II Department of Psychiatry and Psychiatric Rehabilitation, Student Scientific Association, Faculty of Medicine, Medical University of Lublin, Lublin, Poland.
II Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin, Lublin, Poland.
Med Sci Monit. 2023 Dec 29;29:e942520. doi: 10.12659/MSM.942520.
Postpartum psychosis is rare, but is a serious clinical and social problem. On its own, it is not included in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) or ICD-10 (International Statistical Classification of Diseases and Related Health Problems) as a disease entity, and current diagnostic criteria equate it with other psychoses. This poses a serious legal problem and makes it difficult to classify. The disorder is caused by a complex combination of biological, environmental, and cultural factors. The exact pathophysiological mechanisms of postpartum psychosis remain very poorly understood. There is a need for further research and increased knowledge of the medical sector in the prevention and early detection of psychosis to prevent stigmatization of female patients during a psychiatric episode. It is necessary to regulate its position in the DSM5 and ICD-10. Attention should be paid to the social education of expectant mothers and their families. This article aims to review the current status of risk factors, prevention, and management of postpartum psychosis.
产后精神病很少见，但却是一个严重的临床和社会问题。它本身并不属于 DSM-5（精神障碍诊断与统计手册）或 ICD-10（国际疾病分类）中的疾病实体，目前的诊断标准将其等同于其他精神病。这就带来了严重的法律问题，使分类变得困难。这种疾病是由生物、环境和文化因素的复杂组合引起的。产后精神病的确切病理生理机制仍知之甚少。需要进一步研究，并增加医疗部门对精神病的预防和早期检测的认识，以防止在精神病发作期间对女性患者产生污名化。有必要对 DSM5 和 ICD-10 中的产后精神病的定位进行规范。应重视对孕妇及其家庭的社会教育。本文旨在综述产后精神病的危险因素、预防和管理的现状。
