Postpartum psychiatric disorders

被引:217
作者
Meltzer-Brody, Samantha [1 ]
Howard, Louise M. [2 ]
Bergink, Veerle [3 ,4 ]
Vigod, Simone [5 ]
Jones, Ian [6 ]
Munk-Olsen, Trine [7 ]
Honikman, Simone [8 ]
Milgrom, Jeannette [9 ,10 ]
机构
[1] Univ N Carolina, Chapel Hill, NC 27599 USA
[2] Kings Coll London, London, England
[3] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY 10029 USA
[4] Icahn Sch Med Mt Sinai, Dept Obstet Gynecol & Reprod Med, New York, NY 10029 USA
[5] Univ Toronto, Toronto, ON, Canada
[6] Cardiff Univ, Div Psychol Med, MRC Ctr Neuropsychiat Genet & Genom, Natl Ctr Mental Hlth, Cardiff, S Glam, Wales
[7] Aarhus Univ, Aarhus, Denmark
[8] Univ Cape Town, Cape Town, South Africa
[9] Parent Infant Res Inst, Melbourne, Vic, Australia
[10] Univ Melbourne, Melbourne, Vic, Australia
关键词
QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; POSTNATAL DEPRESSION SCALE; PERINATAL MENTAL-HEALTH; COGNITIVE-BEHAVIORAL THERAPY; MOTHER-INFANT RELATIONSHIP; INTIMATE PARTNER VIOLENCE; MIDDLE-INCOME COUNTRIES; BIPOLAR DISORDER; MATERNAL DEPRESSION;
D O I
10.1038/nrdp.2018.22
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders (PPDs). These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other PPDs can include obsessive-compulsive disorder, post-traumatic stress disorder and eating disorders. The aetiology of PPDs is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors. The goals of treating postpartum mental illness are reducing maternal symptoms and supporting maternal-child and family functioning. Women and their families should receive psychoeducation about the illness, including evidence-based discussions about the risks and benefits of each treatment option. Developing effective strategies in global settings that allow the delivery of targeted therapies to women with different clinical phenotypes and severities of PPDs is essential.
引用
收藏
页码:1 / 18
页数:18
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