plus the use of the 10-question Edinburgh Postnatal Depression Scale.
During the 7-week study period, 72 women participated in the study: 35 women in the routine evaluation group and 37 women in the Edinburgh Postnatal Depression Scale group. Women who completed the Edinburgh Postnatal Depression Scale were significantly more likely than those in the routine evaluation group to be identified as being at risk for depression: 11 of 37 women (30%) versus 0 of 35 women (P <.001). A failed attempt at breast-feeding was associated with an increased risk of a score of > or =10 on the Edinburgh Postnatal Depression Scale (relative risk, 3.78; 95% CI, 1.03-13.89).
The Edinburgh Postnatal Depression Scale appears to be a valuable and efficient tool for the identification of patients who are at risk for postpartum depression.
本研究旨在评估爱丁堡产后抑郁量表相对于常规临床评估在检测低收入市中心人群产后抑郁方面的有效性，并评估与爱丁堡产后抑郁量表阳性评分相关的危险因素。
根据就诊日期，所有前来进行产后检查的英语患者被分配至产后抑郁常规临床评估组或常规临床评估加使用10项爱丁堡产后抑郁量表组。
在为期7周的研究期间，72名女性参与了研究：常规评估组35名女性，爱丁堡产后抑郁量表组37名女性。完成爱丁堡产后抑郁量表评估的女性比常规评估组女性更有可能被认定有抑郁风险：37名女性中有11名（30%），而35名女性中无一人（P<.001）。母乳喂养尝试失败与爱丁堡产后抑郁量表评分≥10分的风险增加相关（相对风险，3.78；95%可信区间，1.03 - 13.89）。
爱丁堡产后抑郁量表似乎是识别产后抑郁风险患者的一种有价值且有效的工具。
