Leahy-Warren Patricia, McCarthy Geraldine
Catherine McCAuley School of Nursing and Midwifery, National University of Ireland, University College Cork, Cork, Ireland.
Arch Psychiatr Nurs. 2007 Apr;21(2):91-100. doi: 10.1016/j.apnu.2006.10.006.
This article presents an overview of research on postnatal depression conducted with postnatal women only. Research spanning three areas is reviewed, namely, prevalence, mothers' experiences ,and treatments. The review shows prevalence rates varying from 4.4% to 73.7%, with the most recent systematic review suggesting a rate of 13%, indicating a serious clinical issue for nurses providing postnatal care to mothers. Mothers' experiences of living with postnatal depression exemplify such feelings as loneliness, anxiety, hopelessness, and loss of control at a time when expectations of joyousness are anticipated. Results of research on treatment options show limited success with antidepressant medications, some success with psychotherapeutic options, and the importance of social support for mothers with postnatal depression. Comparisons of studies are made from methodological perspectives, drawing on their strengths and limitations. Overall, this review highlights the high prevalence rates of postnatal depression, negative feelings exemplified by mothers' living with this condition, and the limited success of treatment options available to mothers. Postnatal depression is a significant clinical issue for nurses providing postnatal care for mothers and is underassessed, misunderstood, and very often poorly treated.
本文仅介绍了针对产后女性进行的产后抑郁症研究综述。回顾了涵盖三个领域的研究，即患病率、母亲的经历和治疗方法。综述显示患病率从4.4%到73.7%不等，最新的系统综述表明患病率为13%，这表明为产后母亲提供护理的护士面临着严重的临床问题。产后抑郁症母亲的经历体现出在本应充满喜悦的时期却感到孤独、焦虑、绝望和失去控制等情绪。治疗方案的研究结果表明，抗抑郁药物的效果有限，心理治疗有一定成效，社会支持对产后抑郁症母亲很重要。从方法论角度对各项研究进行了比较，分析了它们的优点和局限性。总体而言，本综述强调了产后抑郁症的高患病率、母亲患此病所表现出的负面情绪，以及可供母亲选择的治疗方案成效有限。产后抑郁症对于为产后母亲提供护理的护士来说是一个重大的临床问题，目前对其评估不足、存在误解，且治疗往往不力。
