Institute of Psychology, Faculty of Social Sciences, University of Gdansk, 80-309 Gdańsk, Poland.
Int J Environ Res Public Health. 2022 Sep 17;19(18):11731. doi: 10.3390/ijerph191811731.
In the article we present a mid-point evaluation of the postpartum depression (PPD) prevention strategy in Poland. As PPD is associated with potential negative consequences for the mother and infant, the need to introduce screening and treatment is vital. The project covered over 21,500 women in the first year postpartum. The average score in the Edinburgh Postnatal Depression Scale (EPDS), in a screening provided in direct contact, was 4.73 ( = 4.14, n = 7222), and increased in 55% of women in the follow-up study. In online screening the average score in the EPDS assessment was 16.05 ( = 5.975, n = 10,454). The 'probable depression' rate (EPDS > 12) in 'direct' contact is 7.3%, and on the online platform-77%. Additionally, 26% of possibly affected mothers assessed in 'direct' contact benefited from psychological consultations. The average score in the EPDS among mothers who benefitted from consultations is 16.24 ( =4.674, n = 231). Approx. 82% of healthcare providers raised their knowledge of PPD after training sessions. Maintaining the assumptions of the program: training for medical staff, screening conducted throughout the first twelve months postpartum, online platform with the possibility of self-screening and early psychological intervention seem to be justified actions, leading to a higher number of women with risk of PPD referred.
在本文中，我们对波兰的产后抑郁症（PPD）预防策略进行了中期评估。由于 PPD 会对母亲和婴儿产生潜在的负面影响，因此进行筛查和治疗至关重要。该项目在产后第一年覆盖了超过 21500 名女性。在直接接触的筛查中，爱丁堡产后抑郁量表（EPDS）的平均得分为 4.73（=4.14，n=7222），在随访研究中，55%的女性得分增加。在在线筛查中，EPDS 评估的平均得分为 16.05（=5.975，n=10454）。“直接”接触中的“可能的抑郁症”率（EPDS > 12）为 7.3%，而在在线平台上则为 77%。此外，26%的可能受影响的母亲在“直接”接触中受益于心理咨询。接受咨询的母亲的 EPDS 平均得分为 16.24（=4.674，n=231）。大约 82%的医疗保健提供者在培训后提高了他们对 PPD 的认识。维持该计划的假设：对医务人员进行培训，在产后的头 12 个月内进行筛查，提供在线平台，以便进行自我筛查和早期心理干预，这些似乎都是合理的行动，可以促使更多有 PPD 风险的女性得到转介。
