Brockington I F, Macdonald E, Wainscott G
University of Birmingham, Bredenbury, UK.
Arch Womens Ment Health. 2006 Sep;9(5):253-63. doi: 10.1007/s00737-006-0134-z. Epub 2006 May 15.
129 mothers referred to specialist psychiatric services in Birmingham and Christchurch were interviewed with the Birmingham Interview. Anxiety disorders were more frequent than depression during pregnancy, and equally frequent after delivery. The focus of pre- and post-partum anxiety may be important for psychological treatment. At a severe level, the most common prepartum theme was fear of foetal death; this was associated with a history of reproductive losses or infertility. After delivery the commonest themes were the pathological fear of cot death and fear of the criticism of mothering skills (which was a clue to a disordered mother-infant relationship). Clinicians should be vigilant for obsessional disorders, querulant (complaining) disorders, post-traumatic stress disorder, conjugal jealousy and dysmorphophobic states, which are all quite common. Patients with "postpartum depression" usually had at least one other (co-morbid) disorder, and 27% had two or more. These findings emphasize the diversity of postpartum psychiatric illness.
对转介至伯明翰和克赖斯特彻奇的专科精神科服务机构的129名母亲进行了伯明翰访谈。孕期焦虑症比抑郁症更常见，产后两者出现的频率相同。产前和产后焦虑的焦点可能对心理治疗很重要。在严重程度上，最常见的产前主题是对胎儿死亡的恐惧；这与既往的流产史或不孕史有关。产后最常见的主题是对婴儿猝死综合征的病态恐惧以及对育儿技能受到批评的恐惧（这是母婴关系紊乱的一个线索）。临床医生应警惕强迫障碍、抱怨障碍、创伤后应激障碍、配偶嫉妒和畸形恐惧症状态，这些都相当常见。患有“产后抑郁症”的患者通常至少还有一种其他（共病）障碍，27%的患者有两种或更多种。这些发现强调了产后精神疾病的多样性。
