産後うつ病を予防するための介入:米国の予防サービスタスクフォースの勧告声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|February 13, 2019
まとめ
産前うつ病は多くの女性に影響します. CBTのようなカウンセリングの介入は リスクの高い妊婦や産後患者で 予防に有効で 純利益は適度です
科学分野:
- 産婦人科
- 精神科
- 予防医学
背景:
- 妊娠中または出産後の7人に1人の女性が患っています.
- 母親と子供の両方に 悪い結果をもたらします
- 妊娠と出産後の合併症です
研究 の 目的:
- 産後うつ病を予防するための介入に関する新しい勧告を発行する.
- 予防的介入の利益と害に関する証拠を検証する.
- リスクの高い女性を特定し 効果的な介入のタイミングを決定する
主な方法:
- 胎児うつ病に対する予防的介入に関する証拠の体系的なレビュー
- カウンセリング,医療システム,行動,薬学的アプローチの評価.
- リスク識別ツールと介入のタイミングの評価
主要な成果:
- カウンセリングの介入 (CBT,IPTなど) は,胎児うつ病の予防に有効です.
- 鬱病の歴がある女性や 特定の危険因子がある女性が最も恩恵を受けます
- カウンセリングの害は最小で,他の介入の証拠は不十分です.
結論:
- 臨床医は,リスクのある妊婦や産後の妊婦にカウンセリングを提供するか,または紹介すべきである.
- この推薦は,胎児うつ病の予防に適度な純利益をもたらします.
- "B"の勧告は,適度な利益の確実性を示しています.
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