Edwards Belinda, Galletly Cherrie, Semmler-Booth Tracy, Dekker Gus
Central Northern Adelaide Health Service, Adelaide, South Australia, Australia.
Aust N Z J Psychiatry. 2008 Jan;42(1):51-5. doi: 10.1080/00048670701739629.
This study investigated the effectiveness of antenatal screening for psychosocial risk factors in predicting postnatal depression, in women living in a socioeconomically deprived area.
154 women completed the Antenatal Psychosocial Questionnaire (APQ) and the Edinburgh Postnatal Depression Scale (EPDS). Logistic regression analysis was used to identify antenatal psychosocial risk factors predictive of EPDS caseness, with an EPDS score of 10 or more being taken to indicate depression.
Antenatal depression was more common than postnatal depression. 44 women (30%) met criteria for antenatal depression and 33 women (22.6%) met criteria for postnatal depression. 21 women (14.4%) were depressed both before and after delivery of their baby, and women who had antenatal depression were significantly more likely to be depressed postnatally. Whilst there were high rates of endorsement of antenatal psychosocial risk factors, the only item from the APQ that predicted postnatal depression was emotional abuse as a child.
Antenatal screening for psychosocial risk factors was useful in identifying problems during the antenatal period, but was not useful as a predictor of postnatal depression.
本研究调查了在社会经济贫困地区生活的女性中，产前心理社会风险因素筛查对预测产后抑郁症的有效性。
154名女性完成了产前心理社会调查问卷（APQ）和爱丁堡产后抑郁量表（EPDS）。采用逻辑回归分析来确定预测EPDS病例的产前心理社会风险因素，EPDS得分10分及以上被视为抑郁。
产前抑郁比产后抑郁更常见。44名女性（30%）符合产前抑郁标准，33名女性（22.6%）符合产后抑郁标准。21名女性（14.4%）在分娩前后均有抑郁，产前抑郁的女性产后抑郁的可能性显著更高。虽然产前心理社会风险因素的认可率很高，但APQ中唯一能预测产后抑郁的项目是童年期情感虐待。
产前心理社会风险因素筛查有助于在孕期识别问题，但对预测产后抑郁并无帮助。
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