Senin, 17 November 2008

Post Partum Depressi = Depresi Paska Melahirkan

Pendapat terakhir menyimpulkan PPD disebabkan gangguan hormon pada bufas (ibu nifas), yakni terjadinya penurunan kadar insulin yang selanjutnya menurunkan kadar serotonin otak. Serotonin diketahui fungsinya adalah untuk mengatur mood.

Buat ibu2 paska melahirkan ada baiknya melakukan test ini ( test sendiri), karena ternyata banyak kasus PPD terutama yang ringan tidak terdeteksi oleh pasien maupun keluarganya. Gunanya agar bisa diambil langkah dini agar tidak memberat.

Lakukan test ini setelah seminggu paska melahirkan. Yang biasa dipakai adalah : Edinburgh Scale, seperti dibawah ini

1. I have been able to laugh and see the funny side of things:
1. As much as I always could
2. Not quite so much now
3. Definitely not so much now
4. Not at all

2. I have looked forward with enjoyment to things:
1. As much as I ever did
2. Rather less than I used to
3. Definitely less than I used to
4. Hardly at all

*3. I have blamed myself unecessarily went wrong:
1. Yes, most of the time
2. Yes, some of the time
3. Not very often
4. No, never

4. I have been anxious or worried for no good reason:
1. No, not at all
2. Hardly ever
3. Yes, sometimes
4. Yes, very often

*5. I have felt scared or panicky for no good reason:
1. Yes, quite a lot
2. Yes, sometimes
3. No, not much
4. No, not at all

*6. Things have been getting on top of me:
1. Yes, most of the time I haven't been able to cope at all
2. Yes, sometimes I haven't been coping as well as usual
3. No, most of the time I have coped quite well
4. No, I have been coping as well as ever

*7. I have been so unhappy that I have had difficulty sleeping:
1. Yes, most of the time
2. Yes, sometimes
3. Not very often
4. Not at all

*8. I have felt sad or miserable:
1. Yes, most of the time
2. Yes, quite often
3. Not very often
4. No, not at all

*9. I have been so unhappy that I have been crying:
1. Yes, most of the time
2. Yes, quite often
3. Only occasionally
4. No, never

*10. The thought is harming myself has occurred to me:
1. Yes, often
2. Sometimes
3. Hardly ever
4. Never

Penilaian skor:
  • Untuk pertanyaan nomor 1,2 and 4 (tanpa tanda * asterisk) - jawaban nomor 1 nilainya 0; nomor 2 = 1, 3 = 2 dan 4 nilainya = 3 poin.
  • Untuk pertanyaan 3, 5-10 (dengan tanda *asterisk) - jawabab pertanyaan nomor 1 nilainya = 3 poin, 2 = 2, 3 = 1 dan jawaban no 4 = 0 poin.
  • Skor Maximum = 30 points
  • Kemungkinan depresi jika skor minimal 10, hubungi dokter kamu.