国内外3种常用产后抑郁筛查量表的比较研究  

Three common foreign postpartum depression screening scale comparative study

作　　者：李榕[1] 王婷婷[1] 朱启英[2] 邵红[1] 

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830011 [2]新疆医科大学第一附属医院产科,乌鲁木齐830011

出　　处：《新疆医科大学学报》2014年第9期1218-1220,共3页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区医学联合基金(2014211C019)

摘　　要：目的：通过对产后抑郁筛查量表（PDSS）与爱丁堡产后抑郁量表（EPDS）和 Beck抑郁量表（BDI-Ⅱ）的相关因素分析，寻找适合孕产期心理保健的有力工具。方法选择新疆医科大学第一附属医院爱婴病房的足月产初产妇，产后3-5 d用PDSS、EPDS和BDI-Ⅱ3种产后抑郁量表进行调查，以国际上广泛使用的EPDS量表作为标准进行相关因素分析。结果（1）PDSS 总分和各因子分与 EPDS 总分显著相关（r 值0．137-0．391，P ＜0．01），多元逐步回归分析PDSS有5个因子进入回归方程（R值0．300-0．407，P ＜0．05），依次为焦虑/担心、精神错乱、睡眠/饮食失调、情绪不稳定、自杀的想法；（2）PDSS与常用量表 EPDS和BDI-Ⅱ调查显示产后心境不良的总发生率分别为18．5％、15．3％和18．6％，3种量表调查结果一致（χ^2＝2．345，P ＞0．05）。结论建议产前使用简单易行、条目少的 EPDS量表进行大面积初筛，对得分高的产妇用PDSS进一步筛查，根据影响产后抑郁症发生、发展的相关因素，加强重点人群的孕产期心理保健，可有效预防产后抑郁症的发生。Objective In order to analyzed the Postpartum Depression Screening Scale （PDSS）correlation with commonly used Edinburgh Postnatal Depression Scale （EPDS）and Beck Depression Inventory-Ⅱ（BDI-Ⅱ）.Methods The Uygur and the Han term primipara before labor at the Love baby ward of the First Affiliated Hospital of Xinjiang Medical University were choosed for investigation.PDSS,EPDS and BDI-Ⅱ postpartum depression scales were used to investigate maternity blues of these primipara,and were followed-up by 3-5 days.Results （1 ）The total score of the PDSS and the score of all common factor were significantly correlated with the EPDS total score （r=0.137-0.391,P 〈0.01）.Five factors entered the regression equation by multiple stepwise regression analysis of the EPDS and PDSS factors （R value of 0.300-0.407,P〈0.05）,including anxiety/insecurity,mental confusion,sleeping/eating disturbances,emotional liability, suicidal thoughts.（2 ） Related factors：The overall incidence of maternity blues produced by the PDSS,EPDS and BDI-Ⅱ were 18.5%,15.3% and 18.6%.The result of the PDSS consistent with the commonly used scales （χ^2=2.345,P 〉0.05）.Conclusion We recommended using the EPDS scale,which is more simple and with less entries for large-scalely early screening,and using the PDSS for further screening of parturients who get high EPDS score.Through psychological health care of high risk population based on the the related factors that affect the occurrence and the development process of post-partum depression,we can effectively prevent the occurrence of PPD.

关 键 词：产后抑郁症 产后抑郁筛查量表 相关因素 

分 类 号：R195[医药卫生—卫生统计学]