Müldner-Nieckowski Łukasz, Cyranka Katarzyna, Smiatek-Mazgaj Bogna, Mielimąka Michał, Sobański Jerzy, Rutkowski Krzysztof
Katedra Psychoterapii UJ CM.
Psychiatr Pol. 2015 Jan-Feb;49(1):49-56. doi: 10.12740/PP/31493.
Pregnancy is a major life change for many women. The related biological changes, especially complications in its course and in the course of delivery, carry a risk of developing a variety of psychological problems and mental disorders. However, their treatment is challenging due to the teratogenic effects of most psychoactive drugs and specific requirements for entering different psychotherapeutic programs. Mental disorders during pregnancy are undoubtedly an important issue for both gynecology and psychiatry. There is still a discussion considering the question whether psychotherapy during pregnancy is safe, although no scientifically valid data contradicting the safety of psychotherapy during pregnancy has been published so far. Together with psychotherapy - as a treatment of choice - clinicians approve some other relatively safe treatment methods for psychiatric disorders in pregnant women. Light therapy, limited pharmacotherapy, ECT are included. The goal of this paper is to review current opinions of clinicians and researches concerning possibilities, indications and outcome of psychological treatments as a way to help pregnant women who suffer from different psychiatric conditions, and also because this subject is not yet present in Polish psychiatric journals.
怀孕对许多女性来说是人生中的重大变化。相关的生理变化,尤其是孕期及分娩过程中的并发症,有引发各种心理问题和精神障碍的风险。然而,由于大多数精神活性药物的致畸作用以及进入不同心理治疗项目的特定要求,对这些问题的治疗颇具挑战性。孕期精神障碍无疑是妇科和精神病学领域的一个重要问题。尽管目前尚未发表任何科学有效的数据反驳孕期心理治疗的安全性,但对于孕期心理治疗是否安全仍存在讨论。除了作为首选治疗方法的心理治疗外,临床医生还认可一些其他相对安全的治疗孕妇精神疾病的方法。包括光疗法、有限的药物治疗、电休克治疗。本文的目的是综述临床医生和研究人员目前对于心理治疗的可能性、适应症及疗效的观点,以帮助患有不同精神疾病的孕妇,同时也因为波兰精神病学杂志尚未涉及这一主题。