管理与焦虑相关的疾病从怀孕到成为父母
Willemijn Scholten1,2,3, Ilja Saris4,5,6, Eline Eigenhuis4,5,6
1Outpatient Clinic for Anxiety and Obsessive-Compulsive Disorders, GGZ inGeest, Amsterdam, The Netherlands. w.scholten@ggzingeest.nl.
Archives of gynecology and obstetrics
|March 10, 2026
概括
与焦虑相关的疾病 (ARD) 在计划生育和怀孕期间影响了五分之一的妇女. 治疗对母亲和儿童的福祉至关重要,需要临床意识和基于证据的策略.
科学领域:
- 心理健康 心理健康
- 生殖精神病学是一种精神病学.
- 发展心理学 发展心理学
背景情况:
- 与焦虑相关的障碍 (ARD),包括PTSD和强迫症,在生育年龄的女性中很常见.
- ARD的峰值患病率与计划生育,怀孕和产后期一致,影响20%的女性.
- 担忧包括焦虑的代际传播,症状恶化和怀孕期间治疗的安全性.
研究的目的:
- 在怀孕的背景下提供关于ARD的文献的叙事审查.
- 为临床决策提供关于孕妇ARD管理的实用建议.
- 解决临床医生在计划生育和育儿阶段治疗ARD时所面临的挑战.
主要方法:
- 一个叙事综述,综合现有的关于ARD和怀孕的理论和经验研究.
- 文献搜索侧重于遗传和环境因素,怀孕结果和治疗疗效.
主要成果:
- 由于遗传和环境影响,ARD在家庭内聚合.
- 怀孕期间母亲的焦虑与早产和低出生体重的更高风险有关.
- 心理治疗,包括暴露疗法,对于孕妇来说通常是有效和安全的,尽管症状的波动可能发生;SSRI使用需要风险-益处评估.
结论:
- 在未来的父母中解决ARD至关重要,因为它可能对父母和后代产生不利影响.
- 提高临床意识和基于证据的管理对于优化对这一群体的护理至关重要.
- 对后代焦虑脆弱性的预防策略需要进一步发展.
相关概念视频
Anxiety: Overview
1.2K
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
1.2K
Panic Disorder
970
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...
970
Anxiolytic Drugs: Overview
1.4K
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
1.4K
Generalized Anxiety Disorder
948
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
948
Behavior Therapy
873
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
873
Social Anxiety Disorder
663
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
663


