产后抑郁障碍防治指南的专家共识(基于产科和社区医生)

被引:175
作者
丁辉
陈林
邸晓兰
机构
[1] 产后抑郁防治指南撰写专家组
[2] 首都医科大学附属北京妇产医院、北京妇幼保健院
[3] 北京回龙观医院
关键词
抑郁障碍防治指南; 起病时间; 产妇; PPD; 抑郁发作; 抑郁量表; 情感低落; 强迫观念; 精神科会诊; 躯体症状; 躯体不适; 产科; 双相情感障碍; 北京回龙观医院; 精神病性症状; MDD; 症状群; 社区医生; 创伤后应激障碍; 专家;
D O I
10.13390/j.issn.1672-1861.2014.06.034
中图分类号
R749.4 [情感性精神病];
学科分类号
摘要
<正>第一部分产后抑郁障碍的概述一、产后抑郁障碍的概念及流行病学1.概念:产后抑郁障碍(postpartum depression/puerperal depression,PPD;或postnatal depression,PND)的概念最早由Roland,M.(1950)提出。随着半个多世纪以来对PPD认识的不断加深,目前认为PPD并不是一个独立的疾病,而是特发于女性产后这一特殊时段的抑郁症(major depressive disorder,MDD),有时也包括延续到产后或在产后复发的MDD。对于PPD起病时间的界定,从产后1天至产后12个月都有提及,甚至认为可以发生在产前。美国精神障碍分类与第四版诊断标准(DSM-Ⅳ)将PPD的起病时间定为
引用
收藏
页码:572 / 576
页数:5
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