Retterstøl N, Opjordsmoen S
University of Oslo, Gaustad Hospital, Norway.
Psychopathology. 1991;24(4):232-7. doi: 10.1159/000284719.
Psychopathological reactions to fatherhood are probably not so infrequent as they would seem from psychiatric literature. In a material of paranoid psychoses, impending or newly established fatherhood was considered the main precipitating factor in 4 patients (i.e. 2.4%), compared with 7% of the female psychoses precipitated by pregnancy, childbirth or nursing. Two of the men were bachelors, insecure and inhibited, feeling compromised or helpless in the new situation. Two men were married, passive, avoidant in their personality, strongly dependent on their wives. The course and outcome varied according to the diagnoses; 2 cases having a favorable and 2 an unfavorable course and outcome. Physicians, including psychiatrists, should bear in mind that fatherhood is a possible precipitating factor for paranoid psychoses in male patients.
为人父引发的精神病理反应可能并不像从精神病学文献中看起来的那样罕见。在一组偏执型精神病案例中，即将成为父亲或刚刚成为父亲被认为是4名患者（即2.4%）发病的主要促发因素，相比之下，因怀孕、分娩或哺乳引发的女性精神病患者比例为7%。其中两名男性是单身汉，缺乏安全感且内向，在新的情境中感到自身受到影响或无助。另外两名男性已婚，性格消极、逃避，极度依赖妻子。病程和结局因诊断而异；2例病程和结局良好，2例不佳。包括精神科医生在内的医生应该记住，为人父可能是男性患者患偏执型精神病的一个促发因素。
