Magnusson Margaretha, Lagerberg Dagmar, Sundelin Claes
Department of Women's and Children's Health, Section for Paediatrics, Uppsala University, Children's Hospital, Uppsala, Sweden.
J Child Health Care. 2011 Mar;15(1):39-49. doi: 10.1177/1367493510397622.
The aim was to investigate the correspondence between 352 mother's self-reports about postpartum distress in a questionnaire including an item about distress 18 months after birth and their earlier scores within, on average, 2.5 months of childbirth from a screening with the Edinburgh Postnatal Depression Scale (EPDS). Mothers who did not reach the EPDS score of 12 points, but reported that they had been sad/depressed after childbirth, were similar in socio-demographic variables to mothers with no outcomes in sadness/depression issues. In items related to negative parenting and perceptions of the child, they presented the same picture as those with high EPDS scores who also reported having been depressed. These results suggest that EPDS does not identify all vulnerable mothers. Complementary methods for detecting mothers at risk of stress and depression need to be developed.
目的是调查352名母亲在一份问卷中关于产后困扰的自我报告之间的对应关系，该问卷包括一项关于产后18个月困扰的项目，以及她们在分娩后平均2.5个月内使用爱丁堡产后抑郁量表（EPDS）进行筛查时的早期得分。未达到EPDS 12分，但报告产后曾悲伤/抑郁的母亲，在社会人口统计学变量方面与在悲伤/抑郁问题上无此类情况的母亲相似。在与负面育儿和对孩子的看法相关的项目中，她们呈现出与EPDS高分且也报告曾抑郁的母亲相同的情况。这些结果表明，EPDS不能识别所有脆弱的母亲。需要开发用于检测有压力和抑郁风险母亲的补充方法。
