Postpartum substance use and depressive symptoms: a review.
Postpartum substance use and depressive symptoms: a review.
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DOI：
10.1080/03630242.2013.804025
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发表时间：
2013
期刊：
影响因子：
1.6
通讯作者：
Wu LT
中科院分区：
文献类型：
--
作者：
Chapman SL;Wu LT
全国调查数据表明，新妈妈酗酒和使用非法药物的比例很高。抑郁症与物质使用相关，患有产后抑郁症（PPD）的新妈妈可能处于物质使用的高风险中。了解产后物质使用及其与PPD的关系可以为未来的研究和干预提供信息。进行了文献检索，获得了1999-2012年发表的12项研究，研究了产后酒精使用，药物使用或产后抑郁症和物质使用的组合。产后饮酒（流行率范围为30.1%-49%）和吸毒（4.5%-8.5%）低于未怀孕和未产后妇女的使用率（分别为41.5%-57.5%; 7.6%-10.6%），但高于孕妇的使用率（分别为5.4%-11.6%; 3.7%-4.3%）。产后饮酒问题的相关因素是失业、未婚和吸烟。吸毒流行率在白色新妈妈中最高，其次是黑人和西班牙裔，但黑人新妈妈吸毒的风险似乎更大。没有确定的研究检查产后药物使用的相关性超出种族/民族。产后抑郁症状在产后物质使用者和有物质使用史者中普遍存在（19.7%-46%）。产后是一个关键时期。普遍的物质使用和研究的缺乏保证了研究，以确定减少产妇物质使用的方法。
National survey data suggest that new mothers have high prevalences of alcohol and illicit drug use. Depression correlates with substance use, and new mothers with postpartum depression (PPD) may be at high risk for substance use. Understanding postpartum substance use and its relationship to PPD can inform future research and intervention. A literature search was conducted resulting in 12 studies published from 1999–2012 examining postpartum alcohol use, drug use, or combined postpartum depression and substance use. Postpartum alcohol (prevalence range 30.1%−49%) and drug use (4.5%–8.5%) were lower than use among not pregnant, not postpartum women (41.5%–57.5%; 7.6%–10.6%, respectively) but higher than use among pregnant women (5.4%–11.6%; 3.7%–4.3%, respectively). Correlates of postpartum problem drinking were being unemployed, unmarried, and a cigarette smoker. Prevalence of drug use was highest among white new mothers, followed by Blacks and Hispanics, but Black new mothers appeared at greater risk of drug use. No identified studies examined correlates of postpartum drug use beyond race/ethnicity. Postpartum depressive symptoms were prevalent among postpartum substance users and those with a substance use history (19.7%–46%). The postpartum period is a critical time. Prevalent substance use and the scarcity of studies warrant research to identify means to reduce maternal substance use.