@article{oai:ir.kagoshima-u.ac.jp:00014217,
 author = {若松, 美貴代 and WAKAMATSU, Mikiyo and 中村, 雅之 and NAKAMURA, Masayuki and 春日井, 基文 and KASUGAI, Motofumi and 肝付, 洋 and KIMOTSUKI, Hiroshi and 小林, 裕明 and KOBAYASHI, Hiroaki},
 issue = {1},
 journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University},
 month = {Mar},
 note = {近年，妊産褥婦の自殺，子どもの虐待の問題から周産期メンタルヘルスの重要性が注目されるようになった。より細やかな支援のためには妊娠早期から関わることが必要である。そのため2017年に母子保健法改正が行われた。妊娠早期から産後うつ病を予測できる質問紙が求められ開発が行われているが，日本で使用できるものは少ない。諸外国で広く用いられているPostpartum Depression Predictors Inventory-Revised（PDPI-R）が有効と考えられる。日本語へ翻訳し，信頼性，妥当性と産前産後のカットオフ値の検討も行われている。PDPI-Rは妊娠期から産後うつ病を予測できるだけでなく，妊産褥婦の背景を多角的に把握でき，支援する際のアプローチの手がかりにもなりうる。今後，本調査票が広く用いられ，産後うつ病，虐待，ボンディング障害の関係性についても明らかになることが期待される。, In recent years, the issues of suicide and child abuse committed by pregnant and postpartum woman have focused attention on perinatal mental health. Three questionnaires for use after childbirth have been found to identify mothers at risk for postpartum depression and child abuse. However, for detailed assistance it is necessary to provide support early in the pregnancy. Therefore, the Maternal and Child Health Law was revised in 2017.
A questionnaire that can predict postpartum depression from early pregnancy is required and some candidates have been developed. However, no such questionnaire has been validated for use in Japan. The Postpartum Depression Predictors Inventory-Revised (PDPI-R), which is widely used in other countries, is considered to be effective for predicting postpartum depression. Therefore, we translated the PDPI-R into Japanese and examined its reliability, validity, and cut-off values during pregnancy and postpartum.
The PDPI-R could not only predict postpartum depression during pregnancy, but also provided a multifaceted understanding of the backgrounds of perinatal woman. We hope that this questionnaire will be widely used in the future. It is expected that the use of the PDPI-R will help clarify the relationships among postpartum depression, child abuse, and bonding disorder.},
 pages = {21--30},
 title = {妊娠期からの周産期メンタルヘルス支援と今後の課題},
 volume = {28},
 year = {2018}
}