Silverwood Victoria Anne, Bullock Laurna, Turner Katrina, Chew-Graham Carolyn A, Kingstone Tom
School of Medicine, Keele University, Staffordshire, United Kingdom.
Centre of Academic Primary Health Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Front Psychiatry. 2022 Dec 15;13:1022459. doi: 10.3389/fpsyt.2022.1022459. eCollection 2022.
Perinatal Anxiety (PNA) is defined as anxiety occurring during pregnancy and up to 12 months post-partum and is estimated to affect up to 20% of women. Risk factors for PNA are multiple and can be classed as psychological, social and biological. PNA negatively impacts on the mother, child and family. PNA is not well-recognized and diagnosis of PNA can be challenging for clinicians. There is currently no validated case-finding or diagnostic test available for PNA. PNA has been less extensively researched than perinatal depression (PND). Clinical guidance currently recommends pharmacological and psychological therapies for the management of women with PNA, however the limited research available suggests that other intervention types may also be effective with some evidence on the effectiveness of non-pharmacological interventions in primary care for PNA. This article provides a mini-review of PNA, summarizing current evidence around PNA including risk factors, the impact of PNA, the process of diagnosis of PNA and focussing predominantly on available management options for PNA.
围产期焦虑（PNA）被定义为在孕期及产后12个月内出现的焦虑，据估计，高达20%的女性会受到影响。PNA的风险因素是多方面的，可分为心理、社会和生物学因素。PNA会对母亲、孩子和家庭产生负面影响。PNA未得到充分认识，临床医生对PNA的诊断可能具有挑战性。目前尚无经过验证的用于PNA的病例发现或诊断测试。与围产期抑郁症（PND）相比，对PNA的研究较少。目前临床指南推荐采用药物和心理疗法来管理患有PNA的女性，然而，现有的有限研究表明，其他干预类型可能也有效，有一些证据表明非药物干预在基层医疗中对PNA有效。本文对PNA进行了简要综述，总结了有关PNA的当前证据，包括风险因素、PNA的影响、PNA的诊断过程，并主要聚焦于PNA的现有管理选择。
