Journal of Korean Neuropsychiatric Association (신경정신의학)

Korean Neuropsychiatric Association (대한신경정신의학회)
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Clinical Application of Korean Version of Edinburgh Postnatal Depression Scale

한국판 Edinburgh Postnatal Depression Scale의 임상적 적용

Kim, Yong-Ku;Hur, Ji-Won;Kim, Kye-Hyun;Oh, Kang-Sub;Shin, Young-Chul
김용구;허지원;김계현;오강섭;신영철

  • Published : 2008.02.10
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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)

K-EPDS는 산후우울증을 평가하기 위해 가장 널리 사용되는 척도이다. 이는 기존에 우울증상을 측정하기 위해 사용되고 있던 BDI와 차별화된 문항으로 산후우울증에 더욱 민감하게 반응하며 무엇보다도 산후우울증을 경험하며 겪게 되는 일련의 증상을 평가한다는 점에서 그 진단적 효용성이 크다고 하겠다. 더욱이 임신 중에도 K-EPDS를 이용한 평가를 바탕으로 산후우울증에 대한 취약성을 평가할 수 있다는 것이 본 도구의 큰 장점으로 사료된다. 본 연구에서는 산후 6주에 실시한 K-EPDS의 최적 절단점을 9/10점으로 평가하였으며 해당 절단점의 활용을 통해 산후우울증에 대해 보다 정확한 예측이 가능할 것으로 보인다.

Keywords

References

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