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【medical-news】研究显示初产妇易患精神疾患

First-time mothers at risk of mental illness, study finds

CHICAGO (Reuters) - First-time mothers are at increased risk for mental disorders while fathers do not share that risk, Danish researchers said on Tuesday.

In a 32-year study that included more than 2.3 million Danes, roughly one out of 1,000 first-time mothers were admitted to a psychiatric hospital with a mental illness such as depression, schizophrenia or bipolar disorder within the following year -- most within the first three months.

Mothers were four times more likely than women without children to be hospitalized with a mental illness. During the first 10 to 19 days, the risk was seven times higher compared to women with children who had reached 1 year of age.

Among fathers, only 0.37 of 1,000 births resulted in a mental disorder, which was comparable to men without children or men with an older infant.

"This may indicate that the causes of postpartum mental disorders are more strongly linked to an altered physiological process related to pregnancy and childbirth than psychosocial aspects of motherhood," said study author Trine Munk-Olsen of the University of Aarhus, Denmark.

The drastic changes in a woman's hormones before and after the birth may be the main reason behind the mental problems, the report suggested, with the demands of breast-feeding and sleep deprivation contributing to the stress.

Postpartum depression has been estimated to affect as many as 15 percent of mothers and can be debilitating.

An editorial accompanying the study published in this week's issue of the Journal of the American Medical Association urged universal screening for postpartum mood swings, especially in the first three months and particularly when the birth is the mother's first.

"Effective treatments for these episodes exist," Katherine Wisner of the University of Pittsburgh Medical Center wrote. "Maternal depression exacts a heavy toll on women's functioning and the health and well-being of their children."

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本人已认领该文编译,48小时后若未提交译文,请其他战友自由认领。 First-time mothers at risk of mental illness, study finds
研究显示初产妇易患精神疾患

CHICAGO (Reuters) - First-time mothers are at increased risk for mental disorders while fathers do not share that risk, Danish researchers said on Tuesday.
芝加哥(路透社)丹麦的研究者星期二说,初产妇易患精神疾患,而孩子的父亲却没有这种现象。
In a 32-year study that included more than 2.3 million Danes, roughly one out of 1,000 first-time mothers were admitted to a psychiatric hospital with a mental illness such as depression, schizophrenia or bipolar disorder within the following year -- most within the first three months.
在一项对超过230万个丹麦人32 年的研究显示,大约有1/1000的初产妇在产后头三个月因精神症状住院,一般诊断为精神抑郁,精神分裂症,双相型障碍。
Mothers were four times more likely than women without children to be hospitalized with a mental illness. During the first 10 to 19 days, the risk was seven times higher compared to women with children who had reached 1 year of age.
初产妇因患精神疾患入院的数量是未产妇的4倍。初产妇在产后10至19天患精神疾患的人数是产后1年患精神疾患的人数的7倍。
Among fathers, only 0.37 of 1,000 births resulted in a mental disorder, which was comparable to men without children or men with an older infant.
而在孩子父亲中与未育或者子女较大的父亲相比,只有0.37/1000的初为人父的男性患精神疾患。
"This may indicate that the causes of postpartum mental disorders are more strongly linked to an altered physiological process related to pregnancy and childbirth than psychosocial aspects of motherhood," said study author Trine Munk-Olsen of the University of Aarhus, Denmark.
“这显示产后精神紊乱可能与怀孕期间或者分娩过程的生理变化过程有关,而非因为初为人母这一角色的改变所导致的精神因素。” 来自丹麦的奥尔胡斯大学研究者Trine Munk-Olsen如是说。
The drastic changes in a woman's hormones before and after the birth may be the main reason behind the mental problems, the report suggested, with the demands of breast-feeding and sleep deprivation contributing to the stress.
报导提示,妇女分娩前后体内激素的巨大变化也许是初产妇患精神疾患的主要原因。由于产后哺乳的需要及睡眠剥夺的减少,妇女分娩前后体内激素会产生变化。

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作者:admin@医学,生命科学    2011-04-01 05:11
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