围产期的非精神病精神障碍 在围产期的非精神病精神障碍
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
概括
围产期精神障碍很常见,影响家庭. 心理社会干预措施对产后抑郁症有效,但需要更多关于怀孕和母乳养期间药物安全性的研究.
科学领域:
- 生殖医学 生殖医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 围产期精神障碍是影响母亲,儿童和家庭的常见疾病.
- 这些情况需要在怀孕和母乳养期间特别考虑治疗.
研究的目的:
- 总结有关非精神病性围产期精神障碍的流行病学,危险因素,鉴定和干预措施的证据.
- 审查在产周期期间治疗的有效性和安全性.
主要方法:
- 对围产期精神障碍的现有文献进行系统审查.
- 对随机对照试验的分析,重点关注心理社会和心理干预.
- 关于怀孕和母乳养期间药理疗法的证据评估.
主要成果:
- 心理社会和心理干预是有效的治疗和预防产后抑郁症.
- 关于围产期药物治疗的有效性和安全性的高质量研究有限.
- 怀孕和母乳养期间药物处方率很高,尽管证据有限.
结论:
- 有效的心理社会干预措施可用于围产期精神障碍,特别是产后抑郁症.
- 进一步的研究对于确定围产期药物治疗的安全性和有效性至关重要.
- 个人风险效益分析对于孕妇和哺乳期患者的处方决定至关重要.
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