Motzfeldt Iben, Andreasen Sabina, Pedersen Amalia Lynge, Pedersen Michael Lynge
Queen Ingrid Centre for Primary Health Care, Nuuk, Greenland.
Int J Circumpolar Health. 2013 Aug 5;72. doi: 10.3402/ijch.v72i0.21114. eCollection 2013.
The aim of this study is to estimate the prevalence of postnatal depression in Nuuk, Greenland.
Cross-sectional study.
The primary health care system in Nuuk initiated a project aiming to screen new mothers for depression using the Edinburgh Postnatal Depression Scale (EPDS). EPDS has a range on a scale from 0 to 30. All mothers residing in Nuuk who had given birth in 2011 were included in the study group. The screening was performed by health care visitors approximately 3 months following birth. Mothers who scored 13 points or above were defined as having possible postpartum depression (PPD). These mothers were then referred to a physician. A score at or less than 8 was defined as normal, whereas an intermediate score from 9 to 12 indicated a need for an extra visit.
During 2011, a total of 217 mothers gave birth in Nuuk. Of them, 80.2% (174) were screened for PPD using EPDS. Fifteen mothers scored 13 points or above corresponding to a prevalence of possible PPD at 8.6% (15/174). Seventy-nine percentage scored less than 9 points (137/174), whereas 15% (22/174) scored from 9 to 12 points.
PPD seems to be a common problem in Nuuk, Greenland. EPDS seems to be a valuable tool in identifying women with PPD and vulnerable mothers with extra needs for support in a Greenlandic context. Continual routine screening is recommended.
本研究旨在估算格陵兰努克地区产后抑郁症的患病率。
横断面研究。
努克地区的初级卫生保健系统启动了一个项目，旨在使用爱丁堡产后抑郁量表（EPDS）对新妈妈进行抑郁症筛查。EPDS的评分范围是0至30分。所有居住在努克且于2011年分娩的母亲均纳入研究组。筛查由保健访视员在产后约3个月进行。得分13分及以上的母亲被定义为可能患有产后抑郁症（PPD）。这些母亲随后被转诊至医生处。得分8分及以下被定义为正常，而得分在9至12分之间表明需要额外就诊。
2011年期间，共有217名母亲在努克分娩。其中，80.2%（174名）使用EPDS进行了PPD筛查。15名母亲得分13分及以上，可能患有PPD的患病率为8.6%（15/174）。79%的母亲得分低于9分（137/174），而15%（22/174）的母亲得分在9至12分之间。
在格陵兰努克地区，PPD似乎是一个常见问题。在格陵兰背景下，EPDS似乎是识别患有PPD的女性以及有额外支持需求的脆弱母亲的宝贵工具。建议持续进行常规筛查。
