한국판 Edinburgh Postnatal Depression Scale의 임상적 적용
Clinical Application of Korean Version of Edinburgh Postnatal Depression Scale
0
조회
0
다운로드
38
인용
0
참고문헌
키워드
초록
Objectives：The EPDS (Edinburgh Postnatal Depression Scale) is a 10-items self-report scale designed as a specific instrument to detect postnatal depression by Cox et al. (1987). This study was to determine the optimal cut-off point of the KEPDS for postpartum depression in Korea. Methods：The 239 pregnant women assessed their own psychiatric features with the Korean version of the Edinburgh Postnatal Depression Scale (K-EPDS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Rosenberg Self-Esteem Scale (RSES) and Marital Satisfaction Scale (MSS) at 6 months of pregnancy, 1 week after delivery, and 6 weeks after delivery. Subjects above 9 points of K-EPDS at 6 week after delivery were interviewed with Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to confirm postpartum depression. Results：The prevalence of postpartum depression was 12.6% (30/239 pregnant women) in our study. The total scores of K-EPDS at 6 weeks after delivery were higher significantly than those of normal group. The score gap of K-EPDS between the depressed pregnant group and the normal pregnant group was increased after the delivery. However, there were no differences in the epidemiological characteristics and the BDI scores at 6 weeks after delivery between groups. Using the AUC (area under the curve), the optimal point to assess the postpartum depression was revealed as 6 weeks after delivery (AUC=85.8%) or 24 weeks of pregnancy (83.7%). The cut-off point of K-EPDS to detect postpartum depression among pregnant women was 9/10 score of K-EPDS (AUC= 81.8%). Conclusion：In the K-EPDS, cut-off score of 9/10 was optimal to assess the postpartum depression, and K-EPDS at 6 weeks of delivery was more useful than any other point of time. K-EPDS administrated during pregnancy may be a useful tool to find the vulnerability on the postpartum depression. (J Korean Neuropsychiatr Assoc 2008;47(1):36-44)
Abstract
Objectives：The EPDS (Edinburgh Postnatal Depression Scale) is a 10-items self-report scale designed as a specific instrument to detect postnatal depression by Cox et al. (1987). This study was to determine the optimal cut-off point of the KEPDS for postpartum depression in Korea. Methods：The 239 pregnant women assessed their own psychiatric features with the Korean version of the Edinburgh Postnatal Depression Scale (K-EPDS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Rosenberg Self-Esteem Scale (RSES) and Marital Satisfaction Scale (MSS) at 6 months of pregnancy, 1 week after delivery, and 6 weeks after delivery. Subjects above 9 points of K-EPDS at 6 week after delivery were interviewed with Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to confirm postpartum depression. Results：The prevalence of postpartum depression was 12.6% (30/239 pregnant women) in our study. The total scores of K-EPDS at 6 weeks after delivery were higher significantly than those of normal group. The score gap of K-EPDS between the depressed pregnant group and the normal pregnant group was increased after the delivery. However, there were no differences in the epidemiological characteristics and the BDI scores at 6 weeks after delivery between groups. Using the AUC (area under the curve), the optimal point to assess the postpartum depression was revealed as 6 weeks after delivery (AUC=85.8%) or 24 weeks of pregnancy (83.7%). The cut-off point of K-EPDS to detect postpartum depression among pregnant women was 9/10 score of K-EPDS (AUC= 81.8%). Conclusion：In the K-EPDS, cut-off score of 9/10 was optimal to assess the postpartum depression, and K-EPDS at 6 weeks of delivery was more useful than any other point of time. K-EPDS administrated during pregnancy may be a useful tool to find the vulnerability on the postpartum depression. (J Korean Neuropsychiatr Assoc 2008;47(1):36-44)
참고문헌 (30)
- Cox JL, "A controlled study of the onset, duration and prevalence of postnatal depression", Br J Psychiatry, 163, pp.27~31 (1993)
- Kumar R, "A prospective study of emotional disorders in childbearing women", Br J Psychiatry, 144, pp.35~47 (1984)
- Park YJ, "The predictors of postpartum depression", J Korean Acad Nurs, 34, pp.722~728 (2004)
- Cogill SR, "Impact of maternal postnatal depression on cognitive development of young children. Br Med J (Clin Res Ed)", Br Med J (Clin Res Ed), 292, pp.1165~1167 (1986)
- Stein A, "The relationship between post-natal depression and mother-child interaction", Br J Psychiatry, 158, pp.46~52 (1991)
- Ballard CG, "Prevalence of postnatal psychiatric morbidity in mothers and fathers", Br J Psychiatry, 164, pp.782~788 (1994)
- Cox JL, "Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale", Br J Psychiatry, 150, pp.782~786 (1987)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Hopkins J, "Postpartum depression and postpartum adaptation: overlapping constructs?", J Affect Disord, 17, pp.251~254 (1989)
- Roy A, "Use of Edinburgh Postnatal Depression Scale in a North American population", Prog Neuropsychopharmacol Biol Psychiatry, 17, pp.501~504 (1993)
- Boyce P, "The Edinburgh Postnatal Depression Scale: validation for an Australian sample", Aust N Z J Psychiatry, 27, pp.472~476 (1993)
- Carpiniello B, "Validation of the Edinburgh Postnatal Depression Scale in Italy", J Psychosom Obstet Gynaecol, 18, pp.280~285 (1997)
- Kim YK, "Validation of the Korean version of Edinburgh Postnatal Depression Scale (K-EPDS)", J Kor Soc for Dep and Bip Disorders, 3, pp.42~49 (2005)
- 김중임, "한국판 에딘버러 산후우울측정도구의 타당성 연구", 여성건강간호학회지, 12(3), pp.204~209 (2006), 여성건강간호학회
- Hahn OS, "Development of Korean version of structured clinical interview schedule for DSM-IV axis I disorder: interrater reliability", J Korean Neuropsychiatr Assoc, 39, pp.362~372 (2000)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", J Korean Neuropsychiatr Assoc, (10), pp.98~113 (1991)
- Beck AT, "An inventory for measuring clinical anxiety: psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Kwon SM, "Differential roles of dysfunctional attitude and automatic thoughts in depression: An integrated cognitive model of depression", 박사, pp.1992
- Rosenburg M, "Society and the Adolescent Self-Image" (1965), Princeton University Press
- Kim MJ, "Development of the Korean Form of the Test Anxiety Inventory", J Kor Acad Child Adolesc Psychiatry, 2, pp.32~42 (1991)
- Roach AJ, "The marital satisfaction scale: development of a measure for intervention research", J Marr Fam, 43, pp.537~546 (1981)
- Lee IS, "An assessment of the validity of the marital satisfaction scale - Mss of Roach, Frazier, Bowden", 박사, pp.1986
- Yoshida K, "Postnatal depression in Japanese women who have given birth in England", J Affect Disord, 43, pp.69~77 (1997)
- Lee DT, "Detecting postnatal depression in Chinese women. Validation of the Chinese version of Edinburgh Postnatal Depression Scale", Br J Psychiatry, 172, pp.433~437 (1998)
- Harris B, "The use of rating scales to identify post-natal depression", Br J Psychiatry, 154, pp.813~817 (1989)
- Altshuler LL, "Course of mood and anxiety disorders during pregnancy and the postpartum period", J Clin Psychiatry, 59(2), pp.29~33 (1998)
- Whisman MA, "Mood reactivity to marital conflict: the influence of marital dissatisfaction and depression", Behav Therapy, 33, pp.299~314 (2002)
- Fontaine KR, "Self-esteem, optimism, and postpartum depression", J Clin Psychol, 53, pp.59~63 (1997)
- O’Hara MW, "Rates and risk of postpartum depression-a meta analysis", Int Rev Psychiatry, 8, pp.37~54 (1996)
- Harris B, "The use of rating scales to identify post-natal depression", Br J Psychiatry, 154, pp.813~817 (1989)