Whiffen V E
School of Psychology, University of Ottawa, Ontario, Canada.
J Psychiatry Neurosci. 1991 Sep;16(3):160-5.
A strong tradition exists in the psychiatric literature to consider postpartum depression a distinct diagnosis. However, the empirical evidence indicates that, in terms of etiology and relapse rates, postpartum depression is indistinguishable from non-postpartum depression. Symptomatically, postpartum depression seems to involve a milder disturbance, suggesting that it is best seen as an adjustment disorder. This paper summarizes the empirical evidence relevant to the distinct diagnosis question, and considers the benefits to be derived from challenging the traditional view of postpartum depression.
精神病学文献中存在一种强烈的传统观念,将产后抑郁症视为一种独特的诊断。然而,实证证据表明,就病因和复发率而言,产后抑郁症与非产后抑郁症并无区别。从症状上看,产后抑郁症似乎涉及一种较轻的紊乱,这表明最好将其视为一种适应障碍。本文总结了与这一独特诊断问题相关的实证证据,并探讨了挑战产后抑郁症传统观点可能带来的益处。