解决少女怀孕危机

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2020-01-10 DOI:10.2174/2210676609666190531102808
Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite
{"title":"解决少女怀孕危机","authors":"Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite","doi":"10.2174/2210676609666190531102808","DOIUrl":null,"url":null,"abstract":"\n\nAdolescent pregnancy is a major public health concern with medical,\npsychiatric, and social implications. Within this population, there is an elevated rate of\nco-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality,\nand substance use. However, little is known about the assessment and treatment of adolescent\npregnancy within the context of these co-occurring psychiatric conditions, particularly\nin an emergency situation.\n\n\n\nThis article utilizes a case report to illustrate the challenges faced in consultative\npsychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial\nhistory. Topics addressed include: 1) The role of childhood trauma and suicidality\nin adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents\nwith psychotropics during pregnancy.\n\n\n\nA literature search was performed with the key words of adolescent, pregnancy,\nchild sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist\nand a psychiatrist who had specialized in addiction and adolescents were enlisted on\nkey aspects of the case formulation and treatment.\n\n\n\nSeveral studies were found that focused on depression, substance abuse and trauma\nin adolescent pregnancy. There were more studies that looked at psychopharmacological\ntreatment in adult pregnant women and a few that focused on adolescents.\n\n\n\nAddressing the crisis of psychiatric illness in adolescent pregnancy requires a\nthorough approach in understanding the severity of the illness and the contribution of child\nabuse and suicidality. Psychotherapeutic interventions are most certainly always necessary\nand beneficial when dealing with this population. Deciding when to start and maintain medication\nduring pregnancy should be individualized, with considerations of the risks of untreated\nillness and of medication exposure.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Addressing Crises in Teenage Pregnancy\",\"authors\":\"Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite\",\"doi\":\"10.2174/2210676609666190531102808\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\nAdolescent pregnancy is a major public health concern with medical,\\npsychiatric, and social implications. Within this population, there is an elevated rate of\\nco-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality,\\nand substance use. However, little is known about the assessment and treatment of adolescent\\npregnancy within the context of these co-occurring psychiatric conditions, particularly\\nin an emergency situation.\\n\\n\\n\\nThis article utilizes a case report to illustrate the challenges faced in consultative\\npsychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial\\nhistory. Topics addressed include: 1) The role of childhood trauma and suicidality\\nin adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents\\nwith psychotropics during pregnancy.\\n\\n\\n\\nA literature search was performed with the key words of adolescent, pregnancy,\\nchild sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist\\nand a psychiatrist who had specialized in addiction and adolescents were enlisted on\\nkey aspects of the case formulation and treatment.\\n\\n\\n\\nSeveral studies were found that focused on depression, substance abuse and trauma\\nin adolescent pregnancy. There were more studies that looked at psychopharmacological\\ntreatment in adult pregnant women and a few that focused on adolescents.\\n\\n\\n\\nAddressing the crisis of psychiatric illness in adolescent pregnancy requires a\\nthorough approach in understanding the severity of the illness and the contribution of child\\nabuse and suicidality. Psychotherapeutic interventions are most certainly always necessary\\nand beneficial when dealing with this population. Deciding when to start and maintain medication\\nduring pregnancy should be individualized, with considerations of the risks of untreated\\nillness and of medication exposure.\\n\",\"PeriodicalId\":43326,\"journal\":{\"name\":\"Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2020-01-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/2210676609666190531102808\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676609666190531102808","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 2

摘要

青少年怀孕是一个重大的公共卫生问题,具有医学、精神病学和社会影响。在这一人群中,同时发生包括情绪障碍、焦虑症、自杀和药物使用在内的精神疾病的比率较高。然而,在这些共同发生的精神疾病的背景下,特别是在紧急情况下,对青少年怀孕的评估和治疗知之甚少。本文利用一个案例报告来说明咨询精神病学在评估和治疗具有复杂心理社会史的怀孕自杀青年时所面临的挑战。讨论的主题包括:1)童年创伤和自杀倾向在青少年怀孕中的作用2)考虑在怀孕期间使用精神药物治疗青少年的风险和益处。以青少年、怀孕、儿童性虐待、精神疾病为关键词进行文献检索。此外,在案例制定和治疗的关键方面,还征求了生殖精神病学家和专门研究成瘾和青少年的精神病学家的专家意见。有几项研究的重点是抑郁症、药物滥用和青少年怀孕的创伤。有更多的研究关注成年孕妇的精神药理学治疗,还有一些研究关注青少年。要解决少女怀孕期间的精神疾病危机,就需要彻底了解疾病的严重程度以及虐待儿童和自杀的原因。在处理这类人群时,心理治疗干预当然总是必要和有益的。在怀孕期间决定何时开始和维持药物治疗应该是个体化的,要考虑到未治疗的疾病和药物暴露的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Addressing Crises in Teenage Pregnancy
Adolescent pregnancy is a major public health concern with medical, psychiatric, and social implications. Within this population, there is an elevated rate of co-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality, and substance use. However, little is known about the assessment and treatment of adolescent pregnancy within the context of these co-occurring psychiatric conditions, particularly in an emergency situation. This article utilizes a case report to illustrate the challenges faced in consultative psychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial history. Topics addressed include: 1) The role of childhood trauma and suicidality in adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents with psychotropics during pregnancy. A literature search was performed with the key words of adolescent, pregnancy, child sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist and a psychiatrist who had specialized in addiction and adolescents were enlisted on key aspects of the case formulation and treatment. Several studies were found that focused on depression, substance abuse and trauma in adolescent pregnancy. There were more studies that looked at psychopharmacological treatment in adult pregnant women and a few that focused on adolescents. Addressing the crisis of psychiatric illness in adolescent pregnancy requires a thorough approach in understanding the severity of the illness and the contribution of child abuse and suicidality. Psychotherapeutic interventions are most certainly always necessary and beneficial when dealing with this population. Deciding when to start and maintain medication during pregnancy should be individualized, with considerations of the risks of untreated illness and of medication exposure.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
期刊最新文献
Adolescent Substance Use, and Related Emergency Room Visits, and Continuum of Care Psychosomatic Problems Among Adolescents During/Post the COVID-19 Pandemic: A Systematic Review Factors Associated with Posttraumatic Stress Disorder in Adolescents Experiencing Earthquake Trauma The Role of Identity in the Relationship between PTSD and Executive Functioning Review of Clinical Considerations in the Management of Adolescents with ADHD During Ramadan
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1