Chang Mei-Yueh, Chen Chung-Hey
Department of Nursing, National Tainan Institute of Nursing, Tainan, Taiwan, ROC.
Hu Li Za Zhi. 2008 Apr;55(2):5-9.
Perinatal depression, which may occur from pregnancy to one year after childbirth, is recognized by the World Health Organization as a significant health issue affecting women. Depression during the perinatal period can have enormous consequences, not only affecting the health of the woman herself but also influencing her interaction with her children and other family members. This article introduces several depression screening tools and evidence-based nonpharmacological managements of perinatal depression. There are some fairly valid and feasible screening methods, among which routinely screening perinatal women with EPDS (Edinburgh Perinatal Depression Scale) or BDI (Beck Depression Inventory) in the primary care setting is practicable. A survey of the limited literature available reveals that interpersonal psychotherapy, cognitive behavior therapy and listening to music provide quantifiable depression amelioration effects for perinatal women. More scientific research moderated by women's life experiences and preferences should be conducted, however, and applied to improve women's health.
围产期抑郁症可能发生在孕期至产后一年，世界卫生组织将其认定为影响女性的一个重大健康问题。围产期抑郁症会产生巨大影响，不仅会影响女性自身的健康，还会影响她与子女及其他家庭成员的互动。本文介绍了几种围产期抑郁症的筛查工具以及循证非药物管理方法。有一些相当有效且可行的筛查方法，其中在基层医疗环境中对围产期妇女常规使用爱丁堡产后抑郁量表（EPDS）或贝克抑郁量表（BDI）进行筛查是可行的。对现有有限文献的一项调查显示，人际心理治疗、认知行为治疗和听音乐对围产期妇女的抑郁症状有可量化的改善作用。然而，应该开展更多以女性生活经历和偏好为调节因素的科学研究，并将其应用于改善女性健康。
