Clinical characteristics of perinatal psychiatric patients - A chart review study
Clinical characteristics of perinatal psychiatric patients - A chart review study
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DOI：
10.1097/01.nmd.0000217833.49686.c0
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发表时间：
2006-05-01
影响因子：
1.9
通讯作者：
Howard, Margaret
中科院分区：
文献类型：
--
作者：
Battle, Cynthia L.;Zlotnick, Caron;Howard, Margaret
虽然产后抑郁症和其他围产期疾病一直是越来越多的研究关注的主题，重要的问题仍然是关于妇女在怀孕期间和产后期间积极寻求精神治疗。在这项研究中，我们检查了500例围产期精神病患者的临床记录，这些患者在精神病日间医院（N = 398）或门诊行为健康诊所（N = 102）接受治疗。记录患者的临床诊断、精神病史、治疗过程和抑郁症状。大多数妇女的主要诊断是重度抑郁症，平均爱丁堡产后抑郁量表得分超过20分。许多抑郁症患者被诊断为焦虑和物质滥用障碍的共病。虽然大多数妇女愿意服用精神药物，但也有相当一部分妇女不愿意，特别是那些正在哺乳的妇女。对于超过三分之一的样本，在怀孕或产后寻求的治疗代表了他们与精神卫生系统的第一次接触。治疗的影响进行了讨论。
Although postpartum depression and other perinatal disorders have been the subject of increased research attention, important questions remain regarding women who actively seek psychiatric treatment during pregnancy and the postpartum period. In this study, we examined clinical records of 500 perinatal psychiatric patients who received treatment in a psychiatric day hospital (N = 398) or outpatient behavioral health clinic (N = 102). Patients' presenting diagnoses, psychiatric history, treatment course, and depressive symptoms were recorded. The majority of women had major depression as their primary diagnosis, with an average Edinburgh Postnatal Depression Scale score of over 20. Many depressed patients were diagnosed with comorbid anxiety and substance abuse disorders. Although most women were willing to take psychotropic medications, a sizable minority were not, particularly those who were breast-feeding. For more than a third of the sample, the treatment sought while pregnant or postpartum represented their first contact with the mental health system. Treatment implications are discussed.