父亲产前和产后抑郁症及其与母亲抑郁症的关联:一个元分析
James F Paulson1, Sharnail D Bazemore
1Department of Pediatrics, Eastern Virginia Medical School, E. V. Williams Hall, 855 W Brambleton Ave, Norfolk, VA 23510, USA. paulsojf@evms.edu
JAMA
|May 21, 2010
概括
父亲产前和产后抑郁症影响约10%的男性,出生后3-6个月达到顶峰. 这种父亲的抑郁症与母亲的抑郁症有着中等的联系,这突显了它的意义.
科学领域:
- 围产期心理健康问题
- 男人的健康 男人的健康
- 生殖精神病学是一种精神病学.
背景情况:
- 怀孕期间和产后产妇的抑郁症是常见的和有害的.
- 父亲抑郁症具有类似的特征,但研究较少.
- 关于父亲抑郁症的现有文献正在出现和不一致.
研究的目的:
- 为了确定在产前和产后期间父亲抑郁症的患病率和变异性.
- 检查父亲抑郁症和母亲抑郁症之间的关联.
主要方法:
- 从1980年到2009年,在多个数据库 (MEDLINE,PsycINFO,EMBASE,Google Scholar) 中进行了系统的文献搜索.
- 包括43项涉及28004名参与者的研究,数据由两名独立评级人员提取.
- 随机效应模型被用来计算事件率,因为有显著的异质性,调节者分析检查时间,测量和位置.
主要成果:
- 父亲抑郁症的总体元估计为10.4% (95% CI,8.5%-12.7%),具有显著的异质性.
- 父亲抑郁症的发病率在产后3至6个月期间是最高的 (25.6%;95% CI,17.3%-36.1%).
- 在父亲和母亲的抑郁症之间发现了中度正相关性 (r = 0.308).
结论:
- 在约10%的男性中存在产前和产后抑郁症,在产后早期观察到的比率更高.
- 父亲抑郁症与母亲抑郁症有中等的积极关联.
- 这些发现强调了在产周护理中解决父亲心理健康问题的重要性.
相关概念视频
Depression: Overview
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
Depressive Disorders: Etiology
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Panic Disorder
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...


