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妊娠期抑郁症的治疗进展 被引量：2

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摘要 传统观点认为妊娠是罹患精神障碍的一个保护因素．研究^[1]发现事实却非如此，妊娠期妇女可以出现多种心理问题．尤以妊娠期抑郁症最为常见。妊娠期抑郁症一旦出现．如治疗不及时或治疗不当，可对孕妇和胎儿造成不利影响^[2]。但考虑到抗抑郁剂对胎儿的安全性和心理治疗的有效性等问题．目前的治疗现状并不理想^[3]。
作者 张东军 王玉锋 杨世昌 胡泽卿
机构地区 新乡医学院心理学系 四川大学华西基础医学与法医学院
出处 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2012年第10期631-634,共4页 Chinese Journal of Nervous and Mental Diseases
基金 河南省教育厅科学技术研究重点项目(编号:12B320020)
关键词 妊娠期抑郁症 治疗 抗抑郁剂 心理治疗
分类号 R749.4 [医药卫生—神经病学与精神病学]
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参考文献36

  • 1Ryan D, Milis L, Misri N. Depression during pregnancy[J].Can Fam Physician, 2005,51(8); 1087-1093.
  • 2Spinelli M. Antidepressant treatment during pregnancy [J].AmJ Psychiatry, 2012,169(2) : 121-124.
  • 3Raudzus J, Misri S. Managing unipolar depression in pregnan-cy[J].Curr Opin Psychiatry, 2009,22(1) : 13-18.
  • 4Yonkers KA, Wisner KL, Stewart DE, et al. The managementof depression during pregnancy : a report from the AmericanPsychiatric Association and the American College of Obstetri-cians and Gynecologists [J].Gen Hosp Psychiatry, 2009,31(5):403-413.
  • 5Roshanaei-Moghaddam B, Pauly MC , Atkins DC , et al. Rela-tive effects of CBT and pharmacotherapy in depression versusanxiety : is medication somewhat better for depression, andCBT somewhat better for anxiety? [J].Depress Anxiety, 2011,28(7):560-567.
  • 6Rahman A, Malik A, Sikander S, et al. Cognitive behaviourtherapy-based intervention by community health workers formothers with depression and their infants in rural Pakistan : acluster-randomised controlled trial[J].Lancet, 2008,372(9642):902-909.
  • 7Spinelli MG, Endicott J. Controlled clinical trial of interper-sonal psychotherapy versus parenting education program for de-pressed pregnant women [ J ].Am J Psychiatry, 2003,60 (3):555-562.
  • 8Grote NK, Swartz HA, Geibel SL. A randomized controlledtrial of culturally relevant, brief interpereonal psychotherapy forperinatal depression[J].Psychiatr Serv, 2009,60(3) :313-321.
  • 9Alwan S, Reefhuis J, Rasmussen SA, et al. Patterns of an-tidepressant medication use among pregnant women in a UnitedStates population [ J].J Clin Pharmacol, 2011,51 (2) :264-270.
  • 10Payne JL, Meltzer-Brody S. Antidepressant use during preg-nancy :Current Controversies and Treatment Strategies [ J ].ClinObstet Gynecol, 2009,52(3) :469-482.

二级参考文献44

  • 1熊静悦,曾南,张崇燕,杨婧,刘晓帅.逍遥散抗抑郁作用研究[J].中药药理与临床,2007,23(1):3-5. 被引量：74
  • 2Trivedi MH, Rush AJ, Wisniewski SR, et al. Evaluation of outcomes with citalopram for depression using measurement- based care in STAR * D: implications for clinical practice [J]. Am J Psychiatry, 2006 163 ( 1 ) : 28-40.
  • 3Kroenke K, West SL, Swindle R, et al. Similar effectiveness of paroxetine, fluoxetine, and sertraline in primary care: a ran- domized trial[J]. JAMA, 2001,286(23) :2947-2955.
  • 4American Psychiatric Association. Practice guideline for the treatment of patients with major depressive disorder (revision). American Psychiatric Association [J]. Am J Psychiatry, 2000, 157(4 suppl) : 1-45.
  • 5Thase ME, Entsuah AR, Rudolph RL . Remission rates during treatment with venlafaxine or selective serotonin reuptake in- hibitors [ J ]. Br J Psychiatry, 2001,178 (3) : 234 -241.
  • 6Nemeroff CB, Entsuah R, Benattia I, et al. Comprehensive analysis of remission (COMPARE) with venlafaxine versus SS- RIs [ J ]. Biol psychiatry, 2008,63 (4) : 424 -434.
  • 7Poirier MF, Boyer P. Venlafaxine and paroxetine in treatment- resistant depression. Double-blind, randomised comparison [J ]. Br J Psychiatry, 1999,175(7) : 12-16.
  • 8Baldomero EB, Ubago JG, Cercos CL, et al. Venlafaxine extend- ed release versus conventional antidepressants in the remission of depressive disorders after previous antidepressant failure: ARGOS study [ J ]. Depress Anxiety, 2005,22 (2) : 68-76.
  • 9Rush AJ, Trivedi MH, Wisniewski SR, et al. Bupropion-SR, sertraline, or venlafaxine-XR after failure of SSRIs for depres- sion[J]. N Engl J Med, 2006,354( 12): 1231-1242.
  • 10Corya SA, Williamson D, Sanger TM, et al. A randomized, double-blind comparison of olanzapine/fluoxetine combination, olanzapine, fluoxetine, and venlafaxine in treatment-resistant depression [ J ]. Depress Anxiety, 2006,23 (6) : 364-372.

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中国神经精神疾病杂志
2012年 第10期

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