严重的精神疾病和绝经前期
Sophie Behrman1, Clair Crockett2
1Oxford Health NHS Foundation Trust, UK.
BJPsych bulletin
|November 13, 2023
概括
绝经前期的荷尔蒙变化可能会使心理健康症状恶化,特别是对于那些有现有疾病的人来说. 合作护理和诸如激素治疗之类的治疗方法可以在这个过渡期改善整体幸福感.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 精神病学是一个精神病学.
- 妇女健康 妇女健康
背景情况:
- 绝经前期的荷尔蒙波动会引发各种身体和心理症状.
- 患有先前存在的精神障碍的人可能会在经期和更年期期间面临症状恶化和治疗反应的改变.
- 心理药物可以抑制雌激素,可能使更年期过渡复杂化.
研究的目的:
- 为了突出介质期前期荷尔蒙变化对心理健康的影响.
- 强调患有先前存在精神障碍的个人的风险.
- 为患有精神疾病的绝经前妇女倡导综合护理模式.
主要方法:
- 关于绝经前期期间荷尔蒙变化及其心理影响的文献综述.
- 心理药物对下丘脑-垂体-阴茎轴的影响分析.
- 探索初级和精神卫生服务之间的协作护理模式.
主要成果:
- 绝经前期期间的荷尔蒙波动对心理和身体健康产生重大影响.
- 预先存在的精神障碍可能会受到不利影响,并可能导致较差的长期身体健康结果.
- 通过精神药物抑制雌激素可能会加剧更年期过渡的挑战.
结论:
- 综合护理方法对于在患有精神疾病的妇女中主动管理绝经前期症状至关重要.
- 改变生活方式和激素替代疗法 (HRT) 可以改善福祉和心理/身体健康.
- 早期干预和量身定制的支持可以减轻更年期过渡期间的负面健康结果.
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