Song Zicheng, Zhou Yang, Zheng Yuanyi, Huang Wenjun, Meng Zheying, Li Huiying, Jiang Rongzhen, Teng Yincheng, Tao Minfang
Department of Obstetrics and Gynecology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Department of Ultrasound, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Int J Gynaecol Obstet. 2023 Jun;161(3):1046-1052. doi: 10.1002/ijgo.14663. Epub 2023 Jan 20.
To explore whether functional near-infrared spectroscopy (fNIRS) can aid in the early detection and diagnosis of postpartum depression.
The study was a cross-sectional survey that invited all women who sought postpartum health examination 42 days after childbirth between August 2020 and January 2021. Personal information, Edinburgh Postnatal Depression Scale (EPDS), and well as fNIRS results were collected.
In all, 109 individuals agreed to participate and completed the examination in its entirety. The variance in integral and centroid values was not statistically significant across different subgroups of depression (P > 0.05). The difference in diagnosis of postpartum major depression between EPDS and fNIRS was statistically significant (P < 0.001). fNIRS results in postpartum depression diagnosis were substantially associated with gestational diabetes mellitus (P = 0.027), the number of pregnancies (P = 0.001), and postpartum body mass index (P = 0.035).
fNIRS can provide an objective method for early detection and diagnosis of postpartum depression. Certain clinical conditions can have an effect on brain activity, which may result in postpartum depression. Additional high-quality study is required to establish strong evidence on the subject.
探讨功能近红外光谱技术(fNIRS)是否有助于产后抑郁症的早期检测与诊断。
本研究为横断面调查,邀请了2020年8月至2021年1月期间产后42天前来进行产后健康检查的所有女性。收集了个人信息、爱丁堡产后抑郁量表(EPDS)以及fNIRS结果。
共有109人同意参与并完整完成了检查。抑郁不同亚组间积分值和质心值的差异无统计学意义(P>0.05)。EPDS与fNIRS在产后重度抑郁症诊断方面的差异具有统计学意义(P<0.001)。fNIRS在产后抑郁症诊断中的结果与妊娠期糖尿病(P=0.027)、妊娠次数(P=0.001)以及产后体重指数(P=0.035)显著相关。
fNIRS可为产后抑郁症的早期检测与诊断提供一种客观方法。某些临床状况可对大脑活动产生影响,这可能导致产后抑郁症。需要更多高质量研究来为此主题确立有力证据。