产后抑郁症的筛选和抑郁状况的追踪  

The screening and follow-up study of postnatal depression

作　　者：王中海[1] 周霞平[2] 陈向一[3] 李建英[4] 

机构地区：[1]广东省深圳市南山区人民医院妇科,518052 [2]广东省深圳市第二人民医院产科,518040 [3]广东省深圳市南山区人民医院心理科,518052 [4]广东省深圳市南山区人民医院神经内科,518052

出　　处：《中华神经医学杂志》2006年第8期809-811,共3页Chinese Journal of Neuromedicine

摘　　要：目的了解妇女产后4～6周抑郁症的发病情况及经过8～12个月后其抑郁状况的恢复情况及其影响因素。方法用爱丁堡产后抑郁量表(EPDS)对352例4～6周前生产的妇女进行产后抑郁症的筛查,并对产后抑郁症筛查阳性者8～12月内进行追踪,再次用EPDS和母亲一般情况调查表进行评定。结果产后4～6周抑郁症的筛选阳性率为15．9%,筛选阳性者在产后8～12月仍有41%的妇女保持抑郁状态。夫妻感情、与父母的关系、孩子的抚养及是否恢复工作是影响产后妇女抑郁状况的主要因素。结论产后抑郁症的发生率较高,夫妻感情和睦、与父母的关系融洽是产后抑郁症的保护性因素。Objective To estimate the prevalence of postnatal depression （PPD） in 4～6 weeks after childbirth and to explore the recovery process and the influential factors of PPD in 8～12 months after childbirth. Methods The edinburgh postnatal depression scale （EPDS） was used to estimate the screening prevalence of PPD within 352 women in 4～6 weeks after childbirth. 56 women with PPD and 60 non-PPD were investigated with EPDS and then with the delivery woman general situation questionnaire in 8～12 months after childbirth. Results The prevalence of PPD 4～6 weeks after childbirth was 15.9%. 8～12 months after of childbirth, 41% women remained depressed. The influential factors included marital relation, relation with the parents, prQblems of raising child and layoff. Conclusion The prevalence of postnatal depression （PPD） is high, The social support like intimate relation of couples and close relation with parents is protective factor against PPD.

关 键 词：产后抑郁症 筛选 研究追踪 

分 类 号：R749.4[医药卫生—神经病学与精神病学]