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妊娠否认:对潜在机制的新理解。

Pregnancy Denial: Toward a New Understanding of the Underlying Mechanisms.

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.

Institute of Neuroscience and Medicine: JARA-Institute Brain Structure Function Relationship (INM 10), Research Center Jülich, Jülich, Germany.

出版信息

Curr Psychiatry Rep. 2023 Oct;25(10):493-500. doi: 10.1007/s11920-023-01448-2. Epub 2023 Aug 19.

DOI:10.1007/s11920-023-01448-2
PMID:37597131
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10627956/
Abstract

PURPOSE OF REVIEW

Pregnancy denial is the lack of awareness of being pregnant. The aim of the review is to understand why the affected women do not recognize the signs of pregnancy.

RECENT FINDINGS

Twelve case reports of pregnancy denial were published in the last ten years. While in five cases the women had an underlying mental disorder, the rest of the cases involved women who either exhibited no physical symptoms or perceived themselves to be not pregnant despite the symptoms (i.e., repression mechanisms). Pregnancy denial is considered to be a pathological issue, a likely consequence of trauma, the wish to not have a child, or a psychiatric problem. However, it appears that the majority of cases cannot be linked to any of the above reasons. We argue, therefore, that, in most cases, pregnancy denial is not associated with mental or physiological problems. Under certain circumstances, it can affect any woman.

摘要

目的综述

妊娠否认是指对怀孕缺乏认知。本综述旨在了解为什么受影响的女性没有意识到怀孕的迹象。

最近的发现

在过去十年中,发表了 12 篇关于妊娠否认的病例报告。虽然其中 5 例女性存在潜在的精神障碍,但其余病例涉及的女性要么没有出现身体症状,要么尽管有症状但认为自己没有怀孕(即压抑机制)。妊娠否认被认为是一种病理问题,可能是创伤、不想生孩子或精神问题的结果。然而,似乎大多数病例都不能归因于上述任何原因。因此,我们认为,在大多数情况下,妊娠否认与心理或生理问题无关。在某些情况下,它可能会影响任何女性。

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本文引用的文献

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Denial of pregnancy and neonaticide: A historical overview and case report.否认妊娠与杀婴:历史概述与病例报告。
J Forensic Sci. 2023 Mar;68(2):688-695. doi: 10.1111/1556-4029.15202. Epub 2023 Jan 22.
2
A case report involving the experience of pervasive pregnancy denial: detailed observation of the first 12 postpartum weeks.一篇涉及普遍怀孕否认经历的病例报告:对产后最初 12 周的详细观察。
BMC Psychiatry. 2022 Dec 9;22(1):774. doi: 10.1186/s12888-022-04377-1.
3
The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study.从产后情绪低落到全面围产期抑郁症的转变:一项纵向研究的结果
Front Psychiatry. 2021 Nov 3;12:703180. doi: 10.3389/fpsyt.2021.703180. eCollection 2021.
4
Pregnancy denial: a complex symptom with life context as a trigger? A prospective case-control study.妊娠否认:以生活背景为触发因素的复杂症状?一项前瞻性病例对照研究。
BJOG. 2022 Feb;129(3):485-492. doi: 10.1111/1471-0528.16853. Epub 2021 Aug 19.
5
Denial of Pregnancy in a Patient With a History of Pseudocyesis.有假孕病史患者否认怀孕。
Cureus. 2021 Apr 30;13(4):e14773. doi: 10.7759/cureus.14773.
6
Pregnant Females as Historical Individuals: An Insight From the Philosophy of Evo-Devo.作为历史个体的怀孕女性:来自进化发育生物学哲学的见解
Front Psychol. 2021 Jan 20;11:572106. doi: 10.3389/fpsyg.2020.572106. eCollection 2020.
7
Unexpected delivery: a case report of cryptic pregnancy in Nigeria.意外分娩:尼日利亚一例隐匿性妊娠病例报告
Pan Afr Med J. 2020 Jul 22;36:205. doi: 10.11604/pamj.2020.36.205.23790. eCollection 2020.
8
Psychotic pregnancy denial: a review of the literature and its clinical considerations.精神病性否认妊娠:文献回顾及其临床考虑。
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9
Denial of Pregnancy: Psychopathology and Clinical Management.否认妊娠:精神病理学与临床管理。
Psychopathology. 2019;52(4):271-274. doi: 10.1159/000503151. Epub 2019 Oct 8.
10
Delusion of denial of pregnancy: A case report.妊娠否认妄想:一例报告。
Asian J Psychiatr. 2019 Oct;45:72-73. doi: 10.1016/j.ajp.2019.09.002. Epub 2019 Sep 4.