a Department of Obstetrics and Gynecology, Faculty of Health Sciences , Semmelweis University , Budapest , Hungary.
b First Department of Obstetrics and Gynecology , Semmelweis University , Budapest , Hungary.
J Psychosom Obstet Gynaecol. 2018 Sep;39(3):220-227. doi: 10.1080/0167482X.2017.1338264. Epub 2017 Jun 20.
There is increasing evidence that anxiety occurs frequently during pregnancy and can be one of the most important risk factors and predictors of postpartum depression (PPD). The aim of our study was to investigate whether antenatal anxiety is an independent predictor of PPD. We used the data of 476 women enrolled in a prospective study in a single maternity unit. The first assessment was conducted between 22 and 40 weeks gestation and a second time 8-12 months postpartum. Symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS) and the State Trait Anxiety Inventory (STAI). Based on our results, antenatal anxiety measured by a subscale of EPDS has predicted better PPD than the antenatal depressive subscale. However, the most relevant predictor of PPD might be the trait anxiety level of a women measured by STAI Trait Scale, whereas a cutoff value of 38 was identified to indicate higher risk of PPD.
越来越多的证据表明，焦虑在怀孕期间经常发生，并且可能是产后抑郁症（PPD）最重要的风险因素和预测因素之一。我们的研究旨在探讨产前焦虑是否是 PPD 的独立预测因素。我们使用了在单个产科单位进行的前瞻性研究中招募的 476 名女性的数据。第一次评估在 22 至 40 周妊娠期间进行，第二次在产后 8-12 个月进行。使用爱丁堡产后抑郁量表（EPDS）和状态特质焦虑量表（STAI）来测量症状。根据我们的结果，通过 EPDS 的一个分量表测量的产前焦虑预测 PPD 的能力优于产前抑郁分量表。然而，STAI 特质量表测量的女性特质焦虑水平可能是 PPD 的最相关预测因素，而 38 的截断值表明 PPD 的风险较高。
