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理解和应对男性产后抑郁症:发病率、原因、诊断和管理策略。

Understanding and Addressing Male Postpartum Depression: Incidence, Causes, Diagnosis, and Management Strategies.

机构信息

The Student Research Group, II Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin, Lublin, Poland.

II Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin, Lublin, Poland.

出版信息

Med Sci Monit. 2024 Oct 1;30:e945482. doi: 10.12659/MSM.945482.

Abstract

Pregnancy-related stress affects not only the woman but also her partner. The issue of postpartum depression in women is increasingly discussed, apart from its occurrence in men, which can develop up to 12 months after giving birth. Risk factors for depression in young fathers are numerous and include hormonal fluctuations, socioeconomic conditions, and co-occurrence of other diseases. Emerging depressive symptoms are nonspecific and can be missed even by experienced medical personnel. Currently, screening tests use questionnaires that do not consider male risk factors. Perhaps the development of more personalized diagnostic methods would enable early identification of men at risk and include preventive measures. The proposed treatment methods of postpartum depression, such as sertraline or cognitive-behavioral therapy, enable patients to recover and provide appropriate support. The disease can cause long-term consequences that negatively affect the development and functioning of the child's psyche. Behavioral disorders and emotional problems are observed in children whose fathers had postpartum depression. Moreover, partner relationships deteriorate and the father-child bond is impaired. Further research should focus on identifying risk factors in men from different social classes, considering environmental, personal, and ethnic characteristics, and on the effectiveness of postpartum depression treatment in men. This article aims to review the incidence, causes, diagnosis, and management of male postpartum depression.

摘要

妊娠相关压力不仅会影响女性,还会影响其伴侣。除了男性在分娩后 12 个月内可能会出现产后抑郁症之外,女性产后抑郁症的问题也越来越受到关注。年轻父亲患抑郁症的风险因素很多,包括荷尔蒙波动、社会经济状况以及其他疾病的同时发生。正在出现的抑郁症状是非特异性的,即使是经验丰富的医务人员也可能会忽略这些症状。目前,筛查测试使用的问卷并未考虑男性的风险因素。也许开发更个性化的诊断方法将能够早期识别有风险的男性,并包括预防措施。针对产后抑郁症的提议治疗方法,如舍曲林或认知行为疗法,可以使患者康复并提供适当的支持。该疾病会导致长期后果,对儿童的心理发展和功能产生负面影响。在患有产后抑郁症的父亲的孩子中观察到行为障碍和情绪问题。此外,伴侣关系恶化,父子关系受损。进一步的研究应侧重于从不同社会阶层的男性中确定风险因素,同时考虑环境、个人和种族特征,以及男性产后抑郁症的治疗效果。本文旨在回顾男性产后抑郁症的发病率、原因、诊断和管理。

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本文引用的文献

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[Post-partum psychosis].[产后精神病]
Ugeskr Laeger. 2021 Jun 14;183(24).
9
Birth of a Father: Fathering in the First 1,000 Days.一位父亲的诞生:头1000天的育儿历程
Child Dev Perspect. 2019 Dec;13(4):247-253. doi: 10.1111/cdep.12347. Epub 2019 Oct 14.
10
Postpartum Depression in Men.男性产后抑郁症
Innov Clin Neurosci. 2019 May 1;16(5-6):11-14.

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