作为双相情感障碍首次出现的产后紧张性父亲抑郁症:一例报告。

IF 2.1 3区 医学 Q3 PHARMACOLOGY & PHARMACY International Clinical Psychopharmacology Pub Date : 2024-03-01 Epub Date: 2023-09-20 DOI:10.1097/YIC.0000000000000480
Oscar de Juan, Albert Mas, Anna Giménez-Palomo, Joaquín Gil-Badenes, Lídia Ilzarbe, Lluc Colomer, Helena Andreu, Laura Bueno, Luis Olivier, Beatriz Estévez, Tábatha Fernández-Plaza, Laia Tardón-Senabre, Néstor Arbelo, Marc Valentí, Susana Gomes da Costa, Gabriel Pujol-Fontrodona, Eduard Vieta, Isabella Pacchiarotti
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引用次数: 0

摘要

父亲产后抑郁症(PD)被认为是一种影响父亲产后几个月的情感障碍。有趣的是,有人观察到,在这几个月里,男性父母患抑郁症的几率是非父母男性父母的两倍。我们报告了一名34岁的无相关病史的男性,在她女儿出生的同时,出现了一些抑郁症状,如疲劳、注意力不集中、睡眠障碍和放弃对新生儿的照顾。在会诊之前,患者拒绝进食和睁开眼睛,他的讲话变得越来越吝啬,直到达到缄默症。该患者被诊断为重度抑郁症伴紧张症。鉴于药物治疗缺乏改善,并且有证据表明电休克疗法(ECT)对紧张症患者有效,因此指示并开始了急性ECT治疗。应该注意的是,在我们对出现抑郁发作的年轻父母的鉴别诊断中,PD是一个需要考虑的重要因素。很少有相对年轻的患者出现这种临床表现,尽管该病例具有PD流行病学中描述的一些特征,但其他临床方面并不是该实体的典型特征。获得患者的知情同意书以便发表。
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Catatonic postpartum paternal depression as a first debut of a bipolar disorder: a case report.

Paternal postpartum depression (PD) is considered an affective disorder that affects fathers during the months following childbirth. Interestingly, it has been observed that during these months the chances of a male parent suffering from depression are double that for a non-parent male counterpart. We present the case of a 34-year-old man with no relevant medical history in who, overlapping her daughter's birth, several depressive symptoms emerged, such as fatigue, lack of concentration, sleeping disturbances and abandonment of care of the newborn. Prior to consultation, patient refused to eat and open his eyes, and his speech became progressively more parsimonious until reaching mutism. The patient was diagnosed with a severe depressive disorder with catatonia. Given the lack of improvement with pharmacological treatment and due to the evidence of electroconvulsive therapy (ECT)'s effectiveness on patients with catatonia, acute ECT treatment was indicated and started. It should be noted that PD is an important entity to consider in our differential diagnosis of young parents who present a depressive episode. Few cases of relatively young patients presenting with such clinical presentation have been described and, although this case presents some of the characteristics described in the epidemiology of PD, other clinical aspects are not typical of this entity. Informed consent was obtained from the patient for the purpose of publication.

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来源期刊
CiteScore
4.40
自引率
23.10%
发文量
97
审稿时长
>12 weeks
期刊介绍: International Clinical Psychopharmacology provides an essential link between research and clinical practice throughout psychopharmacology. It reports on studies in human subjects, both healthy volunteers and patients, which relate the effects of drugs on psychological processes. A major objective of the journal is to publish fully refereed papers which throw light on the ways in which the study of psychotropic drugs can increase our understanding of psychopharmacology. To this end the journal publishes results of early Phase I and II studies, as well as those of controlled clinical trials of psychotropic drugs in Phase II and IV. Other topics covered include the epidemiology of psychotropic drug prescribing and drug taking, the sociology of psychotropic drugs including compliance, and research into the safety and adverse effects of these compounds.
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