Japanese

Title	産後1カ月健診時のエジンバラ産後うつ病自己評価票得点に影響する要因
Subtitle	原著
Authors	和田清恵, 野浪裕子, 川瀬恵美里, 雁金那実子, 嶋田安希, 木村知子*
Authors (kana)
Organization	大津赤十字病院, *聖泉大学看護学部
Journal	滋賀母性衛生学会誌
Volume	19
Number	1
Page	15-22
Year/Month	2019 / 9
Article	原著
Publisher	滋賀県母性衛生学会
Abstract	「要約」本研究の目的は, 産後1カ月健診時に実施したエジンバラ産後うつ病自己評価票(Edinburgh Postnatal Depression Scale: 以下EPDS)得点に影響する因子を明らかにすることである. 平成29年6月1日から平成30年8月31日の間にA総合周産期母子医療センターで分娩した褥婦527名を対象に, 産後1カ月健診時のEPDS高得点を目的変数とし, 分娩歴, 児のNICU入院, 精神科・心療内科受診歴, 分娩様式, 妊娠リスクスコア(初期), 退院前のEPDS得点を説明変数とした多重ロジスティック回帰分析を行った. 分析の際, 退院前のEPDSは5つのカテゴリーに分け, 平均点を用いた. その結果, 退院前のEPDSのカテゴリーのうちの「育児に不慣れ・多忙」, 「臨床的うつ病の中核症状」, 「自殺念慮・自殺企図」と, 精神科・心療内科受診歴が, 産後1カ月健診時のEPDS得点に影響していた. 特に, 「育児に不慣れ・多忙」のカテゴリーの影響が強いことが明らかになった. 日本語版EPDSは産後1カ月時点での妥当性が示されているが, 産褥早期の退院前に実施し, カテゴリー別得点を評価することが, 産後1カ月時点のEPDS高得点者の予測に有用であるとの示唆を得た.
Practice	医学総合
Keywords	産後うつ, EPDS, 産褥早期

English

Title	Factors affecting Edinburgh Postnatal Depression Scale scores at the one-month postpartum medical checkup
Subtitle	Original Article
Authors	Kiyoe WADA, Yuko NONAMI, Emiri KAWASE, Namiko KARIGANE, Aki SHIMADA, Tomoko KIMURA*
Authors (kana)
Organization	Otsu Red Cross Hospital, *Seisen University Faculty of Nursing
Journal	Shiga Journal of Maternal Health
Volume	19
Number	1
Page	15-22
Year/Month	2019 / 9
Article	Original article
Publisher	Shiga Society of Maternal Health
Abstract	[Abstract] This study aimed to reveal the factors that affect the score of Edinburgh Postnatal Depression Scale (EPDS) at the one-month postpartum medical checkup. The participants were 527 postpartum mothers who delivered at the A General Perinatal Medical Center between June 1, 2017 and August 31, 2018. Multiple logistic regression analysis was performed with the objective variable of high score on EPDS at the one-month postpartum medical checkup, and explanatory variables of labor history, NICU hospitalization of the child, psychiatric or psychosomatic internal medicine consultation, delivery style, delivery age, gestational age, gestational age, pregnancy risk score (initial), and EPDS before discharge. In the analysis, EPDS before discharge was divided into five categories, and the average score was used. Results revealed that in the categories of EPDS before discharge, "inexperienced in child care and busy," "core symptoms of clinical depression," "suicidal ideation and suicide attempt," and "medical history of psychiatric or psychosomatic internal medicine" affected the score of EPDS at the one-month postpartum medical checkup. Especially, it became clear that the influence of the category of inexperienced in child care and busy was strong. The Japanese version of EPDS has been shown to be valid at the one-month postpartum medical checkup. It was concluded that administering the EPDS before discharge in the early postpartum period and assessing categorical scores may be useful as a screening for postpartum depression.
Practice	General medicine
Keywords	EPDS

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