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Postpartale Depression und Migration

Postpartum depression and migration

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Zusammenfassung

Migration gilt als Einflussfaktor auf das psychische Gesundheitserleben und ist heute in Zeiten großer Migrationsbewegungen ein stetig relevanteres Thema der Psychiatrie. Auffällig ist jedoch, dass nur wenige Untersuchungen zu frauenspezifischen psychischen Leiden und Migration existieren. Obwohl das unterschätzte Frauenleiden der postpartalen Depression bei Frauen mit Migrationshintergrund in der klinischen Praxis regelmäßig auftritt, fehlen in Deutschland und international Erkenntnisse zur Epidemiologie, um Einflussfaktoren in der Entwicklung einer postpartalen Depression speziell bei Frauen mit Migrationshintergrund zu identifizieren. Migrationsspezifische und kulturspezifische Behandlungsangebote sind zukünftig notwendig, um einer Chronifizierung der Störung und potenziellen Folgestörungen der häufig auch betroffenen Familienmitglieder entgegenzuwirken. Mit dem Ziel, ein wirksames und kultursensibles postpartales Behandlungsangebot anbieten zu können, sollten sowohl Psycholog/innen und Psychiater/innen als auch gynäkologisches Fachpersonal über spezifische Faktoren innerhalb der Entwicklung einer postpartalen Depression bei Frauen mit Migrationshintergrund informiert sein. Diese Übersichtsarbeit thematisiert zentrale Aspekte der postpartalen Depression wie Epidemiologie, Symptome, Risikofaktoren und Behandlungskonzepte und setzt diese mit Migration als Einflussfaktor in Beziehung.

Abstract

Psychiatric research and care increasingly explore the connection between mental health and migration; however, it is striking that only a small number of analyses exist on the effect of migration on mental ailments specific to women. For example, even though postpartum depression regularly occurs among women with a migration background, in Germany and internationally there is a lack of knowledge on the epidemiology, particularly with respect to factors causing or contributing to postpartum depression among women with a migration background. Prospectively, culturally specific treatment options for women with a migration background are necessary to prevent chronification and subsequent harm to the mother and other family members. With this aim in mind, psychologists, psychiatrists and gynecologists should be aware of the specific factors contributing to the development of postpartum depression among women with a migration background. This overview article focuses on key aspects of postpartum depression, such as epidemiology, symptoms, risk factors and treatment concepts, while contextualizing them with respect to women’s experience of migration.

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  1. Klinik für Psychiatrie, Psychotherapie und Präventivmedizin, LWL-Universitätsklinikum der Ruhr-Universität Bochum, Alexandrinenstraße 1–3, 44791, Bochum, Deutschland

    Shirin Diop,  Georg Juckel & Paraskevi Mavrogiorgou

  2. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, LWL-Klinik Herten, Im Schloßpark 20, 45699, Herten, Deutschland

    Luc Turmes

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Diop, S., Turmes, L., Juckel, G. et al. Postpartale Depression und Migration. Nervenarzt 91, 822–831 (2020). https://doi.org/10.1007/s00115-019-00828-5

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