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The long-term psychiatric and medical prognosis of perinatal mental illness

机译:围产期精神疾病的长期精神病和医学预后

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摘要

The perinatal period provides an important window into a woman's long-term health. Perinatal mental illness is a common condition conferring potential serious long-term psychiatric and medical consequences for the mother and family. It is known that childbirth acts as a powerful trigger for depressive episodes in some women, and that women with histories of a mood disorder are particularly vulnerable. Some evidence links perinatal mental illness with obstetrical complications and reduced lactation initiation and duration. Therefore, perinatal mental illness may be a marker for long-term risk, and may contribute directly to subsequent cardiometabolic disease through both neuroendocrine mechanisms and the effects of mental illness on health behaviours. In clinical practice, these associations underscore the importance of screening and treating women with perinatal mental illness to ensure best possible long-term outcomes. Early screening and treatment may both mitigate the primary disease process and reduce the risk of comorbid medical conditions.
机译:围产期为妇女长期健康提供了重要的窗口。围产期精神疾病是一种常见疾病,会给母亲和家人带来严重的长期精神和医学后果。众所周知,分娩是某些妇女抑郁症发作的有力诱因,而且有情绪障碍史的妇女特别容易受到伤害。一些证据将围产期精神疾病与产科并发症以及减少的泌乳开始和持续时间联系起来。因此,围产期精神疾病可能是长期风险的标志,并可能通过神经内分泌机制和精神疾病对健康行为的影响直接导致随后的心脏代谢疾病。在临床实践中,这些协会强调了筛查和治疗围产期精神疾病妇女的重要性,以确保获得最佳的长期结果。早期筛查和治疗既可以减轻原发疾病的进程,又可以降低合并疾病的风险。

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