Phillips Jane, Sharpe Louise, Matthey Stephen
School of Psychology, Brennan MacCallum Building (A18), University of Sydney, Sydney, NSW, Australia.
Aust N Z J Psychiatry. 2007 Oct;41(10):836-42. doi: 10.1080/00048670701579108.
Depression and anxiety are known to be common among women presenting to residential mother-infant programmes for unsettled infant behaviour but most studies have used self-report measures of psychological symptomatology rather than diagnostic interviews to determine psychiatric diagnoses. The aim of the present study was to determine rates of depressive and anxiety disorders and rates of comorbidity among clients of the Karitane residential mother-infant programme for unsettled infant behaviour.
one hundred and sixty seven [corrected] women with infants aged 2 weeks-12 months completed the Edinburgh Postnatal Depression Scale and were interviewed for current and lifetime history of depressive and anxiety disorders using the Structured Clinical Interview for DSM-IV diagnosis (Research version).
A total of 25.1% of the sample met criteria for a current diagnosis of major depression, 31.7% had met criteria for major depression since the start of the pregnancy, and 30.5% of clients met criteria for a current anxiety disorder. Of note were the 21.6% who met criteria for generalized anxiety disorder or anxiety disorder not otherwise specified (worry confined to the topics of the baby or being a mother). High levels of comorbidity were confirmed in the finding that 60.8% of those with an anxiety disorder had experienced major or minor depression since the start of their pregnancy and 46.3% of those who had experienced depression since the start of their pregnancy also met criteria for a current anxiety disorder.
There are high levels of psychiatric morbidity among clients attending residential mother-infant units for unsettled infant behaviour, highlighting the importance of providing multifaceted interventions in order to address both infant and maternal psychological issues.
在因婴儿行为不安而参加母婴寄宿项目的女性中，抑郁和焦虑很常见，但大多数研究使用心理症状自评量表而非诊断访谈来确定精神疾病诊断。本研究的目的是确定卡里塔尼母婴寄宿项目中因婴儿行为不安的客户的抑郁和焦虑障碍发生率以及共病率。
167名[校正后]年龄在2周-12个月的婴儿的母亲完成了爱丁堡产后抑郁量表，并使用《精神疾病诊断与统计手册》第四版（研究版）的结构化临床访谈接受了当前及终生抑郁和焦虑障碍病史的访谈。
共有25.1%的样本符合当前重度抑郁症诊断标准，31.7%自怀孕开始就符合重度抑郁症标准，30.5%的客户符合当前焦虑障碍标准。值得注意的是，21.6%符合广泛性焦虑障碍或未另行规定的焦虑障碍标准（担忧仅限于婴儿或身为母亲的话题）。研究发现，60.8%的焦虑障碍患者自怀孕开始就经历过重度或轻度抑郁，46.3%自怀孕开始就经历过抑郁的患者也符合当前焦虑障碍标准，这证实了共病率很高。
在因婴儿行为不安而入住母婴寄宿单元的客户中，精神疾病发病率很高，这凸显了提供多方面干预措施以解决婴儿和母亲心理问题的重要性。
