Murray D, Cox J L, Chapman G, Jones P
St Ita's Hospital, Portrane, Co. Dublin, Ireland.
Br J Psychiatry. 1995 May;166(5):595-600. doi: 10.1192/bjp.166.5.595.
This paper reports further data from the Stoke study of postnatal depression and examines whether psychosocial characteristics and symptom profiles differ between postnatal and control depression.
Two hundred and thirty-two postnatal and non-postnatal control women were screened with the Edinburgh Postnatal Depression Scale; all high scorers and a sample of low scores were interviewed with the Standardised Psychiatric Interview and modified Social Maladjustment Schedule. Depression was diagnosed using the Research Diagnostic Criteria.
Postnatal but not control depression was associated with a poor relationship with the woman's own mother and greater occupational instability. Depression in control women was associated with low income, having three or more children, performing manual work and occupational dissatisfaction, but postnatal depression was not. There were no differences in the symptom profiles of the postnatal and control women nor between early and late onset postnatal depression.
Depression is a common and socially disabling disorder affecting mothers of young children. Postnatal depression is more contingent on acute biopsychosocial stresses caused by the arrival of a new family member. Depression in women with older children is more closely related to longer term social adversity.
本文报告了产后抑郁症斯托克研究的更多数据，并探讨了产后抑郁症与对照抑郁症在心理社会特征和症状表现上是否存在差异。
使用爱丁堡产后抑郁量表对232名产后及非产后对照女性进行筛查；所有高分者及部分低分者接受标准化精神病访谈和改良社会适应不良量表访谈。采用研究诊断标准进行抑郁症诊断。
产后抑郁症而非对照抑郁症与与女性自己母亲关系不佳及职业稳定性较差有关。对照女性的抑郁症与低收入、育有三个或更多子女、从事体力劳动及职业不满意有关，但产后抑郁症并非如此。产后女性与对照女性的症状表现之间，以及产后抑郁症早发与晚发之间均无差异。
抑郁症是一种常见且对社会功能有损害的疾病，影响着幼儿母亲。产后抑郁症更多取决于新家庭成员到来所引发的急性生物心理社会压力。大龄子女母亲的抑郁症与更长期的社会逆境关系更为密切。
