Lane A, Keville R, Morris M, Kinsella A, Turner M, Barry S
Cluain Mhuire Family Centre, Blackrock, Co., Dublin, Ireland.
Br J Psychiatry. 1997 Dec;171:550-5. doi: 10.1192/bjp.171.6.550.
Correlates and predictors of mood disturbances at 3 days and 6 weeks postpartum were assessed in Irish mothers and their partners.
The Edinburgh Postnatal Depression Scale (EPDS) and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and obstetric data were collected at patients' first antenatal visit. Factors associated with EPDS scores of > or = 13 and Highs score of > or = 8 were examined.
On the EPDS 11.4% of mothers scored > or = 13 at 3 days postpartum and 11% at 6 weeks, while 18.3% of mothers scored > or = 8 on the Highs Scale at 3 days and 9% at 6 weeks. Scores on the EPDS and Highs Scale were interrelated. Factors associated with EPDS scores of > or = 13 at 6 weeks were single status, unemployment, unplanned pregnancy, public status and bottlefeeding. The best predictors of EPDS > or = 13 at 6 weeks were mothers' scores on the EPDS and the Highs Scale at 3 days. Three per cent of partners scored > or = 13 on the EPDS at 3 days postpartum and 1.2% at 6 weeks.
Factors associated with mothers' mood disturbance were readily identifiable and collected routinely at antenatal intake. Mothers' mood within 3 days of delivery was the best predictor of later postnatal depression. Paternal mood disturbance was rare. Certain women may be at increased risk for postnatal mood disturbance and may be amenable to early identification and intervention.
对爱尔兰母亲及其伴侣产后3天和6周时情绪障碍的相关因素及预测指标进行了评估。
采用爱丁堡产后抑郁量表（EPDS）和情绪高涨量表对370名母亲及其伴侣进行评估。在患者首次产前检查时收集社会人口学、临床和产科数据。研究了与EPDS评分≥13分及情绪高涨量表评分≥8分相关的因素。
在EPDS量表上，11.4%的母亲产后3天评分≥13分，6周时为11%；而在情绪高涨量表上，18.3%的母亲产后3天评分≥8分，6周时为9%。EPDS量表和情绪高涨量表的评分相互关联。与产后6周时EPDS评分≥13分相关的因素包括单身状态、失业、意外怀孕、社会公共身份及人工喂养。产后6周时EPDS≥13分的最佳预测指标是母亲产后3天的EPDS和情绪高涨量表评分。3%的伴侣产后3天EPDS评分≥13分，6周时为1.2%。
与母亲情绪障碍相关的因素在产前检查时易于识别且常规收集。分娩后3天内母亲的情绪是产后后期抑郁的最佳预测指标。父亲情绪障碍很少见。某些女性产后情绪障碍风险可能增加，可能适合早期识别和干预。
