以實證為導向之周產期憂鬱處置

Evidence-Based Management of Perinatal Depression

周產期憂鬱泛指婦女從懷孕開始到產後一年內發生憂鬱症狀之健康問題，是世界衛生組織重視的婦女健康議題之一。周產期憂鬱不僅會影響婦女本身的健康，同時也會影響婦女與孩子或家人的人際互動。本文介紹常用之憂鬱篩檢工具，及非藥物的處置運用在周產期憂鬱婦女的實證資料。目前已經有一些簡便有效的篩選工具，採用愛丁堡憂鬱量表或貝氏憂鬱量表對產前門診婦女進行常規性篩檢是可行的。截至目前的文獻，有關周產期憂鬱之非藥物處置的研究報告不多，但可窺知人際關係療法、認知行為療法及音樂聆聽可改善周產期婦女的憂鬱。建議未來專業人員宜考量婦女的生活經驗和喜好進行更多這方面的研究，以實證的基礎推動婦女健康。

Perinatal depression, which may occur from pregnancy to one year after childbirth, is recognized by the World Health Organization as a significant health issue affecting women. Depression during the perinatal period can have enormous consequences, not only affecting the health of the woman herself but also influencing her interaction with her children and other family members. This article introduces several depression screening tools and evidence-based nonpharmacological managements of perinatal depression. There are some fairly valid and feasible screening methods, among which routinely screening perinatal women with EPDS (Edinburgh Perinatal Depression Scale) or BDI (Beck Depression Inventory) in the primary care setting is practicable. A survey of the limited literature available reveals that interpersonal psychotherapy, cognitive behavior therapy and listening to music provide quantifiable depression amelioration effects for perinatal women. More scientific research moderated by women's life experiences and preferences should be conducted, however, and applied to improve women's health.