Marsay Carina, Manderson Lenore, Subramaney Ugasvaree
Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, South Africa.
School of Public Health, University of the Witwatersrand, South Africa.
S Afr J Psychiatr. 2017 Apr 11;23:1013. doi: 10.4102/sajpsychiatry.v23i0.1013. eCollection 2017.
BACKGROUND/OBJECTIVE: In South Africa, approximately 40% of women suffer from depression during pregnancy. Although perinatal depression and anxiety are significant public health problems impacting maternal and infant morbidity and mortality, no routine mental health screening programmes exist in the country. A practical, accurate screening tool is needed to identify cases in these busy, resource-scarce settings.
A convenience sample of 145 women between 22 and 28 weeks gestation was recruited from Rahima Moosa Hospital antenatal clinic in Johannesburg. All women completed a biographical interview, the Edinburgh Postnatal Depression Scale (EPDS), the Whooley questions and a structured clinical interview.
The results demonstrate the sensitivity and specificity of the Whooley questions and the EPDS in identifying depression, anxiety and stress disorders of varying severity. The importance of personal, social and cultural context in influencing the content and expression of these common perinatal conditions was also identified.
The validity of the Whooley questions in the context of urban South Africa, and the importance of ensuring clinical interviews to supplement any screening tools, is emphasised.
背景/目的：在南非，约40%的女性在孕期患有抑郁症。尽管围产期抑郁和焦虑是影响母婴发病率和死亡率的重大公共卫生问题，但该国尚无常规心理健康筛查项目。在这些繁忙且资源匮乏的环境中，需要一种实用、准确的筛查工具来识别病例。
从约翰内斯堡拉希玛·穆萨医院产前诊所招募了145名妊娠22至28周的女性作为便利样本。所有女性均完成了一次个人情况访谈、爱丁堡产后抑郁量表（EPDS）、胡利问题及一次结构化临床访谈。
结果显示了胡利问题及EPDS在识别不同严重程度的抑郁、焦虑和应激障碍方面的敏感性和特异性。还确定了个人、社会和文化背景在影响这些常见围产期状况的内容和表现方面的重要性。
强调了胡利问题在南非城市背景下的有效性，以及确保进行临床访谈以补充任何筛查工具的重要性。
