Hopkins J, Campbell S B, Marcus M
University of Pittsburgh, PA.
J Affect Disord. 1989 Nov-Dec;17(3):251-4. doi: 10.1016/0165-0327(89)90007-4.
In order to examine the course of normal postpartum adjustment compared to the symptomatology of postpartum depression, 25 postpartum women who met Research Diagnostic Criteria for either major or minor depression were compared to 24 non-depressed postpartum women. The Schedule for Affective Disorders and Schizophrenia (SADS) and the Beck Depression Inventory (BDI) were administered to all subjects. Results suggest that sleep disturbances and loss of sexual interest are common concomitants of normal postpartum adjustment. A discriminant function analysis indicated that the cognitive-affective symptoms of loss of energy, guilt, difficulties in concentration, and loss of interest in usual activities discriminated between depressed and non-depressed women most efficiently. Finally, there was a lack of concordance between the BDI and the SADS interviews, which suggests that the BDI may not be an appropriate instrument for diagnosing depression in a postpartum sample.
为了研究正常产后调适过程与产后抑郁症状的差异，将25名符合重度或轻度抑郁研究诊断标准的产后女性与24名未患抑郁症的产后女性进行了比较。对所有受试者使用了情感障碍和精神分裂症量表（SADS）及贝克抑郁量表（BDI）。结果表明，睡眠障碍和性兴趣丧失是正常产后调适的常见伴随症状。判别函数分析表明，精力丧失、内疚、注意力不集中以及对日常活动兴趣丧失等认知情感症状能最有效地区分抑郁和非抑郁女性。最后，BDI与SADS访谈结果不一致，这表明BDI可能不是诊断产后样本中抑郁症的合适工具。
