Postpartum Depression

被引:335
作者
Stewart, Donna E. [1 ,2 ,5 ]
Vigod, Simone [3 ,4 ,5 ]
机构
[1] Univ Hlth Network, Ctr Mental Hlth, Toronto, ON, Canada
[2] Toronto Gen Hosp, Res Inst, Toronto, ON, Canada
[3] Womens Mental Hlth Program, Reprod Life Stages Program, Toronto, ON, Canada
[4] Womens Coll Hosp & Res Inst, Toronto, ON, Canada
[5] Univ Toronto, Toronto, ON, Canada
关键词
PERINATAL MENTAL-HEALTH; POSTNATAL DEPRESSION; SERUM CONCENTRATIONS; RISK-FACTORS; ANTIDEPRESSANTS; DISORDERS; PREGNANCY; MIRTAZAPINE; MANAGEMENT; WOMEN;
D O I
10.1056/NEJMcp1607649
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 28-year-old single mother of a 3-month-old son reports severe fatigue, general loss of interest, irritability, poor concentration, insomnia, low energy, and tearfulness that have lasted for 2 months. She had similar symptoms for several weeks when she was 18 years of age and again in mid-pregnancy, but her symptoms resolved spontaneously on those occasions. She is not suicidal or psychotic but feels that she cannot cope. What would you advise?
引用
收藏
页码:2177 / 2186
页数:10
相关论文
共 51 条
[1]  
American Psychiatric Association, 2010, PRACTICE GUIDELINE T
[2]  
American Psychiatric Association A. Association A.P, 2013, Diagnostic and Statistical Manual of Mental Disorders, DOI [DOI 10.1176/APPI.BOOKS.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596.744053]
[3]  
[Anonymous], 2015, Obstet Gynecol, V125, P1268, DOI 10.1097/01.AOG.0000465192.34779.dc
[4]  
[Anonymous], 2013, AHRQ COMP EFFECTIVEN
[5]  
[Anonymous], 2011, CLIN PRACT GUID DEPR
[6]  
[Anonymous], 2014, ANT POSTN MENT HEALT
[7]   Computer- or web-based interventions for perinatal mental health: A systematic review [J].
Ashford, Miriam T. ;
Olander, Ellinor K. ;
Ayers, Susan .
JOURNAL OF AFFECTIVE DISORDERS, 2016, 197 :134-146
[8]   Effects of gonadal steroids in women with a history of postpartum depression [J].
Bloch, M ;
Schmidt, PJ ;
Danaceau, M ;
Murphy, J ;
Nieman, L ;
Rubinow, DR .
AMERICAN JOURNAL OF PSYCHIATRY, 2000, 157 (06) :924-930
[9]   Diagnostic accuracy of the Whooley questions for the identification of depression: a diagnostic meta-analysis [J].
Bosanquet, Katharine ;
Bailey, Della ;
Gilbody, Simon ;
Harden, Melissa ;
Manea, Laura ;
Nutbrown, Sarah ;
McMillan, Dean .
BMJ OPEN, 2015, 5 (12)
[10]   Enhancing Participation in Depression Care in Outpatient Perinatal Care Settings A Systematic Review [J].
Byatt, Nancy ;
Levin, Leonard L. ;
Ziedonis, Douglas ;
Simas, Tiffany A. Moore ;
Allison, Jeroan .
OBSTETRICS AND GYNECOLOGY, 2015, 126 (05) :1048-1058