產後憂鬱症

Postpartum Depression

楊子慧(Tsu-Hui Yang) ； 李明濱(Ming-Been Lee) ； 張秀如(Hsiu-Ju Chang)

《北市醫學雜誌》 2卷7期 (2005/07) Pp. 598-604

https://doi.org/10.6200/TCMJ.2005.2.7.02

摘要

憂鬱症為二十一世紀最重要的疾病之一，而成年女性憂鬱症是男性的兩倍，許多證據也顯示女性生殖系統荷爾蒙改變的確會影響女性的情緒變化，產後憂鬱症即是一例。目前國人對生理疾病較重視，容易疏忽對心理疾病的探討，產後憂鬱症並未引起廣泛的重視。其實，母親若有產後憂鬱症將會對嬰孩的認知、語言表達、注意力造成不良影響，嚴重則有自殺或帶嬰兒一起尋死的危險，不可忽視其重要性。因此，本文將藉由相關文獻，回顧產後憂鬱症的由來、診斷標準、流行病學、病因、鑑別診斷、高危險群及治療，期待增進醫界對產後憂鬱症的重視。

關鍵字

產後沮喪 ； 產後憂鬱症 ； 產後精神病

並列摘要

Depression will be one of the most serious illnesses in the 21(superscript st) century. It is one of the most commonly seen psychiatric disorders in adults and occurs more often in woman than in men. Empirical evidence shows that reproductive hormonal changes may impact on women's emotional state. Postpartum depression is one example of this emotional change. Most people in Taiwan regard physiological disease more importantly than psychological dysfunction. Therefore, postpartum depression has not received equal attention. However, mothers who suffer from postpartum depression significantly affect their child's development in language, cognition and attention. Suicides, and even infant homicide, are the most catastrophic results when this disorder is not properly identified and treated. This article discusses the etiology, diagnostic criteria, epidemiology, high-risk groups and treatment of postpartum depression by reviewing related literature, in order to enhance our understanding of this disease.

並列關鍵字

postpartum blues ； postpartum depression ； postpartum psychosis