School of Medicine, New York Medical College, Valhalla, NY.
Department of Obstetrics and Gynecology, New York Medical College, Valhalla, NY.
Psychosomatics. 2018 May-Jun;59(3):211-219. doi: 10.1016/j.psym.2017.11.005. Epub 2017 Nov 23.
The purpose of this study was to analyze the accuracy of screening tools in detecting postpartum depression (PPD).
A review of the literature was conducted using PubMed, Clinical Key, and Google Scholar from the years 2001-2016 with a modified PRISMA method. The keywords, "postnatal depression screening," "antenatal depression screening," and "maternal depression" were used in the search. Sixty-eight articles were reviewed, and 36 further analyzed.
The accuracy of screening tools was dependent upon a number of factors. The studies reviewed differed in the types of screening tools tested, the combination of screening tools administered, the timing in which screening tools were administered, the geographic location of patients screened, and the reference standard(s) used.
No tool could be deemed best at accurately detecting PPD on the basis of sensitivity and specificity. Additionally, there was no recommended time duration in which screening should be done. Thus, further research is needed to elucidate the accuracy of PPD screening tools, and the best criteria to determine this.
本研究旨在分析产后抑郁症（PPD）筛查工具的准确性。
使用 PubMed、Clinical Key 和 Google Scholar 对 2001 年至 2016 年的文献进行综述，采用改良的 PRISMA 方法。搜索关键词为“产后抑郁筛查”、“产前抑郁筛查”和“产妇抑郁”。共审查了 68 篇文章，其中 36 篇进一步进行了分析。
筛查工具的准确性取决于多个因素。所审查的研究在测试的筛查工具类型、管理的筛查工具组合、进行筛查的时间、筛查患者的地理位置以及使用的参考标准（多个）方面存在差异。
基于敏感性和特异性，没有一种工具可以被认为是准确检测 PPD 的最佳工具。此外，没有推荐进行筛查的时间长度。因此，需要进一步研究来阐明 PPD 筛查工具的准确性以及确定这些标准的最佳方法。
