Perinatal mental illness: definition, description and aetiology.
Perinatal mental illness: definition, description and aetiology.
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DOI：
10.1016/j.bpobgyn.2013.09.002
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发表时间：
2014-01
期刊：
影响因子：
--
通讯作者：
Wisner KL
中科院分区：
文献类型：
--
作者：
O'Hara MW;Wisner KL
围产期精神疾病是妊娠和产后的重要并发症。这些障碍包括抑郁症、焦虑症和产后精神病，通常表现为双相情感障碍。围产期抑郁和焦虑很常见，在怀孕期间和产后前3个月，重度和轻度抑郁症的患病率高达近20%。产后忧郁是产后情感障碍的一种常见但较少的表现。围产期精神障碍损害妇女的功能，并与其后代发育不佳有关。危险因素包括过去抑郁、焦虑或双相情感障碍的病史，以及心理社会因素，如与伴侣持续的冲突、不良的社会支持和持续的应激性生活事件。通过孕期和产后期的筛查，可以发现抑郁、焦虑和躁狂的早期症状。围产期精神障碍的早期发现和有效管理对妇女及其后代的福祉至关重要。
Perinatal mental illness is a significant complication of pregnancy and the postpartum period. These disorders include depression, anxiety disorders, and postpartum psychosis, which usually manifests as bipolar disorder. Perinatal depression and anxiety are common, with prevalence rates for major and minor depression up to almost 20% during pregnancy and the first 3 months postpartum. Postpartum blues are a common but lesser manifestation of postpartum affective disturbance. Perinatal psychiatric disorders impair a woman’s function and are associated with suboptimal development of her offspring. Risk factors include past history of depression, anxiety, or bipolar disorder, as well psychosocial factors, such as ongoing conflict with the partner, poor social support, and ongoing stressful life events. Early symptoms of depression, anxiety, and mania can be detected through screening in pregnancy and the postpartum period. Early detection and effective management of perinatal psychiatric disorders are critical for the welfare of women and their offspring.
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