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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >When Fathers Begin to Falter: A Comprehensive Review on Paternal Perinatal Depression
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When Fathers Begin to Falter: A Comprehensive Review on Paternal Perinatal Depression

机译：当父亲开始步履蹒跚时：对父亲围产期抑郁症的全面回顾

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摘要

The transition to parenthood is considered to be a major life transition that can increase the vulnerability to parental depressive disorders, including paternal perinatal depression (PPND). Although it is known that many fathers experience anxiety and depression during the perinatal period, PPND is a recent diagnostic entity and there are not enough published studies on it. Accordingly, its prevalence and epidemiology are still not well defined, although the majority of studies agree that PPND is less frequent than maternal perinatal depression and postpartum depression. Nevertheless, PPND is different from maternal perinatal mental health disorders, usually, fathers have less severe symptoms, and mood alterations are often in comorbidity with other affective disorders. Despite the absence of DSM-5 diagnostic criteria and the fluctuation of prevalence rates, clinical symptoms have been defined. The main symptoms are mood alterations and anxiety, followed by behavioral disturbances and concerns about the progress of pregnancy and the child’s health. Moreover, PPND negatively impacts on family functioning, on couples’ relationships, and on family members’ well-being. The aim of this paper is to present an overview of the current understandings on PPND and the potential screening, prevention, and treatment options.
机译：过渡到父母身份被认为是主要的生命过渡，可以增加父母抑郁症（包括父亲围产期抑郁症（PPND））的脆弱性。尽管众所周知，许多父亲在围产期经历焦虑和抑郁，但是PPND是最近的诊断实体，关于它的发表的研究不足。因此，尽管大多数研究都认为PPND的发生率低于产妇围产期抑郁症和产后抑郁症，但其流行病学和流行病学仍未明确。尽管如此，PPND与产妇围产期心理健康障碍有所不同，通常，父亲的症状较轻，并且情绪改变通常与其他情感障碍并存。尽管缺乏DSM-5诊断标准和患病率的波动，但已经定义了临床症状。主要症状是情绪变化和焦虑，其次是行为障碍和对怀孕进程和孩子健康的担忧。此外，PPND对家庭运作，夫妻关系以及家庭成员的幸福也有负面影响。本文的目的是概述当前对PPND的理解以及潜在的筛查，预防和治疗方案。

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