Ellman Lauren M, Murphy Shannon K, Maxwell Seth D
Department of Psychology, Temple University, Philadelphia, PA, USA.
J Ethics Ment Health. 2018;10(Spec Iss 4). Epub 2018 Jun 15.
Repeated findings have linked pre- and perinatal risk factors to a variety of mental disorders. Some studies have found large magnitudes of association, suggesting that fetal development represents an important period for understanding neurodevelopmental sequelae. Nevertheless, it remains unclear how best to translate the existing findings into early identification, prevention, and treatment strategies that would be useful for pregnant populations and/or for their offspring. This article will discuss key ethical considerations surrounding the incorporation of findings from studies of the associations between obstetric complications and risk for mental disorders into prevention and prediction efforts.
反复研究表明,围产期及产前危险因素与多种精神障碍有关。一些研究发现关联程度很大,这表明胎儿发育是理解神经发育后遗症的重要时期。然而,目前尚不清楚如何最好地将现有研究结果转化为对孕妇及其后代有用的早期识别、预防和治疗策略。本文将讨论将产科并发症与精神障碍风险之间关联的研究结果纳入预防和预测工作所涉及的关键伦理考量。