Types and characteristics of short-term course of depression after delivery: using Zung's Self-Rating Depression Scale.
In order to clarify the prevalence and clinical features of so-called "maternity blues" and the relationship with depression after delivery, we conducted a prospective study on 220 mothers using the Zung's Self-Rating Depression Scale (ZSDS) 4-7 days after childbirth and again one month after childbirth. Their physical condition during their pregnancy had been evaluated earlier. As in a previous epidemiological study conducted in Japan, we classified subjects with a ZSDS score of 60 and over as a high scoring group. Eighteen mothers (8.18%) fell into this group ("maternity blues" group) in the one week post-partum evaluation. Comparing the ZSDS scores one month after childbirth with the earlier scores, in 10 women (4.5%), their scores decreased from 60 and over to below 60 (a "maternity blues" core group), and in 8 women (3.6%), their scores were still over 60 (a prolonged "maternity blues" group). Eleven (5.0%) out of the 202 women whose scores at one week after childbirth were below 60 showed a high score (60 and over) one month after childbirth (a potential depression group). All in, 191 women scored below 60 in both evaluations. Although we could divide the subjects into 4 groups as described above, we could not find any clinical symptoms to distinguish between the 3 groups with "maternity blues" or depression in the evaluation one week after childbirth. However, one finding suggests that these three groups may have different features.
Tsukasaki
M
M
Department of Neuropsychiatry, Nagasaki University School of Medicine, Japan.
Ohta
Y
Y
Oishi
K
K
Miyaichi
K
K
Kato
N
N
D000328:Adult; D000367:Age Factors; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012647:Self-Assessment