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J Affect Disord:不会吧?爸爸们也会得产后抑郁症?

2015-11-27 陈说 译 MedSci原创

根据情感障碍杂志发表的一项研究显示,父亲们在一个新生婴儿的到来过程中可能会出现焦虑症。

近日,情感障碍杂志上最新发表的一项研究结果表明,在迎接一个新生婴儿到来的过程中,男人也会出现产后抑郁症。


以往的研究发现,超过20%的父母在产后患上了焦虑和抑郁。而对于新生婴儿的到来,导致父母们出现焦虑和抑郁的原因,人们目前还知之甚少。



美国疾病控制和预防中心(CDC)说,对于那些已经很难怀孕或怀孕及分娩期间出现健康问题,和那些有过流产或死胎的以及拥有一个有健康问题的孩子的妈妈们来说,患上产后焦虑和抑郁的风险非常地大。当然,那些即使拥有一个健康的孩子和健康的怀孕的妈妈们也可能会出现产后抑郁,但相对来说风险较小。

该研究设计的研究数据主要包含两个---产后男性焦虑症状和患病率(孩子出生前以及出生后的第一年)。

研究结果发现,不管是孩子出生前还是出生后,男性普遍会出现抑郁症状,大约10名男子中就有1位出现症状,概率约为女性患抑郁症的一半。此外,孩子出生前男性出现抑郁的概率为4.1%和16%之间,出生后为2.4%至18%。

对于是何种风险因素导致男性出现产后抑郁,主要因素可以归结为缺乏社会支持,特别是从合作伙伴,财政困难和精神健康问题等方面。另外,CDC认为,15-24岁以及那些低教育程度和收入都较低的父亲最有可能经历抑郁。

当男性出现焦虑症的症状可能表现为精神紧张、烦躁和担忧婴儿的安全等等。有时还会出现手心出汗、睡眠差和食欲下降等现象。

Leach博士说:

“当一个新生婴儿的降临时,对于很多父母来说需要一段时间来进行自身的调整,有时出现少许紧张属于正常的现象。但若出现焦虑,并持续时间较长且影响到日常生活,这时就得注意了。”
Leach博士还说,大多数情况下男性在女性怀孕和分娩的整个过程中可能会感到被排除在外,毕竟在整个怀孕和分娩过程中女性才是最重要的主角。她补充道,在这个时候,医疗保健的范围应该涉及整个家庭,无论是产科或是精神健康方面,并呼吁夫妇们意识到他们怀孕时要时刻关注自己的心里健康。

另外,Leach博士还指出,通常男性在刚开始出现焦虑症状时很少向他人寻求帮助,他们通常认为这对自己来说不算什么。但事实上正相反,他们应该寻求帮助,因为早期干预可以减少症状程度的加重和持续时间。如果他们不这样做,他们的焦虑不仅会对自己造成不利影响,同时还会对他们的妻子甚至是孩子有不良的影响。

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    2016-08-29 chenwq08
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    2016-08-25 cmsvly
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    2015-11-30 1ddf23d5m57(暂无匿称)

    以前没想到,今后注意这个问题

    0

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BMC Pregnancy Childbirth:产后抑郁的危险因素

产后抑郁症是女性精神障碍中最为常见的类型,是女性生产之后,由于性激素、社会角色及心理变化所带来的身体、情绪、心理等一系列变化。典型的产后抑郁症是产后6周内发生,可持续整个产褥期,有的甚至持续至幼儿上学前。最近研究表明其发病率在10-22%,其变化可能与地理位置有关。目前为止,关于土耳其女性产后抑郁症的发病率和危险因素还没有明确的研究等,但是了解风险因素对于制定预防干预策略十分重要。因此Turkca

Lancet Psychiatry:产后抑郁症长时间危害子女的心理健康

母亲的产后抑郁症不利于子女的身心健康。研究人员在一项前瞻性研究中,针对南非人群,评估了母亲的产后抑郁症是否影响子女的心理健康。 研究方法: “Birth to Twenty”是一项在南非约翰尼斯堡索韦托地区开展的前瞻性、长期、生育健康队列研究。在这项队列研究,母亲和子女在产前和产后10年,按照规定的时间接受随访。分别采用皮特忧郁量表(Pitt depression inventory

J Pediatr:母亲抑郁将影响孩子的情绪和行为发展

Waerden J等人进行了一项研究,探究母亲从怀孕开始,到孩子5岁期间其抑郁症状的转归情况,以及不同转归与孩子5岁时情感和行为困难的关系。

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