Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Hospital, Ilesa, 233001, Osun State, Nigeria.
Int J Psychiatry Clin Pract. 2005;9(1):60-4. doi: 10.1080/13651500510018211.
Objective The objective of this study is to compare the prevalence of depression in postpartum women and that of non-postpartum women. Method A total of 876 women recruited at 6 weeks postpartum and 900 matched non-postpartum women were administered the Beck's Depressive Inventory (BDI) and translated local version of the EPDS. Psychiatric diagnosis was made using the using the modified non-patient version of Structured Clinical Interview for DSM-III-R (SCID-NP). Results Depressive disorder was diagnosed in 128 (14.6%) of the postpartum women and in 55 (6.3%) of the non-postpartum women, and the difference was found to be significant (t=8.919, df=875, P<0.001). The postpartum women had higher EPDS and BDI scores than the non-postpartum women. The EPDS correlated well with the SCID-NP diagnosis with a Spearman's correlation of 0.600 (P<0.001) and with the BDI score with a Spearman's correlation of 0.461 (P<0.001). The sensitivity of the EPDS at cut-off score of 8/9 was 94% and specificity was 97%. Conclusion The prevalence of postnatal depression in Nigeria is comparable to that of the western world and the Yoruba version of EPDS is a valid instrument for screening postnatal women for depressive disorders in a Nigerian community.
目的 本研究旨在比较产后妇女和非产后妇女的抑郁患病率。
方法 在产后 6 周时，共招募了 876 名女性，以及 900 名匹配的非产后女性，她们接受了贝克抑郁量表（BDI）和翻译的当地版 EPDS 评估。使用改良的非患者版 DSM-III-R 结构临床访谈（SCID-NP）进行精神病学诊断。
结果 在产后妇女中，有 128 名（14.6%）被诊断为抑郁障碍，而非产后妇女中有 55 名（6.3%），差异具有统计学意义（t=8.919，df=875，P<0.001）。产后妇女的 EPDS 和 BDI 评分均高于非产后妇女。EPDS 与 SCID-NP 诊断具有良好的相关性，Spearman 相关系数为 0.600（P<0.001），与 BDI 评分的 Spearman 相关系数为 0.461（P<0.001）。EPDS 在截断值为 8/9 时的敏感性为 94%，特异性为 97%。
结论 尼日利亚产后抑郁症的患病率与西方世界相当，而约鲁巴版 EPDS 是在尼日利亚社区中筛查产后妇女抑郁障碍的有效工具。
