[如何向ADHD患者提供关于怀孕的建议? 探索医院精神病学家的实践]
Tijdschrift voor psychiatrie
|September 25, 2025
概括
怀孕和哺乳期间注意力缺陷多动症 (ADHD) 的治疗建议在精神病学家之间有所不同. 大多数人建议不要使用兴奋剂,探索诸如布洛普或非药物干预等替代方案.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 妇女健康 妇女健康
背景情况:
- 在怀孕和哺乳期间治疗ADHD的药物方面存在缺乏共识.
- 这使得患有多动症的生育年龄妇女的治疗决策变得复杂.
研究的目的:
- 概述指导方针,文献和医院精神病医师实践中的当前方法,用于为怀孕时的多动症患者提供咨询.
- 了解所提供的建议的考虑和变化.
主要方法:
- 从2024年3月到9月进行了文献搜索.
- 一份问卷调查了12名医院精神科医生,询问他们对考虑怀孕的ADHD患者的咨询实践.
- 收集的数据包括药物使用,并发症,最佳实践和非药物治疗干预措施.
主要成果:
- 大多数精神病医生建议不要在怀孕期间使用兴奋剂.
- 推的替代品包括布洛,非药物干预,抗抑郁药和抗精神病药.
- 大多数精神病医生也建议不要在哺乳期使用兴奋剂或布洛皮安,有些人采用共享决策.
结论:
- 精神病医生如何向患有多动症的妇女就怀孕提供建议存在显著差异.
- 需要对兴奋剂的药用和非药用替代品进行进一步的研究.
- 建议制定多学科指导方针.
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