日本一家围产期中心对孕期和产后抑郁及焦虑症状的筛查
Screening for Depressive and Anxiety Symptoms During Pregnancy and Postpartum at a Japanese Perinatal Center.
作者信息
Suzuki Shunji, Eto Masako
机构信息
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.
出版信息
J Clin Med Res. 2017 Jun;9(6):512-515. doi: 10.14740/jocmr3035w. Epub 2017 Apr 26.
BACKGROUND
We examined the current status of depressive and anxiety symptoms in Japanese women during pregnancy and postpartum.
METHODS
We asked 220 Japanese women who gave birth to singleton babies at term to answer the two self-administered questionnaires (Whooley's two questions and two-item generalized anxiety disorder scale) at first, second and third trimester of pregnancy and 1 month after delivery.
RESULTS
The rates of women with depressive symptoms were common during the first trimester of pregnancy (25%) and the postpartum (17%), while the women with anxiety symptoms were common during the first trimester of pregnancy (36%). Eight percent women had histories of mental disorders, and 95% of them showed depressive and/or anxiety symptoms somewhere during pregnancy. Of the women who had depressive symptoms during postpartum, 86% showed depressive and/or anxiety symptoms somewhere during pregnancy.
CONCLUSION
Screening for depressive and anxiety symptoms during pregnancy was suggested to be useful to detect high risk women of postpartum depression.
背景
我们调查了日本女性孕期及产后抑郁和焦虑症状的现状。
方法
我们让220名足月分娩单胎婴儿的日本女性在妊娠第一、第二和第三个月以及分娩后1个月回答两份自填式问卷（Whooley的两个问题和两项广泛性焦虑症量表）。
结果
抑郁症状的女性比例在妊娠第一个月（25%）和产后（17%）较为常见，而焦虑症状的女性在妊娠第一个月（36%）较为常见。8%的女性有精神障碍病史，其中95%在孕期的某个阶段出现过抑郁和/或焦虑症状。在产后有抑郁症状的女性中，86%在孕期的某个阶段出现过抑郁和/或焦虑症状。
结论
建议在孕期筛查抑郁和焦虑症状，以检测产后抑郁的高危女性。
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