亚太地区关于围产期抑郁和焦虑的共识声明。

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry Pub Date : 2025-10-09 DOI:10.1016/j.ajp.2025.104720

Phaik Ling Quah , Anne Buist , Prabha S Chandra , Helen Chen , Tze-Ern Chua , Pui-wah Hui , Milind Shah , Endang Retno Surjaningrum , Ganeshan Muniswaran , Sachith Mettananda , Dittakarn Boriboonhirunsarn , Kok Hian Tan , Asia–Pacific Perinatal Mental Health Guidelines on Depression and Anxiety Committee

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引用次数: 0

摘要

背景：围产期，从受孕到产后一年，是身体和情绪发生重大变化的时期，焦虑和抑郁等精神健康障碍的风险较高，特别是在亚太地区。在这一阶段，产妇心理健康状况不佳可能导致产科并发症，并对儿童发育和神经发育产生不利影响。方法：来自11个亚太国家和/或司法管辖区的代表使用grade - adolopd框架制定了关于抑郁和焦虑的围产期心理健康指南的共识声明。研究发现：这些指南支持所有育龄妇女，包括那些有特殊情况的妇女，如严重的产科并发症、少女怀孕或特殊需要的妇女及其婴儿。建议包括对经历严重产妇并发症的妇女的特别考虑，对青少年和有特殊需要的妇女的个性化护理，以及对婴儿心理健康需要的关注。它们的重点是促进在孕前、产前和产后经历抑郁和焦虑的妇女的最佳心理健康。解释：这些指南是为亚太地区的妇幼保健从业人员制定的，旨在推广一种综合方法——将生活方式的改变、早期筛查和量身定制的干预措施结合起来——以改善围产期心理健康，提高母亲和儿童的预后。

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Consensus statements on perinatal depression and anxiety in the Asia-Pacific region

Background

The perinatal period, from conception to one year postpartum, is a time of major physical and emotional change, with heightened risk for mental health disorders such as anxiety and depression—particularly in the Asia-Pacific region. Poor maternal mental health during this phase can lead to obstetric complications and adversely affect child development and neurodevelopment.

Method

Representatives from 11 Asia–Pacific nations and/or jurisdictions developed a consensus statement on the perinatal mental health guidelines on depression and anxiety using the GRADE-ADOLOPMENT framework.

Findings

These guidelines support all women of childbearing age, including those with special circumstances—such as severe obstetric complications, adolescent pregnancies, or special needs—and their infants. Recommendations included special considerations for women who experienced severe maternal complications, personalized care for adolescents and women with unique needs, and attention to the mental health needs of infants. They focus on promoting optimal mental health for women experiencing depression and anxiety during the preconception, antenatal, and postnatal periods.

Interpretation

These guidelines, developed for maternal and child health practitioners in the Asia-Pacific, promote a holistic approach—combining lifestyle changes, early screening, and tailored interventions—to improve perinatal mental health and enhance outcomes for mothers and children.

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来源期刊

Asian journal of psychiatry Medicine-Psychiatry and Mental Health

CiteScore

12.70

自引率

5.30%

发文量

297

审稿时长

35 days

期刊介绍： The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.