产后抑郁症：诊断与治疗问题

Postpartum depression: diagnostic and treatment issues.

作者信息

Sharma Verinder, Sharma Priya

机构信息

Department of Psychiatry, University of Western Ontario, London ON; Department of Obstetrics and Gynaecology, University of Western Ontario, London ON; Consultant Psychiatrist, Women's Clinic, London Health Sciences Centre, London ON.

Wyckoff Heights Medical Center, Brooklyn, New York NY.

出版信息

J Obstet Gynaecol Can. 2012 May;34(5):436-442. doi: 10.1016/S1701-2163(16)35240-9.

DOI:10.1016/S1701-2163(16)35240-9

PMID:22555136

Abstract

Postpartum depression is the most common psychiatric complication of child-bearing. Despite the potentially deleterious effects of postpartum depression on the mother and her infant, the disorder is often unrecognized and untreated. Women may be reluctant to seek professional help because of the stigma of mental illness, or they may be unwilling to try medication because of concerns about safety during lactation. In this review of postpartum depression, we discuss its clinical presentation, diagnosis, differential diagnosis, and treatment.

摘要

产后抑郁是生育过程中最常见的精神并发症。尽管产后抑郁对母亲及其婴儿可能产生有害影响，但这种疾病往往未被识别和治疗。由于精神疾病的污名化，女性可能不愿寻求专业帮助，或者由于担心哺乳期用药安全而不愿尝试药物治疗。在这篇关于产后抑郁的综述中，我们讨论了它的临床表现、诊断、鉴别诊断和治疗。