Fijean Anne-Laure, Marçais Marianne, Banasiak Claire, Morel Olivier, Dahlhoff Sandra, Olieric Marie-France, Mottet Nicolas, Epstein Jonathan, Bertholdt Charline
Pôle de Gynécologie-Obstétrique, Université de Lorraine, CHRU-Nancy, Nancy, France.
CHR Metz-Thionville, Hôpital Femme Mère Enfant de Metz, Gynécologie-Obstétrique, Peltre, France.
Int J Gynaecol Obstet. 2024 Nov;167(2):758-764. doi: 10.1002/ijgo.15722. Epub 2024 Jun 4.
To assess the feasibility of universal screening of postpartum depression (PPD), using the Edinburgh Postpartum Depression Scale (EPDS) in the general population. To investigate the proportion of women identified as being at risk of PPD and with confirmed PPD or other mental disorders after a psychiatric consultation.
A multicenter prospective cohort study in four French maternities conducted between 2020 and 2023. All women aged over 18 years, who delivered following a singleton pregnancy after 37 weeks of gestation were eligible for inclusion. The exclusion criteria were pre-existing psychiatric disorders such as depressive syndrome. The EPDS was completed at 8 weeks postpartum via an online self-administered questionnaire. If the response to the questionnaire suggested a mental disorder, a psychiatric consultation was proposed to the women concerned. The endpoints were the proportion of women completing the EPDS, the EPDS score, the proportion of women at risk of PPD, the proportion of psychiatric consultation, and the subsequent diagnosis.
The study included 923 women, of whom 55.0% (508/923) completed the EPDS. Among them, 28.1% (143/508) had an EPDS score of 10 or more, and 11.2% (57/508) received a psychiatric consultation. PPD was confirmed in 8.8% (5/57) of women. Other disorders detected were mood disorders, disorders specifically associated with stress, and anxiety/fear-related disorders, in 33.3%, 28.1%, and 14.0% of the women, respectively.
Screening with self-administered EPDS is feasible, with a good response rate, making it possible to suspect mental disorders, including PPD, and to offer psychological support when needed.
评估在普通人群中使用爱丁堡产后抑郁量表（EPDS）进行产后抑郁症（PPD）普遍筛查的可行性。调查在接受精神科会诊后被确定有PPD风险以及确诊为PPD或其他精神障碍的女性比例。
2020年至2023年在法国四家产科进行的一项多中心前瞻性队列研究。所有年龄超过18岁、妊娠37周后单胎分娩的女性均符合纳入条件。排除标准为既往存在的精神障碍，如抑郁综合征。EPDS在产后8周通过在线自我管理问卷完成。如果问卷回复提示有精神障碍，则建议相关女性进行精神科会诊。终点指标为完成EPDS的女性比例、EPDS评分、有PPD风险的女性比例、精神科会诊比例以及后续诊断。
该研究纳入了923名女性，其中55.0%（508/923）完成了EPDS。其中，28.1%（143/508）的EPDS评分为10分或更高，11.2%（57/508）接受了精神科会诊。8.8%（5/57）的女性被确诊为PPD。分别在33.3%、28.1%和14.0%的女性中检测到其他障碍，包括情绪障碍、与压力特别相关的障碍以及焦虑/恐惧相关障碍。
使用自我管理的EPDS进行筛查是可行的，回复率良好，能够怀疑包括PPD在内的精神障碍，并在需要时提供心理支持。
