Faculty of Medical Sciences Victoria de Girón (Dr Rubén Quesada), University of Medical Sciences of Havana, Havana, Cuba; School Health Department, Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba (Drs Esquivel Lauzurique and Tamayo-Pérez); Lunenfeld-Tanenbaum-Research Institute, Sinai Health System, Toronto, Ontario, Canada (Drs Vera Fernández and Lye); Department of Psychiatry, University of Toronto, and Li Ka Shing Knowledge Institute, St Michael's Hospital Toronto, Toronto, Ontario, Canada (Dr Dennis); and Polyclinic Julián Grimau, Havana, Cuba (Dr Álvarez Valdés).
J Perinat Neonatal Nurs. 2022;36(4):E15-E24. doi: 10.1097/JPN.0000000000000662.
To estimate the prevalence, incidence, and persistence of postpartum anxiety, depression, and comorbid symptoms over the first 6 months postpartum in a cohort of Havana women and to evaluate the sensitivity, specificity, and predictive power of the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI) at 4 weeks postpartum on depressive and anxiety symptoms at 12 and 24 weeks.
A cohort study with 273 women in Havana, Cuba. Participants were assessed at 4, 12, and 24 weeks postpartum for anxiety, depression, and comorbid symptoms.
Prevalence rates were highest at 4 weeks postpartum: 20.0% women reported elevated levels of anxiety and 16.4% reported depressive symptoms. The prevalence of comorbid anxiety and depression was 5.8%. While rates of anxiety steadily decreased to 13.8% at 24 weeks, rates of depression persisted to 24 weeks postpartum with 14.5% still experiencing elevated symptoms. Comorbid anxiety and depression decreased across time. There were limited sensitivity and poor predictive values for both the STAI and the EPDS.
This study is the first to examine perinatal mental illness in Cuba. While anxiety and depression rates found among Cuban women are lower than those reported in other low-income countries, the rates paralleled high-income countries.
在哈瓦那的一组女性中，估计产后 6 个月内焦虑、抑郁和共病症状的患病率、发病率和持续性，并评估产后 4 周时爱丁堡产后抑郁量表（EPDS）和状态-特质焦虑量表（STAI）对 12 周和 24 周时抑郁和焦虑症状的敏感性、特异性和预测力。
这是一项在古巴哈瓦那进行的队列研究，共有 273 名女性参加。参与者在产后 4、12 和 24 周时评估焦虑、抑郁和共病症状。
产后 4 周时的患病率最高：20.0%的女性报告出现焦虑症状，16.4%报告出现抑郁症状。焦虑和抑郁共病的患病率为 5.8%。虽然焦虑率在 24 周时稳步下降至 13.8%，但抑郁率持续到 24 周产后，仍有 14.5%的女性出现升高的症状。焦虑和抑郁共病的发生率随着时间的推移而降低。STAI 和 EPDS 的敏感性和预测值都有限。
本研究首次在古巴检查围产期精神疾病。虽然古巴女性的焦虑和抑郁发生率低于其他低收入国家，但与高收入国家相当。
