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妊娠期和产后期间的双相情感障碍筛查。

Screening for bipolar disorder during pregnancy and the postpartum period.

机构信息

Department of Psychiatry, School of Medicine, University of Colorado Denver, Denver, CO, USA.

出版信息

Arch Womens Ment Health. 2010 Jun;13(3):233-48. doi: 10.1007/s00737-010-0151-9. Epub 2010 Mar 3.

DOI:10.1007/s00737-010-0151-9
PMID:20198393
Abstract

Bipolar disorder is a significant mental health problem among perinatal women; however, little attention has been devoted to methods of screening for bipolar disorder during this phase of women's life cycle. There is a need for reliable and valid screening instruments for perinatal women. This paper presents a review of 11 self-report measures used to screen bipolar disorder in the general population and discusses their applicability to screening among perinatal women. Published psychometric data, including reliability, sensitivity, specificity, and positive predictive value of each self-report instrument, is presented and critiqued. We make recommendations for screening in clinical practice and highlights priorities for future research. The need for more research in this area is emphasized.

摘要

双相情感障碍是围产期女性中一个严重的心理健康问题;然而,人们对这一女性生命周期阶段的双相情感障碍筛查方法关注甚少。需要有可靠和有效的筛查工具来筛查围产期女性。本文综述了 11 种用于一般人群中筛查双相情感障碍的自评量表,并讨论了它们在围产期女性筛查中的适用性。本文呈现并评价了每种自评工具的发表的心理测量学数据,包括信度、灵敏度、特异性和阳性预测值。我们对临床实践中的筛查提出了建议,并强调了未来研究的重点。强调了该领域需要更多的研究。

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