The long-term psychiatric and medical prognosis of perinatal mental illness
The long-term psychiatric and medical prognosis of perinatal mental illness
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DOI：
10.1016/j.bpobgyn.2013.08.009
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发表时间：
2014-01-01
影响因子：
5.5
通讯作者：
Stuebe, Alison
中科院分区：
文献类型：
--
作者：
Meltzer-Brody, Samantha;Stuebe, Alison
围产期是了解妇女长期健康状况的重要窗口期。围产期精神疾病是一种常见疾病，可能对母亲和家庭造成长期严重的精神和医疗后果。众所周知，对一些女性来说，分娩是引发抑郁发作的有力因素，有情绪障碍病史的女性尤其容易受到影响。一些证据表明围产期精神疾病与产科并发症和减少哺乳开始和持续时间有关。因此，围产期精神疾病可能是长期风险的标志，并可能通过神经内分泌机制和精神疾病对健康行为的影响直接导致随后的心脏代谢疾病。在临床实践中，这些关联强调了筛查和治疗围产期精神疾病妇女的重要性，以确保最佳的长期结果。早期筛查和治疗既可以缓解原发病过程，又可以降低合并症的风险。(C) 2013 Elsevier Ltd.版权所有。
The perinatal period provides an important window into a woman's long-term health. Perinatal mental illness is a common condition conferring potential serious long-term psychiatric and medical consequences for the mother and family. It is known that childbirth acts as a powerful trigger for depressive episodes in some women, and that women with histories of a mood disorder are particularly vulnerable. Some evidence links perinatal mental illness with obstetrical complications and reduced lactation initiation and duration. Therefore, perinatal mental illness may be a marker for long-term risk, and may contribute directly to subsequent cardiometabolic disease through both neuroendocrine mechanisms and the effects of mental illness on health behaviours. In clinical practice, these associations underscore the importance of screening and treating women with perinatal mental illness to ensure best possible long-term outcomes. Early screening and treatment may both mitigate the primary disease process and reduce the risk,of comorbid medical conditions. (C) 2013 Elsevier Ltd. All rights reserved.