Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Campus Box 7160, Chapel Hill, NC 27599-7160, USA.
Curr Psychiatry Rep. 2011 Dec;13(6):459-66. doi: 10.1007/s11920-011-0230-2.
Many women suffering from major depressive disorder during pregnancy are hesitant to initiate or continue antidepressant treatment during preconception planning, conception, pregnancy, and lactation (perinatal period). Over the past few decades, various psychotherapeutic approaches have been found to be efficacious for depression in general population research. Several observational and quasi-experimental studies also suggest that psychotherapy can be a safe first-line treatment for perinatal women with mild to moderate depression. This article summarizes findings to date regarding the use of psychotherapy for depression occurring during pregnancy and describes the adaptations made to tailor the treatment to the unique needs of women in the perinatal period.
许多在孕期患有重度抑郁症的女性在备孕、受孕、怀孕和哺乳期（围产期）时都犹豫不决，不知是否应该开始或继续接受抗抑郁药物治疗。在过去的几十年中，一般人群的研究发现各种心理治疗方法对抑郁症都有疗效。一些观察性和准实验研究也表明，对于轻中度抑郁的围产期女性，心理治疗可以作为安全的一线治疗方法。本文总结了目前关于在孕期使用心理疗法治疗抑郁症的研究结果，并描述了为满足围产期女性的特殊需求而对治疗方法进行的调整。
