Beck Cheryl Tatano
University of Connecticut, School of Nursing, Storrs, CT 06269-6026, USA.
MCN Am J Matern Child Nurs. 2002 Sep-Oct;27(5):282-7. doi: 10.1097/00005721-200209000-00008.
Approximately 13% of new mothers experience postpartum depression. This crippling mood disorder wreaks havoc not only on the mothers themselves but also on their entire families. Between 25% and 50% of mothers with postpartum depression have episodes lasting 6 months or longer. The most significant factor in the duration of the postpartum depression is the length of delay to adequate treatment. The purpose of this article is to describe five different theoretical perspectives of postpartum depression and the interventions for treatment derived from each: the medical model, feminist theory, attachment theory, interpersonal theory, and self-labeling theory. Crucial to clinicians' choice of treatment of postpartum depression is the theoretical lens they use to view this devastating mood disorder. Nursing implications derived from these theoretical perspectives are addressed.
约13%的初为人母者会经历产后抑郁。这种严重的情绪障碍不仅对母亲自身造成严重破坏,也会影响整个家庭。产后抑郁的母亲中有25%至50%会出现持续6个月或更长时间的发作。产后抑郁持续时间的最重要因素是获得充分治疗的延迟时长。本文旨在描述产后抑郁的五种不同理论观点以及从每种观点衍生出的治疗干预措施:医学模式、女性主义理论、依恋理论、人际理论和自我标签理论。临床医生对产后抑郁治疗方法的选择,关键在于他们用以看待这种毁灭性情绪障碍的理论视角。文中还探讨了从这些理论观点得出的护理启示。