Edhborg Maigun
Department of Neurobiology, Health Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
Scand J Caring Sci. 2008 Jun;22(2):186-95. doi: 10.1111/j.1471-6712.2007.00512.x.
The aim of the study was to investigate 'blues' during the first week postpartum in new mothers and fathers and to compare different instruments for measuring blues, as well as their ability to predict depressive symptoms at 2 months. Parents were informed while at the maternity clinic about the study and asked to independently answer questions for 5 days during the first week on the Blues Questionnaire, a VAS questionnaire and on the Edinburgh Postnatal Depression Scale (EPDS) at 1 week and 2 months. Of the parents who initially agreed to participate in the study 171 (38%) of the mothers and 133 (31%) of the fathers returned all questionnaires completely filled-out after the first week, and of these, 155 mothers and 113 fathers also completed the EPDS at 2 months. The results showed that mothers experienced more blues than fathers, and that mothers' blues peaked on day 3, while fathers' peaked on day 1 after the delivery-day. The Blues Questionnaire and the VAS subscale 'depressed mood' identified more women as having blues (64% and 52%, respectively) during the first week over the EPDS (24%), but the EPDS identified women with the highest scores on the Blues Questionnaire. At 2 months, 19 (12%) of the mothers, and one father scored 10 or more on the EPDS. All these women, except for one, had experienced severe blues according to the Blues Questionnaire, the first week. Regression analyses showed that the Blues Questionnaire subscale 'depression' was the best predictor for a high EPDS score at 2 months in mothers, while the subscales 'primary blues', 'hypersensitivity' and 'despondency' best predicted depressive symptoms in fathers. Our results indicate that the EPDS could be a valuable instrument to measure 'blues', as EPDS seemed to indicate women with the highest risk for depressive symptoms.
该研究的目的是调查初为人母和初为人父者产后第一周的“情绪低落”情况，并比较测量情绪低落的不同工具，以及它们预测两个月时抑郁症状的能力。父母在产科诊所时被告知该研究，并被要求在产后第一周内独立回答5天的问题，内容包括《情绪低落问卷》、一份视觉模拟量表问卷以及产后1周和2个月时的爱丁堡产后抑郁量表（EPDS）。在最初同意参与研究的父母中，171名母亲（38%）和133名父亲（31%）在第一周后完整地返还了所有问卷，其中，155名母亲和113名父亲在两个月时也完成了爱丁堡产后抑郁量表的调查。结果显示，母亲比父亲经历了更多的情绪低落，母亲的情绪低落在产后第3天达到峰值，而父亲的情绪低落在分娩日后第1天达到峰值。《情绪低落问卷》和视觉模拟量表“抑郁情绪”子量表在第一周内识别出更多有情绪低落的女性（分别为64%和52%），高于爱丁堡产后抑郁量表（24%），但爱丁堡产后抑郁量表识别出在《情绪低落问卷》中得分最高的女性。在两个月时，19名母亲（12%）和1名父亲在爱丁堡产后抑郁量表上的得分达到或超过10分。根据《情绪低落问卷》，所有这些女性（除一人外）在第一周都经历过严重的情绪低落。回归分析表明，《情绪低落问卷》的“抑郁”子量表是母亲两个月时爱丁堡产后抑郁量表高分的最佳预测指标，而“原发性情绪低落”、“过敏”和“沮丧”子量表最能预测父亲的抑郁症状。我们的结果表明，爱丁堡产后抑郁量表可能是测量“情绪低落”的一个有价值的工具，因为爱丁堡产后抑郁量表似乎能识别出抑郁症状风险最高的女性。
