Motofelea Nadica, Motofelea Alexandru Catalin, Tamasan Ionela Florica, Hoinoiu Teodora, Ioana Jabri Tabrizi Madalina, Vilibić Maja, Cringu Antoniu Ionescu, Bernad Brenda Cristiana, Trinc Sorin, Navolan Dan-Bogdan
Doctoral School, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.
Diagnostics (Basel). 2025 Apr 30;15(9):1152. doi: 10.3390/diagnostics15091152.
: Postpartum depression (PPD) is a prevalent mental health disorder affecting women after childbirth, with significant adverse effects on both maternal and infant outcomes. Early detection and intervention are critical to improving health trajectories. : This narrative review compares the predictive validity of commonly used screening instruments for PPD, including the Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), and brief tools like PHQ-2 and PHQ-4. It also examines the role of self-esteem, assessed using the Rosenberg Self-Esteem Scale (RSES), and coping mechanisms, evaluated through the COPE Inventory, in moderating PPD risk. : Validation studies reveal variability in the performance of screening tools across different populations, emphasizing the need for contextual calibration. Low self-esteem and maladaptive coping strategies are consistently associated with higher PPD risk, with socioeconomic status (SES) further influencing these relationships. Interventions focusing on enhancing self-esteem and promoting adaptive coping, such as cognitive-behavioral therapy and psychoeducation, show promise in reducing PPD incidence. : This review highlights gaps in existing research, particularly regarding screening during pregnancy, and calls for integrated predictive models incorporating psychosocial variables. Early, context-sensitive screening approaches are essential for effective PPD prevention and management.
产后抑郁症（PPD）是一种常见的心理健康障碍，影响产后女性，对母婴结局均有显著不良影响。早期发现和干预对于改善健康轨迹至关重要。
本叙述性综述比较了常用的PPD筛查工具的预测效度，包括爱丁堡产后抑郁量表（EPDS）、患者健康问卷-9（PHQ-9）以及如PHQ-2和PHQ-4等简短工具。它还研究了使用罗森伯格自尊量表（RSES）评估的自尊以及通过应对方式问卷评估的应对机制在调节PPD风险中的作用。
验证研究表明，筛查工具在不同人群中的表现存在差异，强调了进行情境校准的必要性。低自尊和适应不良的应对策略始终与较高的PPD风险相关，社会经济地位（SES）进一步影响这些关系。专注于提高自尊和促进适应性应对的干预措施，如认知行为疗法和心理教育，在降低PPD发病率方面显示出前景。
本综述突出了现有研究中的差距，特别是关于孕期筛查的差距，并呼吁建立纳入社会心理变量的综合预测模型。早期、针对具体情境的筛查方法对于有效的PPD预防和管理至关重要。
