【摘要】 目的 主要调查香港地区中国妇女流产后精神疾病的患病半。方法 对282名妇女在流产后6周用30项一般健康问卷(GHQ)、Edinburgh产后抑郁量表(EPDS)和Beck抑郁量表(BDI)进行评定,以DSM-Ⅲ-R定式检查(SCID)建立诊断,检验GHQ、EPDS与DSM-Ⅲ-R诊断间效标效度,以及和BDI间的平行效度。结果 29名妇女(10.3％)符合DSM-Ⅳ-R重症抑郁诊断,GHQ、EPDS具有良好的效标效度和平行效度. 结论 中国香港妇女流产后精神障碍患病率较低,EPDS、GHQ适合用于综合性医院中流产后抑郁障碍的筛查。更多还原

【Abstract】 Objective: The aim of this study was to measure the prevalence of psychiatric morbidity following miscarriage among Chinese women in Hong Kong. The utility of two simple and brief self-report questionnaires in screening psychiatric morbidity after miscarriage was also evaluated. Methods: 282 subjects completed the 30-item General Health Questionnaire (GHQ), the Edinburgh Postnatal Depression Scale (EPDS) and the Beck Depression Inventory (BDI) six weeks after miscarriage. They were then assessed with the Structured Clinical Interview for DSM-III -R (SCID) to establish psychiatric diagnoses. The criterion validity of GHQ and EPDS were tested against this yardstick diagnosis, and the concurrent validity against the BDI scores. The internal consistency of the scales was measured by Cronbach’s a coefficient. Results: 29 subjccts(10.3%) met the DSM-III-R criteria for major depression. Both GHQ and EPDS had good sensitivity and specificity in screening for psychiatric morbidity after miscarriage. The concurrent validity and the internal consistency of both scales were satisfactory. Conclusions: Chinese women in Hong Kong have a lower rate of psychiatric morbidity after a miscarriage. The EPDS and GHQ will be particularly useful for non-psychiatric medical personal in screening for depressive illness after miscarriage.更多还原