New mothers should be tested for depression? Experts: they should not exaggerate the problem.
reporter Sun Hao correspondent Liu Siyang
recently, the Shandong psychological society medical psychology Specialized Committee published an investigation. Last year, 1/10 of women in Ji'nan were depressed and the only daughter became postpartum depression. Dangerous crowd.
starting from July this year, the psychological Department of the third class a hospital will undergo psychological tests. The reason is to pay attention to mother's psychological escort. There are also questions: do all mothers need to be tested? Do you live so depressed after giving birth to a baby?
hospital
in February of this year, the Ministry of health carried out the investigation and evaluation of the common psychological and behavioral problems of pregnant and parturient women. It was found that the incidence of postpartum depression was the highest.
in July, the Ministry of Health issued a notice on the guiding principles of postpartum depression, suggesting that every mother should be given a diagnostic test for postpartum depression (one week to three months after the mother was born) for a mother with postpartum depression.
it is reported that there has been extensive precedent for postpartum testing abroad.
yesterday morning, the reporter came to Shandong provincial pilot hospital -- provincial hospital. Jiao Zhian, the director of the Department of psychology, came to ask "postpartum depression diagnostic test" and immediately nodded. "Although I did not count the specific figures, I now have too much of the disease. Our requirement is to test every puerpera and provide timely treatment.
according to his understanding, some of the representatives of the people's Congress have also had a proposal to provide funds for postpartum depression research and education; to provide public services for mothers with postpartum depression, including a diagnostic test for each mother.
case
young mother cut down the baby's throat
Zhang Jingxuan is the chief physician of the mental health center of Shandong Province, and the director of the Chinese Psychological Health Association. As a deputy to the Shandong Provincial People's Congress, he wrote relevant proposals. At that time, a 25 year old young mother Suxin (a pseudonym) cut off the throat of her 10 month old child and then killed herself.
the mother, one month after production, couldn't eat, couldn't sleep, decided he was a very bad mother, and had a similar view of a neighbour with a fantasies.
despite the family's constant persuasion, they went to the psychology department, but they didn't work. When her daughter was only 10 and a half months old, she leaped from the 12 floor.
Zhang Jingxuan said the incident was "too understandable".
Su Xin is beautiful, intelligent, sweet in love, and successful in career. Becoming a mother is her dream for many years. How can she suffer from depression? In fact, Su Xin suffers from a special type of depression: postpartum depression.
more likely to be depressed in
to ask the cause, and for a while to say, there are a lot of reasons - "there is no obvious relationship between the sick people and the age and occupation." Zhang Jingxuan said that from the outpatient situation, people with high demands, strong sense of responsibility and stress will get depression. "Some mothers, who have been born for months, have only been born for a few days. There are also mothers who have high jaundice on the four day after birth, and they will be very anxious.
mothers with abnormal birth are also the high incidence of postpartum depression. "They will wrap their children up and down, so that they will not be allowed to be seen, not to be held by others."
, however, there are also some patients with postpartum depression, which are mainly caused by physiological factors. It has a lot to do with the surge of estrogen and progestin during pregnancy, and then to see if she has depression and family history. If they are depressed after six months, they will be treated as general depression.
disputed
opposition detection results may not be really reliable
whether it is a psychologist or a common people, they have their own views on testing.
not everyone believes that testing can be a great help. The opposition is mainly entangled in postnatal depression diagnostic tests: can detection identify real depression? Will it simplify the problem and completely deal with some medical problems that are not entirely medical?
Weng Zheng, deputy director of the mental rehabilitation of the Shandong provincial Rehabilitation Medical Association, said that if all the tests were to be done, there would be a natural increase in the number of tests, and it was not free.
and more tests may lead mothers to take more prescribed psychotropic substances unnecessarily.
Zeng Tao, a master's tutor of Shandong University medical school, also objected. Mental health examination was not very reliable, and often came up with some "false positives". According to reports, a study shows that women who have confirmed postpartum depression are virtually 1/3 of postpartum depression.
Zeng Tao said that these tests would only help pharmaceutical companies sell more drugs.
8 mothers of the support group have 1 depressive
clinicians and researchers say that testing is not a diagnostic tool, but it provides a direction to identify which patients need more intensive treatment. Guo Chuanqin, director of the medical psychology of the Shandong provincial Psychological Association, said that although Ji'nan did not carry out a special epidemiological survey on postpartum depression, Guo Chuanqin said. But a recent survey of 11 hospitals in the province found that 1 out of 8 mothers suffered from postpartum depression. Without timely treatment, mothers and children are at unpredictable risk.
Guo Chuanqin said: "postpartum depression is very common. We examine some babies with developmental disabilities. Should not every mother be examined for postpartum depression? " "I think postnatal testing is necessary and is in line with the trend of mental health development. The incidence of postpartum depression is quite high now."
sociologist
does not exaggerate the problem and should not avoid
many psychologists say, the general postpartum depression test does not make a clear point. Since postpartum depression is often the source of pre - birth depression. "Women who do not have too much anxiety or depression are almost impossible to have postpartum depression." Wang Yiping, director of the Institute of sociology at the Shandong Academy of Social Sciences and director of the Research Institute for women and family, said that for many women, postpartum is a difficult period. A lot of new mothers can handle it, but at least half of them have to go through a short period of melancholy. "We should look for the causes of postpartum depression from social factors, rather than simply looking for women's physiological factors."
researchers argue that the arguer agrees with one thing, that is, mothers need help.
Wang Yiping said, "the health problems of women are not exaggerated or ignored. We should find a compromise: admit women's postpartum depression, but don't assume that this is a problem for all women." Let mother get the proper support, but in addition to testing, you need to do more things.
related links
ten major symptoms of postpartum depression
1. easy insomnia, early sleep, fatigue and fatigue;
2. easy anxiety, always worried about the baby and their own physical condition;
3. easily irritated, no reason for the family temper;
4 Fear and panic, always fantasize about the sudden death of the baby, the great changes in the family, and so on.
5. is not concentrated, slow, more forgetful;
6. feels useless or guilty;
7. is difficult to make decisions, lack of motivation, and lack of confidence;
> > > > > > > > > > Br / > 8. sometimes very difficult to bring interest and even disgust to the baby, and then remorse;
9. inexplicable tears;
10. weariness and suicidal thoughts, self mutilation and suicidal tendencies.