在中国的社区人口中,产后抑郁症的流行率和最佳查工具
Zhen Zeng1, Qiao Li1, Eric D Caine2
1HER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Hunan 410078, China.
Journal of affective disorders
|December 28, 2023
概括
在中国的产后抑郁症 (PPD) 查发现患病率为3.3%. 结合Whooley问题和爱丁堡产后抑郁量表 (EPDS),为新生母亲提供了最佳的查.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 产后抑郁症 (PPD) 是一个重要的全球公共卫生问题.
- 中国计划的基于社区的PPD查在流行数据和工具验证方面面临挑战.
研究的目的:
- 为了确定中国PPD的社区流行率.
- 在社区环境中验证PPD查工具.
- 为了确定PPD的最佳查方法.
主要方法:
- 在中国长沙招募新生母亲,通过自我管理的问卷 (EPDS,PHQ-9,Whooley问题) 进行PPD查.
- 在线视频诊断采访基于DSM-IV标准,由盲人专家进行.
- 根据可接受性和诊断准确性 (敏感性,特异性,PPV,NPV) 评估查工具.
主要成果:
- 总共有2730名妇女完成了查;1862人接受了诊断面试.
- 当前抑郁症的患病率为3.3% (在1862年中为62例).
- 最优的查方法结合了Whooley问题和EPDS (切线>10),产生0.76的灵敏度和0.93.9的特异性.
结论:
- 该样本的PPD患病率低于之前在中国报告的,可能是由于方法.
- 结合Whooley问题和EPDS是对这一群体最有效的查策略.
- 鉴于目前的患病率,所选择的查方法可能仍然会产生大量的假阳性.
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