产后躁狂的预测因素和治疗：一个有代表性的病例。

IF 2.1 3区医学 Q3 PHARMACOLOGY & PHARMACY

International Clinical Psychopharmacology Pub Date : 2024-03-01 Epub Date: 2023-10-02 DOI:10.1097/YIC.0000000000000518

Eduardo A Constantino, Michael S LaSala, Karunya Bhattacharya, Mehwish Choudhry

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引用次数: 0

摘要

产后躁狂和精神病使分娩者和孩子都面临重大风险，因此预测其发作并确定有效治疗至关重要。在这里，一个有代表性的案例是一名患者在怀孕期间开始服用抗抑郁药，她在产后出现了精神病躁狂发作。该病例描述了临床医生在产后护理有这些症状的患者时面临的许多风险因素和治疗问题。随后的讨论为临床医生提供了帮助预测产后躁狂的指导，并回顾了可能增加其发病风险的因素。还审查了精神病治疗的证据，以预防和治疗产后躁狂和精神病。

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Predictive factors and treatment of postpartum mania: a representative case.

Postpartum mania and psychosis puts both the person giving birth and their child at significant risk, so predicting its onset and determining effective treatment is crucial. Here, a representative case is presented of a patient started on an antidepressant during her pregnancy who suffered a postpartum manic episode with psychosis. The case describes many of the risk factors and treatment issues faced by clinicians when caring for patients with these symptoms in the postpartum period. Subsequent discussion provides guidance for clinicians to help predict postpartum mania and reviews factors that may increase the risk of its onset. The evidence for psychiatric treatment is also reviewed to both prevent and treat postpartum mania and psychosis.

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来源期刊

International Clinical Psychopharmacology 医学-精神病学

CiteScore

4.40

自引率

23.10%

发文量

审稿时长

>12 weeks

期刊介绍： International Clinical Psychopharmacology provides an essential link between research and clinical practice throughout psychopharmacology. It reports on studies in human subjects, both healthy volunteers and patients, which relate the effects of drugs on psychological processes. A major objective of the journal is to publish fully refereed papers which throw light on the ways in which the study of psychotropic drugs can increase our understanding of psychopharmacology. To this end the journal publishes results of early Phase I and II studies, as well as those of controlled clinical trials of psychotropic drugs in Phase II and IV. Other topics covered include the epidemiology of psychotropic drug prescribing and drug taking, the sociology of psychotropic drugs including compliance, and research into the safety and adverse effects of these compounds.