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[精神障碍与女性不孕]

[Mental disorders and female infertility].

作者信息

Schweiger U, Wischmann T, Strowitzki T

机构信息

Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Deutschland.

出版信息

Nervenarzt. 2012 Nov;83(11):1442-7. doi: 10.1007/s00115-012-3662-y.

Abstract

Approximately 5-10% of women in the reproductive years are affected by infertility which is associated with depression, anxiety and disturbed eating behavior. Part of this association can be explained by the emotional stress resulting from infertility. As mental disorders, such as depressive disorder or eating disorders are also prospectively associated with infertility, a bidirectional relationship is assumed. A special relationship exists between mental disorders and the main causes of ovulatory infertility, hypothalamic amenorrhea and polycystic ovary disease. The results of pilot studies support the assumption that psychotherapy may constitute an important component of the treatment of infertility.

摘要

在育龄期女性中,约5%-10%受不孕症影响,不孕症与抑郁、焦虑及饮食行为紊乱有关。这种关联的部分原因可由不孕症导致的情绪压力来解释。由于精神障碍,如抑郁症或饮食失调也与不孕症存在前瞻性关联,所以推测存在双向关系。精神障碍与排卵性不孕症的主要病因——下丘脑性闭经和多囊卵巢疾病之间存在特殊关系。初步研究结果支持心理治疗可能构成不孕症治疗重要组成部分这一假设。

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