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Acta Facultatis Medicae Naissensis
2019, vol. 36, br. 3, str. 167-176
jezik rada: engleski
vrsta rada: pregledni članak
objavljeno: 09/11/2019
doi: 10.5937/afmnai1903167S
Creative Commons License 4.0
Postporođajni psihijatrijski poremećaji - pregled istorije istraživanja, klasifikacija, epidemiološki podaci, etiološki faktori i kliničke prezentacije
aUniverzitet u Nišu, Medicinski fakultet, Specijalna psihijatrijska bolnica Gornja Toponica
bUniverzitet u Nišu, Medicinski fakultet + Klinički centar Niš, Klinika za zaštitu mentalnog zdravlja
cUniverzitet u Nišu, Medicinski fakultet

e-adresa: jelena.a.86.ja@gmail.com

Sažetak

Postpartalni psihijatrijski poremećaji su mentalni poremećaji koji se javljaju nakon porođaja. Nelečena depresija i anksioznost u toku trudnoće, kao i stres i ranije depresivne epizode značajani su faktori rizika za nastanak postpartalnih psihijatrijskih poremećaja. Nakon porođaja najčešće se javljaju postpartalni bluz, postpartalna depresija i postpartalna psihoza, kao i postpartalni anksiozni poremećaji. Postporođajna depresija povećava verovatnoću nastanka psihijatrijskog morbiditeta u daljem životu. Prisustvo psihotične simptomatologije sa psihomotornom uznemirenošću i nepredvidivim ponašanjem značajni su faktori rizika za suicid ili infanticid. Istraživanja su pokazala da više od polovine žena sa depresijom u toku trudnoće ili postpartalnom depresijom ima u komorbiditetu i neki anksiozni poremećaj. Nakon porođaja povećava se mogućnost nastanka paničnog poremećaja i opsesivno-kompulzivnog poremećaja, a smanjuje se prevalencija generalizovanog anksioznog poremećaja. Pouzdan instrument za skrining spektra postpartalnih mentalnih poremećaja je Edinburgova postnatalna skala za depresiju - EPDS. Postpartalni psihijatrijski poremećaji narušavaju centralni psihološki proces, tj. razvoj emocionalnog odnosa između majke i deteta i negativno se odražavaju na ponašanje, kognitivni razvoj i fizičko zdravlje deteta.

Ključne reči

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