Stuart S, O'Hara M W
Departments of Psychiatry and Psychology, University of Iowa, Iowa City.
J Psychother Pract Res. 1995 Winter;4(1):18-29.
Postpartum depression is a frequent complication of childbirth. Postpartum depression is associated with disruptions in interpersonal relationships, and the puerperium is a period of major role transition. In contrast to other subtypes of depression, however, postpartum depression often is not treated with medication, which is relatively contraindicated for women who are breastfeeding. Interpersonal psychotherapy (IPT) focuses specifically on the effects of depression on interpersonal functioning; this focus renders IPT a potentially useful psychosocial treatment for postpartum depression. The authors describe the use of IPT for the treatment of women with postpartum depression and present preliminary results from an open treatment trial of IPT.
产后抑郁是分娩常见的并发症。产后抑郁与人际关系的紊乱有关,产褥期是一个主要角色转变的时期。然而,与其他抑郁症亚型不同,产后抑郁通常不用药物治疗,因为药物治疗对正在哺乳的女性相对禁忌。人际心理治疗(IPT)特别关注抑郁对人际功能的影响;这种关注使IPT成为产后抑郁潜在有用的心理社会治疗方法。作者描述了IPT在治疗产后抑郁女性中的应用,并展示了IPT开放治疗试验的初步结果。