Rouillon F, Thalassinos M, Miller H D, Lemperiere T
Hôpital Louis Mourier, Service de Psychiatrie, Colombes, France.
J Affect Disord. 1992 Aug;25(4):235-41. doi: 10.1016/0165-0327(92)90081-g.
Hypofolatemia can cause psychiatric disturbances of a depressive nature. Pregnancy and delivery are often associated with hypofolatemia. This study was conducted to determine if hypofolatemia at day 3 post partum is a risk factor for baby blues or post partum depression. To study this hypothesis, 131 post partum women were followed prospectively for the 3 months immediately following delivery. 19% were found to have 'baby blues', as defined by a score greater than 20 on Pitt's scale (Pitt, 1968, J. Psychiatry 114, 1325-1335) and 12% had post partum depression as defined by a score greater than 7 on QD2A scale (Pichot et al., 1984, Rev. Psycholog. App. 34, 229-250, 323-340), within the three months post partum. No relationship was observed between the serum or erythrocyte folate levels on the third day following delivery and the maternal post partum depression scores. A statistically significant correlation between post partum depression and previous psychiatric disturbance was, however, observed.
低叶酸血症可导致抑郁性质的精神障碍。妊娠和分娩常与低叶酸血症有关。本研究旨在确定产后第3天的低叶酸血症是否是产后情绪低落或产后抑郁症的危险因素。为研究这一假设,对131名产后妇女在分娩后的3个月内进行了前瞻性随访。按照皮特量表(Pitt,1968年,《精神病学杂志》114卷,第1325 - 1335页)评分大于20分的定义,发现19%的妇女有“产后情绪低落”,按照QD2A量表(皮肖等人,1984年,《应用心理学评论》34卷,第229 - 250页、第323 - 340页)评分大于7分的定义,12%的妇女有产后抑郁症,均发生在产后三个月内。未观察到分娩后第三天的血清或红细胞叶酸水平与产妇产后抑郁评分之间存在关联。然而,观察到产后抑郁症与既往精神障碍之间存在统计学显著相关性。