O'Neill T, Murphy P, Greene V T
St. Brendan's Hospital, Dublin.
Ir Med J. 1990 Mar;83(1):17-8.
One hundred and forty-two women at six weeks postpartum were asked to complete Cox's Edinburgh Postnatal Depression Scale. Thirty-eight scored positively for depression and 28 of these were followed up by a psychiatrist. Twenty-eight controls were randomly selected from those who scored negatively. Numerous variables were considered, including the type of labour, whether the mother was breastfeeding or not, and the presence or absence of a psychiatric history. In addition the depressed group completed the Eysenck Personality Inventory. A past psychiatric history was found to be a very significant risk factor and there is a definite association between postnatal depression and delivery by forceps, vacuum or caesarian section. Maternal age and breastfeeding were not found to be of aetiological significance.
142名产后六周的女性被要求完成考克斯编制的爱丁堡产后抑郁量表。其中38人抑郁量表得分呈阳性,其中28人接受了精神科医生的随访。从得分呈阴性的女性中随机选取28人作为对照组。研究考虑了众多变量,包括分娩类型、母亲是否进行母乳喂养以及有无精神病史。此外,抑郁组还完成了艾森克人格问卷。结果发现,既往精神病史是一个非常重要的风险因素,产后抑郁与产钳助产、真空吸引助产或剖宫产之间存在明确关联。未发现产妇年龄和母乳喂养具有病因学意义。