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A Theoretical Framework for Treating Perinatal Depression Using Couple-Based Interventions

机译：基于夫妻的干预措施治疗围产期抑郁症的理论框架

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摘要

Between 10% and 20% of women will experience depression in the perinatal period, which begins during pregnancy and extends into the first year after delivery. Perinatal depression (PD) is associated with significant emotional and social impairments that impact women, their children, and their partners. Although the majority of women with PD do not seek treatment, a considerable proportion of those who engage in treatment do not achieve remission. The couples and depression literature suggests that interpersonal processes are central in the development and maintenance of depressive disorders and thus, as researchers seek safe and effective treatments for perinatal populations, there may be therapeutic benefit in examining the role that partners play in women's recovery. The primary goal of this practice review is to highlight the utility of including partners in treatment for maternal PD and propose a model for practitioners to guide their work with couples within this domain. Specifically, this model involves three key components of treatment: psychoeducation, communication training, and behavioral activation. Each component addresses distinct risk factors for women and couples in the perinatal period in hopes of offering guidance to practitioners for how to address PD symptomology through a dyadic lens.
机译：10％至20％的妇女将在围产期期间经历抑郁症，在怀孕期间开始，并在交货后第一年延伸到第一年。围产期抑郁症（PD）与影响妇女，儿童及其合作伙伴的重要情绪和社会障碍有关。虽然具有PD的大多数女性不寻求治疗，但相当大比例的那些从事治疗的人不会达到缓解。夫妇和抑郁症文献表明，人际流程在抑郁症的开发和维护方面是抑郁症的核心，因此，随着研究人员寻求对围产期种群的安全和有效治疗，可能会有治疗效益来研究合作伙伴在妇女的复苏中发挥作用。该练习审查的主要目标是突出包括在母体PD治疗中包括合作伙伴的效用，并提出了一种用于从业者的模型，以指导他们在该领域内的情侣的工作。具体而言，该模型涉及治疗的三个关键组分：心理教育，通信培训和行为激活。每个组成部分都为围产期内的妇女和夫妇提供了不同的危险因素，希望通过二元镜片向从业者提供指导。

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