Mayberry Linda J, Horowitz June Andrews, Declercq Eugene
College of Nursing, New York University, NY, USA.
J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):542-9. doi: 10.1111/j.1552-6909.2007.00191.x.
To examine differences in depression symptom rates and severity and factors associated with depression ratings.
Cross-sectional sample of 1,359 American women who had delivered a single, live infant within the previous 2 years.
Data were collected using the Edinburgh Postnatal Depression Scale online to screen for depression symptoms as part of Listening to Mothers, a national survey sponsored by Childbirth Connection of New York City and administered by Harris Interactive between May and June 2002.
Evidence of continued mild and moderate-to-severe depression symptom rates throughout the first 2 years postpartum was found. Age, income, education, and employment had significant negative associations with depression symptom severity, and parity had a significant positive association with depression symptom severity. Race was not associated with depression symptom severity.
Long-term screening for childbearing women is justified based on the study findings. The ease in survey administration suggests potential for online depression screening by health care providers and researchers. Furthermore, risk factors identified from this large-scale national survey, specifically young maternal age, low income, low education, not being employed full time, and multiparity, merit evaluation in clinical practice and future research.
研究抑郁症状发生率和严重程度的差异以及与抑郁评分相关的因素。
对1359名在过去两年内生育单胎活婴的美国女性进行横断面抽样。
作为“倾听母亲心声”项目的一部分，于2002年5月至6月期间，通过在线使用爱丁堡产后抑郁量表收集数据，以筛查抑郁症状。该项目由纽约市分娩连接组织发起，哈里斯互动公司负责实施，是一项全国性调查。
发现在产后头两年中，持续存在轻度以及中度至重度抑郁症状发生率的证据。年龄、收入、教育程度和就业状况与抑郁症状严重程度呈显著负相关，产次与抑郁症状严重程度呈显著正相关。种族与抑郁症状严重程度无关。
基于研究结果，对育龄妇女进行长期筛查是合理的。调查管理的简便性表明医疗保健提供者和研究人员进行在线抑郁筛查具有潜力。此外，从这项大规模全国性调查中确定的风险因素，特别是产妇年龄小、收入低、教育程度低、未全职工作和多产，值得在临床实践和未来研究中进行评估。
