Stuart Scott, Clark Elizabeth
Université de l'Iowa, Iowa Depression and Clinical Research Center, départements de psychiatrie et de psychologie, Iowa City, USA.
Sante Ment Que. 2008 Autumn;33(2):87-104. doi: 10.7202/019670ar.
Perinatal depression is a prevalent disorder with a high degree of morbidity for both mother and infant. There are now empirically validated treatments for both postpartum depression and depression during pregnancy. Among these is Interpersonal Psychotherapy (IPT), which has been shown to be effective for postpartum depression across the spectrum of mild to severe depression. In fact, the limited evidence of efficacy for medication and concern about medication side effects have led some to suggest that IPT should be the first line treatment for depressed breastfeeding women. There are similar concerns about medication usage during pregnancy. Recent clinical and research experience also suggest that Interpersonal Counseling (IPC) may be effective for selected postpartum women as well. IPC, an abbreviated form of IPT, appears to be effective for mild to moderate depression, and has the potential advantage of being more amenable to delivery in primary care or OB settings.
围产期抑郁症是一种普遍存在的疾病，对母亲和婴儿都有很高的发病率。目前，产后抑郁症和孕期抑郁症都有经过实证验证的治疗方法。其中包括人际心理治疗（IPT），已证明其对轻度至重度抑郁症范围内的产后抑郁症有效。事实上，药物疗效的有限证据以及对药物副作用的担忧导致一些人建议IPT应作为抑郁哺乳期妇女的一线治疗方法。对于孕期用药也有类似的担忧。最近的临床和研究经验还表明，人际咨询（IPC）对部分产后女性可能也有效。IPC是IPT的一种简化形式，似乎对轻度至中度抑郁症有效，并且具有更适合在初级保健或妇产科环境中实施的潜在优势。
