Addressing the Unmet Need for Maternal Mental Health Services in Low- and Middle-Income Countries: Integrating Mental Health Into Maternal Health Care.
Addressing the Unmet Need for Maternal Mental Health Services in Low- and Middle-Income Countries: Integrating Mental Health Into Maternal Health Care.
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DOI：
10.1111/jmwh.12679
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发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Warren N
中科院分区：
文献类型：
--
作者：
Lasater ME;Beebe M;Gresh A;Blomberg K;Warren N
降低全球孕产妇发病率和死亡率的大多数举措都针对高血压疾病和出血等直接原因。但对育龄妇女的其他更微妙但严重的威胁往往没有得到解决，比如常见的围产期心理健康障碍。这些包括非精神病性精神障碍，如抑郁、焦虑和躯体形式障碍，这些疾病在社区和初级保健环境中常见，是全球育龄妇女发病率和死亡率上升的原因。1，2围产期抑郁，这里定义为从怀孕期间或产后一年内开始的抑郁发作，是最常见的围产期精神障碍，也是全球育龄妇女疾病负担的第二大贡献因素。1、3、4尽管发病率很高，但由于缺乏或有限的心理健康基础设施，常见的围产期精神障碍往往得不到诊断和治疗。在低收入和中等收入国家尤其如此，在这些国家，稀缺的资源限制了卫生系统满足甚至最紧迫需求的能力。解决这一需求和护理缺口的一个关键办法是将心理健康纳入现有的产妇护理服务。这种做法符合助产士的核心能力5，并将助产士作为努力解决低收入和中等收入国家妇女心理健康问题的关键合作伙伴。但是，就像对妇女福祉的任何其他威胁一样，助产士只有在拥有所需工具的情况下才能适当地进行干预。对于常见的围产期精神障碍，所有助产士都应该有筛查工具
Most initiatives to reduce global maternal morbidity and mortality address direct causes such as hypertensive disorders and hemorrhage. But other, more subtle but serious threats to childbearing women often go unaddressed, such as common perinatal mental health disorders. These include nonpsychotic mental disorders, such as depression, anxiety, and somatoform disorders, which are commonly found in community and primary care settings and are responsible for increased morbidity and mortality among childbearing women worldwide. 1, 2 Perinatal depression, defined here as a depressive episode beginning during pregnancy or up to one year postpartum, is the most common perinatal mental disorder and the second leading contributing factor to the disease burden of childbearing women globally. 1, 3, 4 Despite their high prevalence, common perinatal mental disorders often go undiagnosed and untreated due to a lack of or limited mental health infrastructure. This is particularly true in low-and middle-income countries where scarce resources limit the ability of the health system to address even the most pressing needs.A key approach to addressing this gap in need and care is to integrate mental health into existing maternal care services. This approach is consistent with midwifery core competencies5 and situates midwives as critical partners in efforts to address women’s mental health in low-and middle-income countries. But, as with any other threat to women’s well-being, midwives can appropriately intervene only if they have the tools they need. In the case of common perinatal mental disorders, all midwives should have the tools to screen
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DOI：
10.1016/j.bpobgyn.2013.08.013
发表时间：
2014-01
影响因子：
5.5
作者：
Chowdhary, Neerja;Sikander, Siham;Atif, Najia;Singh, Neha;Ahmad, Ikhlaq;Fuhr, Daniela C.;Rahman, Atif;Patel, Vikram
通讯作者：
Patel, Vikram
影响因子：
4.4
作者：
Gureje, Oye;Oladeji, Bibilola Damilola;Groleau, Danielle
通讯作者：
Groleau, Danielle
刚果民主共和国金沙萨的产后抑郁症：使用混合方法跨文化方法验证概念
影响因子：
3.3
作者：
Bass, Judith K.;Ryder, Robert W.;Bolton, Paul A.
通讯作者：
Bolton, Paul A.
影响因子：
168.9
作者：
Chisholm, D.;Flisher, A. J.;Tomlinson, M.
通讯作者：
Tomlinson, M.
影响因子：
7
作者：
Abiodun, OA
通讯作者：
Abiodun, OA