産前期における非精神病性精神障害
Louise M Howard1, Emma Molyneaux1, Cindy-Lee Dennis2
1Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Lancet (London, England)
|December 3, 2014
まとめ
生後期の精神障害は一般的であり,家族に影響を及ぼします. 心理社会的な介入は,産後うつ病に対する有効性を示しているが,妊娠および授乳中の薬剤の安全性に関するさらなる研究が必要である.
科学分野:
- 生殖医学は,生殖器医学である.
- 精神科医は精神病を患っている.
- 公衆衛生は公衆衛生である.
背景:
- 生後期の精神障害は,母親,子供,家族に影響を与える一般的な病気です.
- これらの症状は,妊娠および授乳中の特定の治療を検討する必要があります.
研究 の 目的:
- 疫学,危険因子,非精神病性近生期の精神障害の識別,介入に関する証拠を要約する.
- 産前期間の治療法の有効性と安全性を検討する.
主な方法:
- 生理周期の精神障害に関する既存の文献の体系的なレビュー.
- 心理社会的および心理的介入に焦点を当てたランダム化比較試験の分析.
- 妊娠および授乳中の薬物療法に関する証拠の評価.
主要な成果:
- 心理社会的および心理的介入は,産後うつ病の治療および予防に有効です.
- 産前期間に薬理学的治療の有効性と安全性に関する質の高い研究は限られている.
- 妊娠および授乳中の薬剤の処方率は,限られた証拠にもかかわらず高いです.
結論:
- 生後期の精神障害,特に産後うつ病に対して,効果的な心理社会的介入が利用可能である.
- 産前期における薬理学的治療の安全性と有効性を確立するために,さらなる研究が不可欠です.
- 個々のリスク・利益の分析は,妊婦および母乳育児者の処方決定に不可欠です.
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