Perinatal mental health around the world: priorities for research and service development in Africa.
Perinatal mental health around the world: priorities for research and service development in Africa.
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DOI：
10.1192/bji.2020.16
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发表时间：
2020-08
影响因子：
--
通讯作者：
Stewart RC
中科院分区：
文献类型：
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作者：
Ng'oma M;Bitew T;Kaiyo-Utete M;Hanlon C;Honikman S;Stewart RC
非洲是一个多样化且不断变化的大陆，人口迅速增长，母亲的心理健康是一个重要的健康优先事项。最近的研究表明： 围产期常见精神障碍（抑郁和焦虑）在非洲至少与高收入和其他低收入和中等收入地区一样普遍；主要风险因素包括亲密伴侣暴力、粮食不安全和身体疾病；母亲心理健康状况不佳与婴儿健康和发育受损有关。在非洲，心理干预可以纳入常规妇幼保健中，尽管干预的最佳模式和强度仍不清楚，并且可能因环境而异。未来的优先事项包括： 扩大研究范围，将被忽视的精神疾病纳入其中；对围产期常见精神障碍的原因和后果进行大规模混合方法研究；扩大适合当地情况的循证干预措施，包括预防；并倡导非洲所有妇女获得安全全面产妇护理的权利。
Africa is a diverse and changing continent with a rapidly growing population, and the mental health of mothers is a key health priority. Recent studies have shown that: perinatal common mental disorders (depression and anxiety) are at least as prevalent in Africa as in high-income and other low- and middle-income regions; key risk factors include intimate partner violence, food insecurity and physical illness; and poor maternal mental health is associated with impairment of infant health and development. Psychological interventions can be integrated into routine maternal and child healthcare in the African context, although the optimal model and intensity of intervention remain unclear and are likely to vary across settings. Future priorities include: extension of research to include neglected psychiatric conditions; large-scale mixed-method studies of the causes and consequences of perinatal common mental disorders; scaling up of locally appropriate evidence-based interventions, including prevention; and advocacy for the right of all women in Africa to safe holistic maternity care.