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产后抑郁症的病因与治疗

Etiology and treatment of postpartum depression.

作者信息

Flores Deborah Lynne, Hendrick Victoria C

机构信息

Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles, Neuropsychiatric Institute and Hospital, 760 Westwood Boulevard, Los Angeles, CA 90024, USA.

出版信息

Curr Psychiatry Rep. 2002 Dec;4(6):461-6. doi: 10.1007/s11920-002-0074-x.

Abstract

This article reviews the risk factors, pathogenesis, treatment, and prevention of postpartum depression. Postpartum depression is common and occurs in up to 18% of newly delivered mothers. Though the hormonal changes occurring after childbirth are believed to play a role in postpartum depression, no hormonal etiology has been identified. Estrogen appears somewhat helpful for postpartum depression, but its use is limited by problematic medical sequelae. Several antidepressants are effective for postpartum depression and appear safe for use by breastfeeding women. Psychosocial interventions and cultural rituals, which may prevent or ameliorate postpartum depression, have also been employed.

摘要

本文综述了产后抑郁症的危险因素、发病机制、治疗方法及预防措施。产后抑郁症很常见,高达18%的新产妇会出现该病症。尽管分娩后发生的激素变化被认为在产后抑郁症中起作用,但尚未确定激素病因。雌激素对产后抑郁症似乎有些帮助,但其使用受到不良医学后遗症的限制。几种抗抑郁药对产后抑郁症有效,且对哺乳期妇女使用似乎是安全的。心理社会干预和文化仪式也已被采用,它们可能预防或改善产后抑郁症。

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