Crotty Fiona, Sheehan John
Department of Psychiatry of Old Age, Mater Misericordiae Hospital, 61 Eccles Street, Dublin 7, Ireland.
Department of Adult Psychiatry, Mater Misericordiae Hospital, 63 Eccles Street, Dublin 7 and Rotunda Hospital, Parnell Square, Dublin 1, Ireland.
Ir J Psychol Med. 2004 Dec;21(4):117-121. doi: 10.1017/S0790966700008533.
To establish the prevalence of postnatal depression using standardised methods of diagnosis and to evaluate early detection of postnatal depression.
Prospective cohort study. Prevalence established using two-step screening with EPDS and semi-structured clinical interview for ICD-10 diagnosis. EPDS recorded at day three-five postnatal evaluated as predictor of depression at week six postnatal.
Prevalence established at 14.4%. EPDS recorded at day three-five postnatal when combined with past history of depression was a predictor of depression occurring at week six postnatal.
We found a similar prevalence of postnatal depression in this Irish sample to other international prevalence studies. There are implications for hospital based screening to identify those at risk of developing a postnatal depression.
采用标准化诊断方法确定产后抑郁症的患病率，并评估产后抑郁症的早期检测情况。
前瞻性队列研究。通过使用爱丁堡产后抑郁量表（EPDS）进行两步筛查以及采用针对国际疾病分类第10版（ICD - 10）诊断的半结构化临床访谈来确定患病率。在产后第3至5天记录EPDS得分，并将其作为产后第6周抑郁症的预测指标进行评估。
确定的患病率为14.4%。产后第3至5天记录的EPDS得分与既往抑郁症病史相结合，是产后第6周发生抑郁症的预测指标。
我们发现，在这个爱尔兰样本中产后抑郁症的患病率与其他国际患病率研究结果相似。这对基于医院的筛查以识别有患产后抑郁症风险的人群具有启示意义。
