Department of Psychiatry, University of Toronto, Toronto, Ontario M5G 2C4, Canada; email:
Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario M5G 2C4, Canada.
Annu Rev Med. 2019 Jan 27;70:183-196. doi: 10.1146/annurev-med-041217-011106.
Postpartum depression (PPD) is common, disabling, and treatable. The strongest risk factor is a history of mood or anxiety disorder, especially having active symptoms during pregnancy. As PPD is one of the most common complications of childbirth, it is vital to identify best treatments for optimal maternal, infant, and family outcomes. New understanding of PPD pathophysiology and emerging therapeutics offer the potential for new ways to add to current medications, somatic treatments, and evidence-based psychotherapy. The benefits and potential harms of treatment, including during breastfeeding, are presented.
产后抑郁症(PPD)较为常见,可致残且可治疗。最强的风险因素是心境或焦虑障碍病史,尤其是在怀孕期间有明显症状者。由于 PPD 是分娩后最常见的并发症之一,因此确定最佳治疗方法对于母婴和家庭结局至关重要。对 PPD 病理生理学和新兴治疗方法的新认识为在现有药物、躯体治疗和循证心理治疗基础上增加新的治疗方法提供了可能。本文介绍了治疗方法的获益和潜在危害,包括在哺乳期的情况。