Perinatal depression and infant mental health

Perinatal depression and infant mental health
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DOI:
10.1016/j.apnu.2019.01.010
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发表时间:
2019-06-01
影响因子:
2.3
通讯作者:
Goodman, Janice H.
Goodman, Janice H.
中科院分区:
医学4区
文献类型:
--
作者:
Goodman, Janice H.

文献摘要

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母亲在怀孕期间和产后第一年的心理健康对于孩子的认知、社交和情感发展至关重要。围产期抑郁症与对儿童发育产生广泛不利影响的风险增加有关,从而影响婴儿和幼儿心理健康。尽管存在针对围产期抑郁症的有效治疗方法,但目前尚不清楚仅治疗母亲抑郁症是否足以减轻母亲抑郁症对儿童结局的负面影响。可能需要针对母婴关系和二元互动进行干预,以解决母亲抑郁症对孩子的潜在影响。本文概述了孕产妇围产期抑郁症、其对婴儿/幼儿心理健康造成的风险、包括减轻抑郁症和降低儿童风险的干预策略,以及对围产期妇女工作的精神科护士的影响。早期识别和治疗围产期抑郁症对于确保婴儿的最佳发育和孩子未来的心理健康至关重要。
A mother's mental health during pregnancy and the first year postpartum is of the utmost importance to the cognitive, social, and emotional development of her child. Perinatal depression is associated with increased risk for wide-ranging adverse child development effects that can affect infant and early childhood mental health. Although effective treatments for perinatal depression exist, it is currently unclear if treatment of matemal depression alone is sufficient to ameliorate the negative effects of maternal depression on child outcomes. Interventions focused on the mother-infant relationship and dyadic interaction may be required to address the potential effect of maternal depression on the child. This paper provides an overview of maternal perinatal depression, the risk it poses for infant/early-childhood mental health, strategies for intervention that include mitigating depression and decreasing risk to the child, and implications for psychiatric nurses who work with perinatal women. Early identification and treatment of perinatal depression are critical to ensure optimal infant development and the child's future mental health.