两种筛查量表早期发现产后抑郁的效果对比  

Comparison of two screening scales in screening postpartum depression

作　　者：刘梅[1] 廖少玲[2] 文若兰[3] 

机构地区：[1]广东医学院2009级研究生,湛江524023 [2]广东医学院附属医院护理研究室,湛江524023 [3]广东医学院附属医院工会,湛江524023

出　　处：《中华现代护理杂志》2012年第19期2274-2276,共3页Chinese Journal of Modern Nursing

摘　　要：目的比较产后抑郁筛查量表（PDSS）和爱丁堡产后抑郁量表（EPDS）在产后抑郁筛查中的应用价值。方法采用PDSS、EPDS及美国精神障碍诊断与统计手册第4版轴Ⅰ障碍定式临床检查患者版（SCID—I／P）同时对445名产后6周的妇女进行评定，以SCID—I／P作为产后抑郁诊断金标准。结果两种量表的临界值分别为74分和10分。PDSS的灵敏度（93．33％）和特异度（94．75％）的组合较好。PDSS与EPDS的ROC曲线下面积分别为0．978和0．872，差异均有统计学意义（P均〈0．05）。结论与EPDS相比，PDSS具有较好的筛检价值，是早期发现产后抑郁患者的简单、快速、准确的筛查工具。Objective To compare the value of the Postpartum Depression Screening Scale （PDSS） and the Edinburgh Postnatal Depression Scale （EPDS） in the screening of postpartum depression. Methods A total of 445 women within 6 weeks postpartum completed PDSS, EPDS and Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition （SCID-I/P）. The SCID-I/P was regarded as the gold standard for postpartum depression diagnosis. Results The cut-off score for PDSS and EPDS was 74 and 10, respectively. PDSS achieved the higher combination of sensitivity （93.33%） and specifity （94.75%）. The area under the curve for PDSS and EPDS was 0.978 and 0. 872, respectively （ P 〈 0.05 ）. Conclusions Compared with EPDS, PDSS has a higher screening value. It is a simple, fast and accurate screening tool for postpartum depression.

关 键 词：产后抑郁 筛查 产后抑郁筛查量表 爱丁堡产后抑郁量表 

分 类 号：R749.4[医药卫生—神经病学与精神病学]