Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Suite 305, Baltimore, MD 21205, USA.
Arch Womens Ment Health. 2010 Apr;13(2):147-51. doi: 10.1007/s00737-009-0137-7. Epub 2010 Jan 30.
We sought to evaluate the prevalence rate and factors associated with post adoption depression. One hundred and twelve adoptive mothers of infants under 12 months of age were recruited from local and national adoption organizations. A modified Edinburgh Postnatal Depression Scale (EPDS) and a questionnaire collecting medical and psychiatric history, perceived stress, and demographics were administered retrospectively. The rates of significant depressive symptoms (defined as EPDS >or=12) were calculated at three time points post adoption, and associations with specific clinical variables (personal or family psychiatric history, stress, and adjustment difficulty) were assessed. Eighty-six mothers were included. Rates of significant depressive symptoms (EPDS >or=12) were found in 27.9% of subjects at 0-4 weeks, 25.6% at 5-12 weeks, and 12.8% at 13-52 weeks post adoption. Significant depressive symptoms were not associated with personal or family psychiatric history but were associated with stress (p = 0.0011) and adjustment difficulties (p = 0.042) post adoption. Significant depressive symptoms were relatively common in adoptive mothers within the first year after adoption and were associated with environmental stress. Prospective studies are needed to confirm the existence of post adoption depression and the factors associated with it.
我们旨在评估产后抑郁的发生率和相关因素。从当地和全国的领养机构招募了 112 名 12 个月以下婴儿的领养母亲。采用改良后的爱丁堡产后抑郁量表（EPDS）和一份收集医疗和精神病史、感知压力和人口统计学资料的问卷进行回顾性分析。在领养后三个时间点计算出有明显抑郁症状（定义为 EPDS≥12）的比率，并评估与特定临床变量（个人或家庭精神病史、压力和适应困难）的关联。86 名母亲被纳入研究。在 0-4 周、5-12 周和 13-52 周的领养后，分别有 27.9%、25.6%和 12.8%的受试者出现明显抑郁症状（EPDS≥12）。明显抑郁症状与个人或家庭精神病史无关，但与领养后的压力（p=0.0011）和适应困难（p=0.042）相关。在领养后的第一年，领养母亲中出现明显抑郁症状的情况较为常见，与环境压力有关。需要进行前瞻性研究来确认产后抑郁的存在及其相关因素。
