Briscoe M
Br Med J (Clin Res Ed). 1986 May 10;292(6530):1245-7. doi: 10.1136/bmj.292.6530.1245.
One hundred mothers of babies aged under 15 weeks who attended well baby clinics were rated for the presence of emotional disorders by health visitors. These assessments were compared with the mothers' scores on the General Health Questionnaire (GHQ), a screening instrument for identifying psychiatric cases in the general population. The results indicate that symptoms of minor psychiatric disorder are a problem for an appreciable number of postpartum women, although the health visitors showed a misclassification rate of roughly 40%. It is suggested that routine screening using the questionnaire at the time of the baby's six week check would both improve the detection rate and also enable the health visitors to give extra support to those mothers who were most in need of it.
100名带着15周以下婴儿前往母婴健康门诊的母亲,由保健访视员评估其是否存在情绪障碍。这些评估结果与母亲们在一般健康问卷(GHQ)上的得分进行了比较,该问卷是一种用于在普通人群中识别精神病例的筛查工具。结果表明,轻度精神障碍症状是相当一部分产后女性面临的问题,尽管保健访视员的误诊率约为40%。建议在婴儿六周检查时使用该问卷进行常规筛查,这既能提高检出率,也能让保健访视员为最需要帮助的母亲提供额外支持。