Reck C, Struben K, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, Sohn C, Mundt C
Department of General Psychiatry, University of Heidelberg, Heidelberg , Germany.
Acta Psychiatr Scand. 2008 Dec;118(6):459-68. doi: 10.1111/j.1600-0447.2008.01264.x. Epub 2008 Oct 6.
The study presents data on the 3-month prevalences of postpartum anxiety disorders (PAD) and postpartum depressive disorders (PDD) and their comorbidity in a German community sample. Associations with sociodemographic variables and previous history of psychopathology were analysed.
Data were gathered in a longitudinal study over the first 3 months postpartum. In a two-stage screening procedure, a population-based representative sample of 1024 postpartum women was assessed for symptoms of anxiety and depression using DSM-IV-based screening instruments.
The estimated rates of DSM-IV disorders were 11.1% for PAD and 6.1% for PDD. Comorbidity was found in 2.1%. The rate for PAD with postpartum onset was 2.2% and for PDD 4.6%. Young mothers and mothers with a low education level had a heightened risk of developing depression following delivery.
Because of the clinical relevance of PAD, controlled studies and specialized programmes for prevention and treatment are urgently required.
本研究呈现了德国社区样本中产后焦虑症（PAD）和产后抑郁症（PDD）的3个月患病率及其共病情况。分析了其与社会人口统计学变量及既往精神病理学病史的关联。
数据收集于产后前3个月的一项纵向研究。在两阶段筛查程序中，使用基于《精神疾病诊断与统计手册》第四版（DSM-IV）的筛查工具，对1024名产后女性的基于人群的代表性样本进行焦虑和抑郁症状评估。
PAD的DSM-IV障碍估计患病率为11.1%，PDD为6.1%。共病率为2.1%。产后起病的PAD患病率为2.2%，PDD为4.6%。年轻母亲和低教育水平母亲产后患抑郁症的风险更高。
鉴于PAD的临床相关性，迫切需要开展对照研究以及专门的预防和治疗项目。
