Genovez Marta, Vanderkruik Rachel, Lemon Elizabeth, Dimidjian Sona
Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado.
Clin Obstet Gynecol. 2018 Sep;61(3):562-572. doi: 10.1097/GRF.0000000000000388.
Depression during pregnancy is a significant public health problem that is associated with adverse consequences for women and children. Despite the availability of treatment options, depression during pregnancy is often undertreated. Most pregnant women prefer nonpharmacological interventions over antidepressant medications. We review the evidence base for psychotherapeutic treatment approaches to depression during pregnancy. Treatments reviewed include interpersonal therapy, cognitive-behavioral therapy, behavioral activation, and mindfulness-based cognitive therapy. We review both traditional face-to-face delivery and digital interventions. We conclude with recommendations for treatment preferences, collaborative decision-making, and strategies to improve uptake of such services among prenatal women.
孕期抑郁是一个重大的公共卫生问题，会给妇女和儿童带来不良后果。尽管有多种治疗选择，但孕期抑郁往往治疗不足。大多数孕妇更倾向于非药物干预而非抗抑郁药物。我们综述了孕期抑郁心理治疗方法的证据基础。所综述的治疗方法包括人际治疗、认知行为疗法、行为激活疗法和基于正念的认知疗法。我们既综述了传统的面对面治疗方式，也综述了数字干预措施。最后，我们针对治疗偏好、共同决策以及提高产前妇女对这类服务的接受度提出了建议。
