产后抑郁症症状与儿科门诊社会健康决定因素的关联。
Association Between Postpartum Depression Symptoms and Social Determinants of Health in Outpatient Pediatric Clinic.
机构信息
Geisel School of Medicine at Dartmouth, Hanover, NH.
Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH.
出版信息
J Pediatr Health Care. 2024 Nov-Dec;38(6):812-822. doi: 10.1016/j.pedhc.2024.08.007. Epub 2024 Sep 19.
INTRODUCTION
We aimed to (1) identify the prevalence of postpartum depression (PPD) symptoms using the Patient Health Questionnaire-2 (PHQ-2) and the Edinburgh Postnatal Depression Scale (EPDS), and (2) analyze the relationship between PPD symptoms and social determinants of health (SDoH).
METHOD
We obtained data from 1327 infant/mother dyads at 1 and 6-month well-child checks. We used Chi-square and T-tests to compare social determinants between PPD screening groups and logistical regression to construct predictive models for PPD.
RESULTS
The prevalence of positive PPD screens was 5-7%, but only 1.85% screened positive at both periods. Although the EPDS and PHQ-2 were correlated (Pearson 0.66), the PHQ-2 missed 65% of those identified by the EPDS. Positive PPD screens were associated with greater SDoH concerns.
DISCUSSION
Our study highlights the importance of repeated PPD screening. The EPDS detected more mothers at risk than the PHQ-2. Multiple SDoH were associated with PPD symptoms.
简介
我们旨在（1）使用患者健康问卷-2（PHQ-2）和爱丁堡产后抑郁量表（EPDS）来确定产后抑郁（PPD）症状的患病率，以及（2）分析 PPD 症状与健康的社会决定因素（SDoH）之间的关系。
方法
我们从 1327 对母婴对子在 1 个月和 6 个月的健康儿童检查中获得数据。我们使用卡方检验和 T 检验来比较 PPD 筛查组之间的社会决定因素，并使用逻辑回归来构建 PPD 的预测模型。
结果
阳性 PPD 筛查的患病率为 5-7%，但只有 1.85%在两个时期均呈阳性。虽然 EPDS 和 PHQ-2 呈正相关（皮尔逊 0.66），但 PHQ-2 漏诊了 EPDS 确定的 65%的患者。阳性 PPD 筛查与更多的 SDoH 问题相关。
讨论
我们的研究强调了重复 PPD 筛查的重要性。EPDS 检测到的风险母亲比 PHQ-2 多。多种 SDoH 与 PPD 症状相关。
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