了解和应对男性产后抑郁症:发病率、原因、诊断和管理策略。

IF 3.1 4区 医学 Q1 Medicine Medical Science Monitor Pub Date : 2024-10-01 DOI:10.12659/MSM.945482
Kamil Zygmunt Czerwiak, Magdalena Cyrkler, Aleksandra Drabik, Ewelina Soroka
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引用次数: 0

摘要

与妊娠有关的压力不仅会影响妇女,还会影响其伴侣。女性产后抑郁问题的讨论越来越多,而男性产后抑郁则可能在产后 12 个月内发生。年轻父亲患抑郁症的风险因素很多,包括荷尔蒙波动、社会经济条件和并发其他疾病。新出现的抑郁症状没有特异性,即使是经验丰富的医务人员也可能会漏诊。目前,筛查测试使用的调查问卷并未考虑男性风险因素。也许开发更个性化的诊断方法可以及早发现男性的风险,并采取预防措施。拟议的产后抑郁症治疗方法,如舍曲林或认知行为疗法,可使患者康复并提供适当的支持。这种疾病会造成长期后果,对孩子的心理发育和功能产生负面影响。父亲患有产后抑郁症的儿童会出现行为障碍和情绪问题。此外,伴侣关系会恶化,父子关系也会受损。进一步的研究应侧重于确定不同社会阶层男性的风险因素,考虑环境、个人和种族特征,以及男性产后抑郁症治疗的有效性。本文旨在回顾男性产后抑郁症的发病率、原因、诊断和治疗。
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Understanding and Addressing Male Postpartum Depression: Incidence, Causes, Diagnosis, and Management Strategies.

Pregnancy-related stress affects not only the woman but also her partner. The issue of postpartum depression in women is increasingly discussed, apart from its occurrence in men, which can develop up to 12 months after giving birth. Risk factors for depression in young fathers are numerous and include hormonal fluctuations, socioeconomic conditions, and co-occurrence of other diseases. Emerging depressive symptoms are nonspecific and can be missed even by experienced medical personnel. Currently, screening tests use questionnaires that do not consider male risk factors. Perhaps the development of more personalized diagnostic methods would enable early identification of men at risk and include preventive measures. The proposed treatment methods of postpartum depression, such as sertraline or cognitive-behavioral therapy, enable patients to recover and provide appropriate support. The disease can cause long-term consequences that negatively affect the development and functioning of the child's psyche. Behavioral disorders and emotional problems are observed in children whose fathers had postpartum depression. Moreover, partner relationships deteriorate and the father-child bond is impaired. Further research should focus on identifying risk factors in men from different social classes, considering environmental, personal, and ethnic characteristics, and on the effectiveness of postpartum depression treatment in men. This article aims to review the incidence, causes, diagnosis, and management of male postpartum depression.

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来源期刊
Medical Science Monitor
Medical Science Monitor MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
6.40
自引率
3.20%
发文量
514
审稿时长
3.0 months
期刊介绍: Medical Science Monitor (MSM) established in 1995 is an international, peer-reviewed scientific journal which publishes original articles in Clinical Medicine and related disciplines such as Epidemiology and Population Studies, Product Investigations, Development of Laboratory Techniques :: Diagnostics and Medical Technology which enable presentation of research or review works in overlapping areas of medicine and technology such us (but not limited to): medical diagnostics, medical imaging systems, computer simulation of health and disease processes, new medical devices, etc. Reviews and Special Reports - papers may be accepted on the basis that they provide a systematic, critical and up-to-date overview of literature pertaining to research or clinical topics. Meta-analyses are considered as reviews. A special attention will be paid to a teaching value of a review paper. Medical Science Monitor is internationally indexed in Thomson-Reuters Web of Science, Journals Citation Report (JCR), Science Citation Index Expanded (SCI), Index Medicus MEDLINE, PubMed, PMC, EMBASE/Excerpta Medica, Chemical Abstracts CAS and Index Copernicus.
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