摘要
目的 :估计孕期和产褥期抑郁的发生率 ,比较分娩前后抑郁分数的差异 ,了解两种抑郁自评量表筛查结果的一致性。方法 :采用爱丁堡产后抑郁量表 (EdinburghPostnatalDepressionScale ,EPDS)和Beck抑郁自评问卷 (BeckDepressionInventory,BDI) ,对 4 2 7位妇女于妊娠 34～ 36周和产后 4～ 6周的抑郁状态进行调查分析。结果 :EPDS的抑郁阳性率在孕期和产后分别为 7 7%和 7 3% ,BDI为 2 4 4 %和 19 9% ;分娩前后抑郁分数的总体分布不同 ,孕期分数高于产后分数 ;EPDS与BDI对孕期和产褥期抑郁症状筛出的一致性较差 ,Kappa值分别为0 2 6和 0 32。结论 :孕期抑郁情绪的发生率及抑郁水平均高于产褥期 。
Objective:To estimate the prevalence of depression during pregnancy and postpartum, to compare the depressed scores of the same women before and after childbirth and to evaluate the agreement of depressive classification between two self-rating scales.Method:The Edinburgh Postnatal Depression Scale(EPDS) and 13-item Beck Depression Inventory(BDI)were used to estimate the screening prevalence of depression during pregnancy and postpartum,respectively.A total of 427 subjects were selected for this study.Results:Using EPDS with a cut-off score≥13,the prevalences of depression at 34-36 weeks pregnancy and at four to six weeks postpartum were 7.7% and 7.3% respectively,while the corresponding prevalences using BDI(cut-off score ≥5)were 24.4% and 19.9%.The scores for depression both EPDS and BDI were higher in pregnancy than in postpartum.More women tended to decrease the depressed scores after childbirth.The agreement of identifying depressed women between EPDS and BDI was fair with Kappa values 0.26 and 0.32 during pregnancy and postpartum,respectively.Conclusions:The prevalence and severity of depressed mood are higher in pregnancy than those in postpartum.
出处
《华西医学》
CAS
2004年第3期421-422,共2页
West China Medical Journal
