Hornstein C, Trautmann-Villalba P, Hohm E, Rave E, Wortmann-Fleischer S, Schwarz M
Allgemeinpsychiatrie und Psychotherapie 1, Mutter-Kind Behandlung (Station 43), Psychiatrisches Zentrum Nordbaden, Akademisches Lehrkrankenhaus der Universität Heidelberg, Heidelberger Strasse 1a, 69168 Wiesloch.
Nervenarzt. 2007 Jun;78(6):679-84. doi: 10.1007/s00115-006-2251-3.
The period around delivery frequently causes psychiatric diseases that may disturb maternal competence and influence bonding behaviour with the child. Until now only a few possibilities have existed for inpatient treatment and therapy for these problems. The therapy program developed in Wiesloch, Germany, is especially well suited to such patients.
Fifty-three mothers with postpartum disorders (33 depressive, 20 psychotic) were examined before and after therapy. Psychopathologic severity, psychosocial level of functioning, and parameters of the mother-child interaction were assessed and compared.
Overall the results showed clear improvements in the assessed parameters at the end of treatment for both psychotic mothers and those with affective disorders.
The interactional treatment program for postpartum mental disorders leads to a significant reduction in psychic/psychiatric severity and the associated psychosocial impairment and disturbed mother-child interaction. Considerations of the effects of therapy were not possible due to the study design.
分娩前后这段时期常常会引发精神疾病，这些疾病可能会干扰母亲的能力，并影响与孩子的亲密关系行为。到目前为止，针对这些问题的住院治疗和疗法选择寥寥无几。德国威斯洛赫制定的治疗方案特别适合这类患者。
对53名患有产后疾病的母亲（33名抑郁患者，20名精神病患者）在治疗前后进行了检查。评估并比较了精神病理严重程度、心理社会功能水平以及母婴互动参数。
总体而言，结果显示，治疗结束时，精神病母亲和情感障碍母亲的评估参数均有明显改善。
产后精神障碍的互动治疗方案能显著降低精神/心理严重程度以及相关的心理社会损害和母婴互动障碍。由于研究设计的原因，无法对治疗效果进行考量。
