医学
爱丁堡产后忧郁量表
萧条(经济学)
置信区间
前瞻性队列研究
抑郁症状
出院
儿科
产后抑郁症
人口统计学的
队列研究
队列
产科
怀孕
精神科
内科学
人口学
焦虑
经济
社会学
宏观经济学
生物
遗传学
作者
Craig F. Garfield,Young S. Lee,Liam Warner-Shifflett,Rebecca Christie,Kathryn Jackson,Emily S. Miller
出处
期刊:Pediatrics
[American Academy of Pediatrics]
日期:2021-06-18
卷期号:148 (2)
被引量:40
标识
DOI:10.1542/peds.2020-042747
摘要
To examine the trajectory and risk factors of depression symptoms among parents from NICU admission to 30 days postdischarge. We hypothesized depression symptom scores would decrease from admission and then increase from discharge to 30 days.Prospective longitudinal cohort study of premature infants in NICU. Parents completed the validated Edinburgh Postnatal Depression Scale (EPDS) at 4 time points: NICU admission, discharge, and 14 days and 30 days postdischarge. EPDS score change across time and probability of a positive screen (EPDS ≥10) were by assessed using mixed effect regression models.Of 431 parents enrolled (mothers, n = 230 [53%]), 33% of mothers (n = 57) and 17% of fathers (n = 21) had a positive EPDS screening. Score change was 1.9 points different between mothers and fathers (confidence interval [CI]: 1.3-2.6; P < .0001), with mothers decreasing 2.9 points (CI: 2.1-3.7; P < .0001) and fathers decreasing 1.0 points (CI: 0.1-2.0; P = .04). Over time, mothers decreased 10.96 times (CI: 2.99-38.20; P = .0003); fathers decreased at a nonsignificant rate. Admission or discharge screening improved 30-day depressive symptom prediction (AUC 0.66 baseline demographics only versus 0.84+initial [P < .0001], and versus 0.80+discharge screening [P < .001]).Mothers and fathers experience different depressive symptom trajectories from NICU to home. Screening parents for postpartum depression during the NICU stay is likely to result in improved identification of parents at risk for postpartum depression after discharge. Focused attention on fathers appears warranted.
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