患者健康问卷PHQ-9对产前及产后抑郁症的预测性研究  

Predictive research of Patient Health Questionnaire PHQ-9 for antenatal and postpartum depression

作　　者：曹竞予 李和江[1] 

机构地区：[1]杭州市第一人民医院妇产科,浙江杭州310006

出　　处：《中国妇幼保健》2016年第23期4976-4978,共3页Maternal and Child Health Care of China

摘　　要：目的探讨PHQ-9量表对产前抑郁(AD)和产后抑郁(PD)的筛查作用。方法选择孕周32周孕妇200例,采用PHQ-9量表对所有孕妇在孕周32周、孕周36周、产后1周、产后6周进行心理评估,并在产后1周、产后6周加用爱丁堡产后抑郁量表(EPDS)评估。观察孕妇的情绪变化及PHQ-9量表在产前产后评估的效用。结果 PHQ-9量表对PD的评估与EPDS有较好的一致性;产前PHQ-9量表阳性结果人群,发生PD的可能性大,PHQ-9量表对AD的筛查和PD的预测有一定作用。结论精神因素作为分娩的重要因素,应引起高度重视。在产前筛查出有抑郁情绪的孕妇,及早进行心理干预对于减少PD的发生有意义。Objective To explore the screening function of Patient Health Questionnaire （PHQ-9） for antenatal depression （AD） and postpartum depression （PD） . Methods A total of 200 pregnant women of 32 gestational weeks were selected, PHQ-9 was used for psychological assessment among all the pregnant women in the 32nd and 36th gestational weeks, one and six weeks after delivery. Edinburgh Postnatal Depression Scale （EPDS） was used to evaluate the study objects after one week and six weeks of delivery. The mood changes were observed, the effectiveness of PHQ-9 in antenatal and postpartum evaluation was analyzed. Results The consistency of PHQ-9 and EPDS in assessing PD was good; the probability of PD was high among the study objects with positive result of antenatal PHQ-9, PHQ-9 played a certain role in screening AD and predicting PD. Conclusion As one of the important factors of delivery, psychic factor should be paid more attention to. Early psychological intervention among the pregnant women with depression during antenatal screening can reduce PD.

关 键 词：患者健康问卷 产前抑郁 产后抑郁 

分 类 号：R395.6[哲学宗教—心理学]