未经证实:产后抑郁症可以采取多种形式。不同的症状模式可能会对我们如何筛查产生不同的影响,诊断,治疗产后抑郁症.我们试图利用最近开发的鲁棒估计算法来自动识别抑郁症状的差异模式,并随后表征表现出不同模式的个体。
UNASSIGNED:抑郁症状数据(N=548)来自美国两个城市的患有神经精神疾病的女性,参与了围产期压力的纵向观察研究。数据收集自1994年至2012年的埃默里大学和2012年至2017年的阿肯色大学医学科学。我们使用稳健的期望最大化算法对贝克抑郁量表(BDI)项目进行了探索性因子分析,而不是传统的期望最大化算法。这种最近开发的方法能够自动检测差异症状模式。我们描述了症状模式的差异,并对症状模式与人口统计和精神病史的关联进行了未经调整和调整的分析。
UNASSIGNED:该算法确定53(9.7%)参与者与其他参与者相比具有不同的报告症状模式。该组在所有项目中都有更严重的症状,尤其是与自我伤害和自我判断有关的项目,并且其症状与潜在心理结构的关系有所不同。社交焦虑症病史(OR:4.0;95%CI[1.9,8.1])和儿童创伤史(每增加5分,OR:1.2;95%CI[1.1,1.3])在调整其他协变量后与这种差异模式显着相关。
未经评估:社交焦虑障碍和儿童创伤与严重产后抑郁症状的不同模式有关,这可能需要定制的筛查策略,诊断,以及解决这些合并症的治疗。
UNASSIGNED:没有可申报的资金来源。
UNASSIGNED: Postpartum depression can take many forms. Different symptom patterns could have divergent implications for how we screen, diagnose, and treat postpartum depression. We sought to utilise a recently developed robust estimation algorithm to automatically identify differential patterns in depressive symptoms and subsequently characterise the individuals who exhibit different patterns.
UNASSIGNED: Depressive symptom data (N = 548) were collected from women with neuropsychiatric illnesses at two U.S. urban sites participating in a longitudinal observational study of stress across the perinatal period. Data were collected from Emory University between 1994 and 2012 and from the University of Arkansas for Medical Sciences between 2012 and 2017. We conducted an exploratory factor analysis of Beck Depression Inventory (BDI) items using a robust expectation-maximization algorithm, rather than a conventional expectation-maximization algorithm. This recently developed method enabled automatic detection of differential symptom patterns. We described differences in symptom patterns and conducted unadjusted and adjusted analyses of associations of symptom patterns with demographics and psychiatric histories.
UNASSIGNED: 53 (9.7%) participants were identified by the algorithm as having a different pattern of reported symptoms compared to other participants. This group had more severe symptoms across all items-especially items related to thoughts of self-harm and self-judgement-and differed in how their symptoms related to underlying psychological constructs. History of social anxiety disorder (OR: 4.0; 95% CI [1.9, 8.1]) and history of childhood trauma (for each 5-point increase, OR: 1.2; 95% CI [1.1, 1.3]) were significantly associated with this differential pattern after adjustment for other covariates.
UNASSIGNED: Social anxiety disorder and childhood trauma are associated with differential patterns of severe postpartum depressive symptoms, which might warrant tailored strategies for screening, diagnosis, and treatment to address these comorbid conditions.
UNASSIGNED: There are no funding sources to declare.