Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale

Abstract Objective To detect depression during pregnancy and in the immediate postpartum period using the Edinburgh postpartum depression scale (EPDS). Methods Cross sectional study of 315 women, aged between 14 and 44 years, who received perinatal care at the Leonor Mendes de Barros Hospital, in São Paulo, between July 1st, 2019 and October 30th, 2020. The cutoff point suggesting depression was ≥ 12. Results The screening indicated 62 (19.7%) patients experiencing depression. Low family income, multiparity, fewer prenatal appointments, antecedents of emotional disorders, dissatisfaction with the pregnancy, poor relationship with the partner, and psychological aggression were all risk factors associated with depression in pregnancy or in the immediate postpartum period. Antecedents of depression and psychology aggression during pregnancy were significant variables for predicting perinatal depression in the multivariate analysis. Conclusion There is a significant association between the occurrence of perinatal depression and the aforementioned psychosocial factors. Screening patients with the EPDS during perinatal and postpartum care could facilitate establishing a line of care to improve the wellbeing of mother and infant.

摘要
研究目的：采用爱丁堡产后抑郁量表（Edinburgh Postpartum Depression Scale, EPDS）检测妊娠期及产后即刻的抑郁症状。
研究方法：本研究为横断面研究，纳入2019年7月1日至2020年10月30日期间，于巴西圣保罗莱昂诺尔·门德斯·德·巴罗斯医院接受围产期保健的315名年龄介于14~44岁的女性作为研究对象。本研究设定的抑郁筛查临界值为≥12分。
研究结果：筛查结果显示，共有62名（19.7%）研究对象存在抑郁症状。低家庭收入、多产次、产前检查次数较少、既往情绪障碍病史、对妊娠不满意、与伴侣关系不睦以及遭受妊娠期心理攻击，均为妊娠期或产后即刻抑郁的相关危险因素。多因素分析结果表明，既往抑郁史与妊娠期心理攻击是预测围产期抑郁的显著变量。
研究结论：围产期抑郁的发生与上述多种社会心理因素存在显著关联。在围产期及产后保健过程中采用EPDS进行患者筛查，有助于建立针对性照护方案，以改善母婴健康福祉。