Maternal depression: an old problem that merits increased recognition by child healthcare practitioners

Maternal depression: an old problem that merits increased recognition by child healthcare practitioners
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孕产妇抑郁症:一个值得儿童保健从业者更多认识的老问题

DOI:
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发表时间:
2003
影响因子:
3.6
通讯作者:
C. Minkovitz
C. Minkovitz
中科院分区:
医学3区
文献类型:
--
作者:
Karen Zimmer;C. Minkovitz

文献摘要

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综述目的 孕产妇抑郁症是一个老问题,近年来受到公众的高度关注。尽管孕产妇抑郁症的患病率仍然相当高,但医疗保健提供者仍然对患有这种疾病的女性认识不足和治疗不足。目前,政治和国际社会越来越支持进一步研究抑郁症及其对直接和间接参与者的影响。本文将回顾孕产妇抑郁症的严重程度、影响和建议的筛查干预措施。最近的发现 各种研究和评论都记录了孕产妇抑郁症的流行以及对该问题的认识不足和治疗不足。造成这种情况的障碍可能与个人、提供者以及医疗保健服务系统有关。抑郁症甚至抑郁症状已被充分记录在多个领域产生有害影响。其中包括母婴关系、养育方式、家庭功能,甚至儿童的总体发展和福祉。总结 母亲的护理并不属于儿科医生的常规实践范围。然而,儿童保健从业者在提供以家庭为导向的护理方面发挥着至关重要的作用,包括识别和转介父母是否存在对儿童和家庭福祉产生不利影响的情绪健康问题。
Purpose of review Maternal depression is an old problem that has received heightened public attention in recent years. Although the prevalence of maternal depression remains considerable, healthcare providers continue to underrecognize and undertreat women with this condition. Currently there is increasing political as well as international support for further study to understand depression and its impact on those directly and indirectly involved. This article will review the magnitude, impact, and suggested screening interventions for maternal depression. Recent findings Various studies and reviews have documented the prevalence of maternal depression as well as the underrecognition and undertreatment of the problem. The barriers that contribute to this can be related to the individual, the provider, as well as the healthcare delivery system. Depression and even depressive symptoms have been well documented to have deleterious impacts in several domains. These include maternal–child relationships, parenting practices, family functioning, and even children's general development and well-being. Summary The care of the mother has not been in the conventional scope of practice for pediatricians. However, child healthcare practitioners play a crucial rule in delivering family-oriented care, including the identification and referral of parents for emotional health problems that adversely affect children and family well-being.