Baker Lisa, Cross Sandra, Greaver Linda, Wei Gou, Lewis Regina
Department of Sociology, Social Work, and Criminal Justice, University of North Carolina at Pembroke, P.O. Box 1510, Pembroke, North Carolina 28372, USA.
Matern Child Health J. 2005 Mar;9(1):21-5. doi: 10.1007/s10995-005-2448-2.
Data were collected on postpartum depression from 151 women, ages 16-40 years who received postpartum health services from a rural obstetrical clinic in North Carolina between September 2002 and May 2003. Reflective of the racial and socio-economic makeup of the county, 60.9% of the sample were American Indian (Lumbee tribe) 25.8% were African American and 13.3% were Caucasian or other.
The Postpartum Depression Screening Scale (PDSS) was utilized to explore the prevalence of postpartum depression requiring clinical intervention in a largely unexplored population, minority women.
The incidence of postpartum depression symptoms was over 23%, which is significantly higher than even the most liberal estimates in other populations. As with previous literature on risk factors, the sample demonstrates a strong association between symptoms of depression, history of depression and receiving treatment for depression.
The PDSS proved to be a clinically useful tool in this setting. Findings support the importance of implementing routine screening protocols to guide practice and implement support services.
收集了151名年龄在16至40岁之间的女性产后抑郁症的数据，这些女性于2002年9月至2003年5月期间在北卡罗来纳州一家农村产科诊所接受产后保健服务。反映该县的种族和社会经济构成情况，样本中60.9%为美国印第安人（拉姆比部落），25.8%为非裔美国人，13.3%为白种人或其他种族。
采用产后抑郁筛查量表（PDSS）来探究在一个很大程度上未被研究过的人群——少数族裔女性中需要临床干预的产后抑郁症患病率。
产后抑郁症状的发生率超过23%，这甚至显著高于其他人群中最宽松的估计。与先前关于风险因素的文献一样，该样本显示出抑郁症状、抑郁病史和接受抑郁症治疗之间存在强烈关联。
在这种情况下，PDSS被证明是一种临床有用的工具。研究结果支持实施常规筛查方案以指导实践和提供支持服务的重要性。
