在儿科急诊室进行围产期抑郁症查
Naomi Abe1,2, Lukas Austin-Page1,2, Elizabeth Chang1,2
1Department of Pediatrics, University of California San Diego School of Medicine, La Jolla.
Pediatric emergency care
|August 1, 2025
概括
儿科急诊室 (PED) 可以通过查来识别患有围产期抑郁症 (PND) 的父母. 许多家长的查结果呈阳性,突出了在PED中普遍进行PND查的必要性.
科学领域:
- 儿科急救医学 儿科急救医学
- 孕产妇心理健康 孕产妇心理健康
- 公共卫生查 公共卫生查
背景情况:
- 围产期抑郁症 (PND) 与儿童医疗保健使用率的增加有关.
- 目前的PND查方法是不理想的.
- 在婴儿访问儿科急诊室 (PEDs) 期间对父母进行查可能会改善检测.
研究的目的:
- 在PED中识别和描述具有阳性PND查的父母.
- 评估访问PED的家长中PND查的流行率.
- 确定与阳性PND查和缺乏先前查相关的因素.
主要方法:
- 在第三级PED中对有婴儿 (<12个月) 的父母进行前性调查研究.
- 包括英语和西班牙语的父母;排除那些需要稳定婴儿的父母.
- 使用爱丁堡产后抑郁量表 (EPDS),得分为10被认为是积极的.
主要成果:
- 在452名家长中,有27.7%的家长被选为PND,结果呈阳性.
- 亚裔/亚裔美国人的父母和那些有精神健康状况的父母更有可能呈阳性查.
- 三分之一的家长报告说没有先前的PND查,这表明存在很大的差距.
结论:
- PED访问为PND查提供了宝贵的机会,特别是对于高风险,以前未经查的父母.
- 在各种各样的家长群体中,阳性查的高率支持在PED中进行普遍查.
- 迫切需要解决查缺口,并改善在这种环境中检测PND.
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