Nurs Womens Health. 2024 Jun;28(3):177-186. doi: 10.1016/j.nwh.2023.11.007. Epub 2024 Mar 11.
To understand if Mini International Psychiatric Interview (MINI) scores in pregnancy are associated with higher scores on the Edinburgh Postnatal Depression Scale (EPDS).
Cross-sectional pilot study of participants who completed the EPDS during pregnancy and were then invited to complete the MINI.
SETTING/LOCAL PROBLEM: An urban outpatient clinic at an academic medical setting from November 2020 to June 2021.
Convenience sample of 20 pregnant people.
INTERVENTION/MEASUREMENTS: Analysis of variance was used to examine differences based on EPDS scores and MINI symptom burden. Nonparametric tests (Mann-Whitney U or Kruskal-Wallis test) were used if assumptions were violated. Descriptive statistics were used to describe sample characteristics.
Nine participants screened 9 or higher on the EPDS and completed the MINI. There were no significant differences in demographic variables by EPDS score. There were significant differences between demographic variables, including employment status (p = .003) and type of health insurance (p = .019), between participants who met criteria for at least one diagnosis on the MINI and those who did not. Participants with public health insurance met the criteria for four more diagnoses compared to people with private insurance. Participants not employed full-time had nearly five more diagnoses compared to those employed full-time. Higher EPDS scores were correlated with all measured MINI symptoms or diagnoses. Higher EPDS scores were significantly correlated with and showed a moderate to strong positive correlation to suicidality and antisocial personality disorder.
Pregnant individuals who score 9 or higher on the EPDS may also have other severe mental health diagnoses. Recognizing perinatal mood and anxiety disorders in this population can inform the development of screening protocols and interventions during pregnancy to improve maternal access to mental health treatment and symptom reduction.
了解孕期 Mini 国际神经精神访谈（MINI）评分是否与爱丁堡产后抑郁量表（EPDS）评分较高有关。
对在孕期完成 EPDS 后被邀请完成 MINI 的参与者进行的横断面试点研究。
地点/当地问题：2020 年 11 月至 2021 年 6 月期间，在学术医疗环境中的城市门诊诊所。
20 名孕妇的方便样本。
干预/测量：方差分析用于根据 EPDS 评分和 MINI 症状负担差异进行检验。如果违反了假设，则使用非参数检验（Mann-Whitney U 或 Kruskal-Wallis 检验）。使用描述性统计来描述样本特征。
9 名 EPDS 评分 9 或更高的参与者完成了 MINI。EPDS 评分的人口统计学变量没有显著差异。MINI 诊断标准的参与者和未达到 MINI 诊断标准的参与者在人口统计学变量（包括就业状况[P=0.003]和健康保险类型[P=0.019]）方面存在显著差异。与私人保险相比，拥有公共医疗保险的参与者符合四项以上诊断标准。非全职工作的参与者比全职工作的参与者多近五个诊断。更高的 EPDS 评分与所有测量的 MINI 症状或诊断相关。更高的 EPDS 评分与自杀和反社会人格障碍显著相关，呈中度至强正相关。
EPDS 评分 9 或更高的孕妇也可能有其他严重的心理健康诊断。在该人群中识别围产期情绪和焦虑障碍可以为孕期筛查方案和干预措施的制定提供信息，以改善产妇获得心理健康治疗和减轻症状的机会。
