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[与女性生殖周期相关的心身疾病的综合治疗]

[Complex therapy of psychosomatic disorders associated with the female reproductive cycle].

作者信息

Petelin D S, Kondrateva K K, Dzhibladze T A, Volel B A

机构信息

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Mental Health Research Center, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(11):14-21. doi: 10.17116/jnevro202312311114.

Abstract

Psychosomatic disorders make a great contribution to the structure of reproductive health disorders in women. The purpose of this review was to analyze the available data on effective methods of therapy for psychosomatic disorders associated with the reproductive cycle of women - psychopharmacological, psychotherapeutic, non-drug biological, hormonal. The review summarizes the evidence in relation to the treatment of disorders such as: stress-related menstrual irregularities; premenstrual dysphoric disorder; perinatal affective disorders (especially depression); psychosomatic disorders of the involutionary period. General recommendations on the complex therapy of psychosomatic disorders associated with the menstrual cycle within the framework of an interdisciplinary team have been formed.

摘要

心身疾病在女性生殖健康障碍结构中占很大比例。本综述的目的是分析有关治疗与女性生殖周期相关的心身疾病的有效方法的现有数据——心理药理学、心理治疗、非药物生物学、激素治疗。该综述总结了有关以下疾病治疗的证据:与压力相关的月经不调;经前烦躁障碍;围产期情感障碍(尤其是抑郁症);更年期心身疾病。已形成了关于跨学科团队框架内与月经周期相关的心身疾病综合治疗的一般建议。

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