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产后焦虑与抑郁:社区样本中的发病情况及共病现象

Postpartum anxiety and depression: onset and comorbidity in a community sample.

作者信息

Stuart S, Couser G, Schilder K, O'Hara M W, Gorman L

机构信息

Department of Psychiatry, University of Iowa, Iowa City 52242, USA.

出版信息

J Nerv Ment Dis. 1998 Jul;186(7):420-4. doi: 10.1097/00005053-199807000-00006.

DOI:10.1097/00005053-199807000-00006
PMID:9680043
Abstract

A community-based sample of 107 women completed the Beck Anxiety Inventory, Beck Depression Inventory, State-Trait Anxiety Inventory, and Edinburgh Postnatal Depression Scale at 14 weeks postpartum and at 30 weeks postpartum. The point prevalence of anxiety was 8.7% at 14 weeks and 16.8% at 30 weeks postpartum. The point prevalence of depression was 23.3% at 14 weeks and 18.7% at 30 weeks postpartum. The incidence of anxiety during this time period was 10.28%, and the incidence of depression was 7.48%, indicating high incidences of both postpartum anxiety and depression later in the postpartum period. The Edinburgh Postnatal Depression Scale was found to have a strong correlation with the State Anxiety Scale of the State-Trait Anxiety Inventory (r = .73 at 14 weeks, r = .82 at 30 weeks), suggesting that the Edinburgh Postnatal Depression Scale may be a good screening instrument for anxiety as well as depression.

摘要

一个基于社区的由107名女性组成的样本,在产后14周和产后30周时完成了贝克焦虑量表、贝克抑郁量表、状态-特质焦虑量表以及爱丁堡产后抑郁量表的测评。产后14周时焦虑的时点患病率为8.7%,产后30周时为16.8%。产后14周时抑郁的时点患病率为23.3%,产后30周时为18.7%。在此时间段内焦虑的发病率为10.28%,抑郁的发病率为7.48%,表明产后晚期产后焦虑和抑郁的发病率均较高。研究发现,爱丁堡产后抑郁量表与状态-特质焦虑量表中的状态焦虑量表有很强的相关性(产后14周时r = 0.73,产后30周时r = 0.82),这表明爱丁堡产后抑郁量表可能是一种用于筛查焦虑以及抑郁的良好工具。

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