Zacher Kjeldsen Mette-Marie, Egsgaard Sofie, Elliott Anja Friis, Munk-Olsen Trine
National Centre for Register-Based Research, Department of Public Health, Aarhus University, Aarhus, Denmark
Centre for Integrated Register-Based Research, Department of Public Health, Aarhus University, Aarhus, Denmark.
BMJ Ment Health. 2025 Aug 5;28(1):e301819. doi: 10.1136/bmjment-2025-301819.
While 17% of new mothers experience symptoms of postpartum depression (PPD), emotional distress is more widespread in the postpartum period. This descriptive study described item-level responses on the Edinburgh Postnatal Depression Scale (EPDS) to better understand common postpartum experiences.
We analysed EPDS data from 170 218 childbirths (2015-2021) in the Danish HOPE cohort collected during routine postpartum visits. We described the distribution of responses to each item and total scores.
Most mothers reported mild or no symptoms. Items on self-blame, anxiety and feeling overwhelmed showed large variation. Self-harm thoughts were rare (1.7%). The median total score was 4 (IQR 2-7); 7.8% scored ≥11, indicating possible PPD.
Diverse emotional responses are common postpartum and often reflect normal adjustment. Item-level insights may help reduce stigma and support open dialogue around maternal mental health.
虽然17%的新妈妈会出现产后抑郁症（PPD）症状，但产后情绪困扰更为普遍。这项描述性研究描述了爱丁堡产后抑郁量表（EPDS）上的条目级反应，以更好地了解常见的产后经历。
我们分析了丹麦HOPE队列中170218例分娩（2015 - 2021年）在产后常规访视期间收集的EPDS数据。我们描述了对每个条目的反应分布和总分。
大多数母亲报告有轻微症状或无症状。自责、焦虑和不堪重负等条目显示出很大差异。有自伤想法的情况很少见（1.7%）。中位数总分是4（四分位间距2 - 7）；7.8%的人得分≥11，表明可能患有产后抑郁症。
产后出现各种情绪反应很常见，且往往反映了正常的适应过程。条目级的见解可能有助于减少污名化，并支持围绕孕产妇心理健康展开公开对话。
