Wiley C C, Burke G S, Gill P A, Law N E
Department of Pediatrics, Division of General Pediatrics, Connecticut Children's Medical Center, Hartford, CT 06106, USA.
Arch Womens Ment Health. 2004 Oct;7(4):231-6. doi: 10.1007/s00737-004-0058-4. Epub 2004 Jul 19.
To assess pediatricians' knowledge and views about postpartum depression (PPD).
Self-administered survey of a nationwide random sample of general pediatricians.
Of 1200 eligible pediatricians sampled, 389 responded (32%). Half of pediatricians (49%) reported little or no education about PPD. Many respondents (51%) underestimated the overall incidence of PPD. Most pediatricians (80%) estimated the incidence in their practice as less than the published incidence. Few pediatricians felt confident they would recognize PPD (31%). Pediatricians were rarely familiar with available screening tools (7%). Many pediatricians (51%) felt screening was feasible in their practices. In logistic regression analysis, intent to begin screening was independently associated with <6 years in practice, positive view of feasibility and greater awareness of PPD.
Pediatricians sampled have limited awareness of PPD and are unfamiliar with screening tools. Efforts to involve pediatricians in screening should address these knowledge barriers.
评估儿科医生关于产后抑郁症（PPD）的知识和观点。
对全国范围内随机抽取的普通儿科医生进行自填式调查。
在抽取的1200名合格儿科医生中，389人做出回应（32%）。一半的儿科医生（49%）报告称对产后抑郁症了解很少或完全没有接受过相关培训。许多受访者（51%）低估了产后抑郁症的总体发病率。大多数儿科医生（80%）估计他们所在科室的发病率低于已公布的发病率。很少有儿科医生认为自己有信心识别产后抑郁症（31%）。儿科医生很少熟悉现有的筛查工具（7%）。许多儿科医生（51%）认为在他们的科室进行筛查是可行的。在逻辑回归分析中，开始筛查的意愿与从业年限小于6年、认为可行性高以及对产后抑郁症的认识程度高独立相关。
参与抽样的儿科医生对产后抑郁症的认识有限，且不熟悉筛查工具。让儿科医生参与筛查的工作应解决这些知识障碍。
