Ballard C G, Davis R, Cullen P C, Mohan R N, Dean C
University Department of Psychiatry, Queen Elizabeth Psychiatric Hospital, Birmingham.
Br J Psychiatry. 1994 Jun;164(6):782-8. doi: 10.1192/bjp.164.6.782.
In the first study to systematically examine postnatal depression in fathers, we examined depression in 200 postnatal couples, using a two-stage design. The prevalence of depression ascertained by the 13-item Edinburgh Postnatal Depression Scale (EPDS), using a cut-off score for 'caseness' of 13 or more in an unselected postnatal sample, was 27.5% in mothers at six weeks postpartum, 25.7% in mothers at six months postpartum, 9.0% in fathers at six weeks postpartum, and 5.4% in fathers at six months postpartum. The prevalence did not differ significantly in either mothers or fathers from a control group of parents with children between three and five years of age. As expected, mothers had a significantly higher prevalence of psychiatric 'caseness' at both six weeks and six months postpartum than fathers. Fathers were significantly more likely to be cases if their partners were also cases. The hypothesis that different aetiological factors would be important in brief and persistent disorders in mothers was upheld.
在第一项系统研究父亲产后抑郁症的研究中，我们采用两阶段设计，对200对产后夫妻进行了抑郁症检查。在未经过筛选的产后样本中，使用13项爱丁堡产后抑郁量表（EPDS），以13分及以上作为“患病”临界值来确定抑郁症患病率，产后六周母亲的患病率为27.5%，产后六个月母亲的患病率为25.7%，产后六周父亲的患病率为9.0%，产后六个月父亲的患病率为5.4%。在有三至五岁孩子的父母对照组中，母亲和父亲的患病率均无显著差异。正如预期的那样，产后六周和六个月时，母亲患精神疾病“病例”的患病率显著高于父亲。如果父亲的伴侣也是病例，那么父亲成为病例的可能性会显著增加。母亲短暂性和持续性疾病中不同病因因素很重要这一假设得到了支持。
