Preventing recurrence of postpartum depression by regulating sleep.
Preventing recurrence of postpartum depression by regulating sleep.
复制标题
通过调节睡眠来预防产后抑郁症复发。
DOI：
10.1080/14737175.2023.2237194
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发表时间：
2023
影响因子：
4.3
通讯作者：
Thomson,Michael
中科院分区：
文献类型：
--
作者：
Sharma,Verinder;Sharkey,KatherineM;Palagini,Laura;Mazmanian,Dwight;Thomson,Michael
女性在产后抑郁复发的风险很高。考虑到风险期的有限持续时间和对其触发因素的了解，产后抑郁症应该很容易预防。然而，预防性药物研究报告了相互矛盾的结果，部分原因是这种疾病的异质性。目前还没有关于心理治疗对重度抑郁或双相情感障碍女性产后抑郁预防效果的研究。本综述评价了预防重度抑郁症或双相情感障碍女性抑郁的对照药物治疗和心理治疗研究的结果；这进一步表明，睡眠不足/失眠的管理可能是预防产后抑郁症的有效策略。专家意见在实施预防产后抑郁症的策略之前，有必要对既往情绪障碍的临床病程和既往治疗反应进行深入的了解。针对不安和/或睡眠不足——围产期精神障碍的一种常见的早期诊断症状——可能比传统的使用抗抑郁药的方法更有效地预防产后抑郁症和一些个体的精神合并症。
IntroductionWomen are at a high risk of recurrence of depression in the postpartum period. Given the circumscribed duration of the risk period and knowledge of its triggers, postpartum depression should be easily preventable. However, prophylactic drug studies have reported contradictory findings partly due to the heterogeneity of the disorder. Currently, there are no studies on the efficacy of psychotherapy in the prevention of postpartum depression in women with major depressive or bipolar disorder.Areas CoveredThis review evaluates the results of controlled medication and psychotherapeutic studies in the prevention of depression in women with major depressive disorder or bipolar disorder; it further suggests that the management of sleep loss/insomnia may be an effective strategy in the prevention of postpartum depression.Expert opinionA thorough understanding of the clinical course of the antecedent mood disorder and historical treatment response is necessary before the implementation of strategies for the prevention of postpartum depression. Targeting disturbed and/or insufficient sleep – a common and early transdiagnostic symptom of peripartum psychiatric disorders – may be a more effective intervention for the prevention of postpartum depression and psychiatric comorbidities in some individuals than the traditional approach of antidepressant use.