Perinatal Mental Health Unit, Hospital Clínic Barcelona, Barcelona, Spain.
Psychiatry and Clinical Psychology Department, Institute of Neuroscience Hospital Clínic Barcelona, Barcelona, Spain.
Int J Psychiatry Clin Pract. 2023 Nov;27(4):344-350. doi: 10.1080/13651501.2023.2236169. Epub 2023 Aug 2.
Women experiencing perinatal mental-health illness have unique needs. The present study analyzes preliminary data about the effectiveness of MBDH in treating postpartum women with affective and anxiety disorders.
We analysed 33 mothers with affective and/or anxiety disorders treated at the MBDH with their babies between March 2018 and December 2019. All women were assessed at admission, discharge and three months after discharge. Outcomes included symptoms of depression (EPDS) and anxiety (STAI-S), mother-infant bonding (PBQ) and functional impairment (HoNOs). We also assessed the clinical significance of changes in patients' scores on these scales and patient satisfaction.
At discharge, no patients still met the full criteria for the main diagnosis. Between admission and discharge, symptoms of depression and anxiety, mother-infant bonding, functional impairment and autonomy in caring for babies improved significantly. These gains were maintained at three months follow-up. Patient satisfaction was high.
These preliminary results suggest that multidisciplinary intervention for postpartum women with affective or anxiety disorders at the MBDH improves maternal psychopathology, mother-infant bonding and mothers' ability to care for their babies. MBDHs are a promising approach for delivering specialised perinatal mental-health care for mother-baby dyads.
经历围产期心理健康疾病的女性有其独特的需求。本研究分析了 MBDH 治疗产后患有情感和焦虑障碍妇女的初步有效性数据。
我们分析了 2018 年 3 月至 2019 年 12 月期间在 MBDH 接受治疗的 33 位患有情感和/或焦虑障碍的母亲及其婴儿。所有女性在入院时、出院时和出院后三个月进行评估。结果包括抑郁症状（EPDS）和焦虑症状（STAI-S）、母婴联系（PBQ）和功能障碍（HoNOs）。我们还评估了这些量表上患者评分变化的临床意义和患者满意度。
出院时，没有患者仍符合主要诊断的全部标准。从入院到出院期间，抑郁和焦虑症状、母婴联系、功能障碍以及照顾婴儿的自主性显著改善。这些改善在三个月的随访中得到维持。患者满意度很高。
这些初步结果表明，MBDH 对患有情感或焦虑障碍的产后妇女进行多学科干预可改善产妇精神病理学、母婴联系以及母亲照顾婴儿的能力。MBDH 是为母婴对提供专门围产期心理健康护理的有前途的方法。
