Frisch Ulrike, Riecher-Rössler Anita
Universitäre Psychiatrische Kliniken (UPK), Psychiatrische Universitätspoliklinik/Allgemeine Psychiatrie ambulant, Basel.
Ther Umsch. 2010 Nov;67(11):571-5. doi: 10.1024/0040-5930/a000097.
About 11% of pregnant women suffer from a major depression requiring treatment. If left untreated, there are specific risks such as preterm delivery or low birth weight. The initial difficulty lies in diagnosing the depression itself, since many depressive symptoms are falsely ascribed to the pregnancy. A further challenge is choosing the appropriate therapy. Treatment options are psychotherapy, antidepressants, electroconvulsive therapy (ECT), or the new option of light therapy. The choice of the most suitable treatment needs to be done together with the pregnant woman after careful clarification of the potential risks of each treatment option.
约11%的孕妇患有需要治疗的重度抑郁症。若不加以治疗,会存在诸如早产或低出生体重等特定风险。最初的困难在于抑郁症本身的诊断,因为许多抑郁症状被错误地归因于怀孕。另一个挑战是选择合适的治疗方法。治疗选择包括心理治疗、抗抑郁药、电休克疗法(ECT)或新的光疗法。在仔细阐明每种治疗方案的潜在风险后,需要与孕妇共同做出最合适治疗方法的选择。