Mitchell Anne Marie, Mittelstaedt Mary E, Schott-Baer Darlene
Oakland University, Rochester, MI, USA.
MCN Am J Matern Child Nurs. 2006 Nov-Dec;31(6):382-7. doi: 10.1097/00005721-200611000-00010.
This study evaluated the reliability of screening women for symptoms of postpartum depression by a telephone assessment after hospital discharge.
Correlational design with a convenience sample of women from a Midwestern community hospital.
One hundred and twenty-six women agreed to participate prior to hospital discharge and 106 women were in the final sample (response rate 84%). Telephone contact was made 8 weeks after discharge, when the Postpartum Depression Screening Scale was administered.
Twenty-seven percent of the women screened had scores indicating moderate-to-severe depression (score range 60-128). Reliability coefficients were calculated on the data for the short and long forms of the PDSS, as well as for all seven subscales (alpha coefficients were .72 and .94, respectively, for the short- and long-form totals). Subscale scores for the 35-item form were as follows: sleeping/eating disturbances .80, anxiety/insecurity .77, emotional lability .82, mental confusion .80, loss of self .87, guilt/shame .82, and contemplating harming oneself.90. The correlation between the short-form total and the long-form total was r = .91 (p = < 01.) Studies using the PDSS as an in-person instrument were compared with scores for telephone screening, and the overall mean scores were similar.
Telephone screening is a reliable method to screen for postpartum symptomatology that may occur later than the 6-week office visit. Women who are at risk, especially those who have a history of treatment for depression, current treatment for depression or increased anxiety, should be screened for postpartum depression symptomatology.
本研究评估了出院后通过电话评估对女性产后抑郁症状进行筛查的可靠性。
采用相关性设计，样本为来自中西部一家社区医院的女性，为便利样本。
126名女性在出院前同意参与研究，最终样本为106名女性（应答率84%）。出院8周后进行电话随访，并使用产后抑郁筛查量表进行评估。
接受筛查的女性中有27%的得分表明存在中度至重度抑郁（得分范围为60 - 128）。计算了产后抑郁筛查量表简版和长版数据以及所有七个子量表的信度系数（简版和长版总分的α系数分别为0.72和0.94）。35项量表的子量表得分如下：睡眠/饮食障碍0.80、焦虑/不安全感0.77、情绪不稳定0.82、思维混乱0.80、自我丧失0.87、内疚/羞耻感0.82、有伤害自己的念头0.90。简版总分与长版总分的相关性为r = 0.91（p = < 0.01）。将使用产后抑郁筛查量表进行面对面评估的研究得分与电话筛查得分进行比较，总体平均分相似。
电话筛查是一种可靠的方法，可用于筛查可能在产后6周门诊随访之后出现的产后症状。有风险的女性，尤其是那些有抑郁症治疗史、目前正在接受抑郁症治疗或焦虑增加的女性，应接受产后抑郁症状的筛查。
