Carlberg Magdalena, Edhborg Maigun, Lindberg Lene
1 Health and Medical Care Administration, Stockholm County Council, Stockholm, Sweden.
2 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Am J Mens Health. 2018 Jul;12(4):720-729. doi: 10.1177/1557988317749071. Epub 2018 Jan 19.
Several studies have used the Edinburgh Postnatal Depression Scale (EPDS), developed to screen new mothers, also for new fathers. This study aimed to further contribute to this knowledge by comparing assessment of possible depression in fathers and associated demographic factors by the EPDS and the Gotland Male Depression Scale (GMDS), developed for "male" depression screening. The study compared EPDS score ≥10 and ≥12, corresponding to minor and major depression, respectively, in relation to GMDS score ≥13. At 3-6 months after child birth, a questionnaire was sent to 8,011 fathers of whom 3,656 (46%) responded. The detection of possibly depressed fathers by EPDS was 8.1% at score ≥12, comparable to the 8.6% detected by the GMDS. At score ≥10, the proportion detected by EPDS increased to 13.3%. Associations with possible risk factors were analyzed for fathers detected by one or both scales. A low income was associated with depression in all groups. Fathers detected by EPDS alone were at higher risk if they had three or more children, or lower education. Fathers detected by EPDS alone at score ≥10, or by both scales at EPDS score ≥12, more often were born in a foreign country. Seemingly, the EPDS and the GMDS are associated with different demographic risk factors. The EPDS score appears critical since 5% of possibly depressed fathers are excluded at EPDS cutoff 12. These results suggest that neither scale alone is sufficient for depression screening in new fathers, and that the decision of EPDS cutoff is crucial.
多项研究使用了爱丁堡产后抑郁量表（EPDS），该量表最初是为筛查新妈妈而开发的，现在也用于新爸爸。本研究旨在通过比较EPDS和哥特兰男性抑郁量表（GMDS，专为“男性”抑郁筛查而开发）对父亲可能存在的抑郁及相关人口统计学因素的评估，进一步丰富这方面的知识。该研究比较了EPDS评分≥10和≥12（分别对应轻度和重度抑郁）与GMDS评分≥13的情况。在孩子出生后3至6个月，向8011名父亲发送了问卷，其中3656人（46%）回复。EPDS在评分≥12时检测出可能抑郁的父亲的比例为8.1%，与GMDS检测出的8.6%相当。在评分≥10时，EPDS检测出的比例增至13.3%。对通过一种或两种量表检测出的父亲与可能的风险因素之间的关联进行了分析。低收入与所有组的抑郁都有关联。仅通过EPDS检测出的父亲如果有三个或更多孩子或教育程度较低，则风险更高。仅通过EPDS在评分≥10时检测出的父亲，或通过两种量表在EPDS评分≥12时检测出的父亲，更多是在国外出生。似乎EPDS和GMDS与不同的人口统计学风险因素相关。EPDS评分似乎很关键，因为在EPDS临界值为12时，5%可能抑郁的父亲被排除在外。这些结果表明，单独使用任何一种量表都不足以对新爸爸进行抑郁筛查，而且EPDS临界值的确定至关重要。
