Department of Child and Adolescent Psychiatry and Behavioral Sciences, Neonatal Follow-up Program, Newborn/Infant Intensive Care Unit, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Neonatal Follow-up Program & Pediatric Feeding and Swallowing Center, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Curr Psychiatry Rep. 2017 Nov 6;19(12):100. doi: 10.1007/s11920-017-0857-8.
This review evaluates the state of the research regarding the effects of postpartum mental illness on the developing infant. It defines the scope of these disorders in the literature, and includes the impact of disorders referred to as perinatal mood and anxiety disorders (PMADs) on infants.
New research reveals that PMADs apply to not only mothers, but that fathers can also experience perinatal depression and anxiety. When untreated in a primary caregiver, PMADs adversely affect parental cognitions and beliefs, attachment to the infant, and the growing caregiver-infant relationship. PMADs affect early developmental outcomes of infants including neurosynaptic development, regulatory development, and developmental milestones. Early identification and treatment for PMADs are critical to ensure optimal infant development. Standardized and routine screening for PMADs, especially in the first 6 months postpartum, and cross-disciplinary communication among medical providers afford the best opportunity for early identification and treatment.
本综述评估了产后精神疾病对发育中婴儿影响的研究现状。它定义了文献中这些疾病的范围,并包括了被称为围产期情绪和焦虑障碍 (PMADs) 的疾病对婴儿的影响。
新的研究表明,PMADs 不仅适用于母亲,父亲也可能经历围产期抑郁和焦虑。如果在主要照顾者中未得到治疗,PMADs 会对父母的认知和信念、对婴儿的依恋以及不断发展的照顾者-婴儿关系产生不利影响。PMADs 会影响婴儿的早期发育结果,包括神经突触发育、调节发育和发育里程碑。早期识别和治疗 PMADs 对于确保婴儿的最佳发育至关重要。对 PMADs 进行标准化和常规筛查,特别是在产后的前 6 个月,并在医疗服务提供者之间进行跨学科沟通,为早期识别和治疗提供了最佳机会。