Postnatal depression : A global public health perspective
Postnatal depression : A global public health perspective
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DOI：
10.1177/1757913909343882
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发表时间：
2009-09-01
影响因子：
5.8
通讯作者：
Almond, Palo
中科院分区：
文献类型：
--
作者：
Almond, Palo
本文的目的是讨论产后抑郁症是否是一个全球性的公共卫生问题。公共卫生是在群体而不是个体水平上研究疾病的发病率、死亡率、病因和病程。公共卫生还涉及审查造成健康不平等的因素。产后抑郁症是一种精神和情绪状况，可能会影响妇女在产后的第一年。由于产后抑郁症的影响超出了母亲的范围，因为它也影响到伴侣和孩子，因此可以被视为一个公共卫生问题。此外，严重的产后抑郁症可能导致产妇死亡，通常是自杀。此外，有证据表明，所有国家都面临产后抑郁症的挑战，但中低收入国家面临的负担最重。文献揭示了这种复杂疾病的各种治疗方案。然而，它也发现，并非所有妇女都接受产后抑郁症的评估，也不是所有妇女都接受治疗。新出现的情况是，产后抑郁症确实是一个公共卫生问题，特别是因为发病率远远高于10%-15%的引用率。本文建议的方向为公共卫生为导向的围产期心理健康研究，并建议服务提供者应考虑所有产后妇女的常规评估。
The aim of this paper is to discuss whether or not postnatal depression is a global public health concern Public health is the study of the morbidity mortality and the cause and course of disease, at a population rather than an individual level. Public health is also concerned with examining factors that cause health inequalities. Postnatal depression is a mental and emotional condition that can affect women during the first postnatal year. Since the effects of postnatal depression are known to go beyond the mother in that it also affects the partner and the child, it can be deemed a public health problem. Additionally, severe postnatal depression can lead to infanticide as well as maternal death, often by suicide. Furthermore, evidence demonstrates that all countries are faced with the challenge of postnatal depression, but low- to middle-income countries face the greatest burden. The literature revealed various treatment options for this complex condition. However, it also uncovered that not all women are assessed for postnatal depression, nor do all women receive treatment. The emerging picture is that postnatal depression is indeed a public health problem, particularly as the incidence is much higher than the quoted rate of 10%-15%. This paper recommends direction for public health-orientated perinatal mental health research and suggests that service providers should consider the routine assessment of all postnatal women.