Hompoth Emőke Adrienn, Gálosi Natália, Becsei László, Töreki Annamária
Általános Orvostudományi Kar, Szentágothai Klinikai Központ, Sürgősségi Betegellátó Önálló Osztály, Szegedi Tudományegyetem Szeged, Semmelweis u. 6., 6725.
Békés Megyei Büntetés-végrehajtási Intézet Gyula.
Orv Hetil. 2020 Mar;161(10):374-381. doi: 10.1556/650.2020.31659.
Pregnancy is usually desired, yet it has its own difficulties that can be overwhelming, thus depression might occur. The prevalence of this is 6.58-26.7% in the international literature and 6.5-17.9% in Hungarian studies. The aim was to analyze the data of the perinatal depression screening program of Békéscsaba which started in 2014. We wanted to study the pathological rate and the connection between demographic data and depression symptoms. Until august 2019, 1708 women took part in the program. The screening is done by perinatal nurses: they explain the aims and hand over the Edinburgh Postnatal Depression Scale three times during pregnancy and once postpartum. They also suggest women in need to attend the psychological intervention as part of the screening. The prevalence of the pathological questionnaires were 15.31%, 14.29%, 11.87%, and 12.68% at the four measuring occasions. In the whole sample, 18.27% of women had pathological score at least once. The depression scores of the four measurements correlated significantly with each other. Women who did not plan their pregnancies had higher level of depression in all four measurements. In the first trimester, women who were under 21 years old and/or were single had higher depression scores. In the second trimester, multipara women tended to have higher scores. The high prevalence and the constant level of depression emphasize the importance of the screening and psychological intervention, as previous studies found connection between depression and some perinatal complications. Some demographic factors can indicate more vulnerable women. Orv Hetil. 2020; 161(10): 374-381.
怀孕通常是人们所期望的，但它也有自身难以应对的困难，因此可能会出现抑郁症。国际文献中这一情况的患病率为6.58 - 26.7%，匈牙利研究中的患病率为6.5 - 17.9%。目的是分析始于2014年的贝凯什乔包围产期抑郁症筛查项目的数据。我们想研究病理率以及人口统计学数据与抑郁症状之间的联系。截至2019年8月，1708名女性参与了该项目。筛查由围产期护士进行：她们解释目的，并在孕期三次、产后一次发放爱丁堡产后抑郁量表。她们还建议有需要的女性参加心理干预作为筛查的一部分。在四次测量时，病理问卷的患病率分别为15.31%、14.29%、11.87%和12.68%。在整个样本中，18.27%的女性至少有一次病理评分。四次测量的抑郁评分彼此显著相关。未计划怀孕的女性在所有四次测量中的抑郁水平都较高。在孕早期，21岁以下和/或单身的女性抑郁评分较高。在孕中期，经产妇的评分往往较高。抑郁症的高患病率和持续水平凸显了筛查和心理干预的重要性，因为先前的研究发现抑郁症与一些围产期并发症之间存在联系。一些人口统计学因素可以表明哪些女性更容易患病。《匈牙利医学周报》。2020年；161(10): 374 - 381。
