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Psychotherapeut

, Volume 56, Issue 3, pp 224–230 | Cite as

Erschöpfung und Depression in der Schwangerschaft

Hintergrund und therapeutische Behandlung
  • Stephanie GawlikEmail author
  • Corinna Reck
Originalien

Zusammenfassung

Müdigkeit und Erschöpfung („fatigue“) stellen einen alltäglichen Zustand für viele Schwangere dar. Ursachen werden häufig neben der körperlichen Belastung in den ausgeprägten hormonellen Fluktuationen gesucht, die in der Schwangerschaft stattfinden. Viele Studien berichten von einer Assoziation steigender Estradiol-, Progesteron-, „Corticotropin-releasing-hormone“- (CRH-) und Kortisolspiegel zu Müdigkeit und chronischer Erschöpfung sowie einer damit verbundenen erhöhten Vulnerabilität für affektive Erkrankungen. Depressive Erkrankungen gehören allgemein zu den häufigsten psychiatrischen Diagnosen und sind in der Bevölkerung weit verbreitet. Sie weisen eine große Prävalenz und Inzidenz innerhalb der reproduktiven Jahre auf. Aktuelle Studien zeigen, dass 10–13% behandlungsbedürftige affektive Störungen in der Schwangerschaft und bei Müttern im Wochenbett bestehen. In diesem Beitrag werden aktuelle Publikationen zu diesem Thema zusammengefasst mit dem Ziel, eine Übersicht über die Prävalenz und die klinische Präsentation depressiver Erkrankungen im Prä- und Peripartalzeitraum und deren Assoziation zu Erschöpfung in der Schwangerschaft zu geben. Klinische Implikationen und Therapieoptionen werden diskutiert.

Schlüsselwörter

Depressive Störung Schwangerschaftskomplikationen Hormone Antidepressiva Psychologische Tests 

Fatigue and depression during pregnancy

Background and therapeutic treatment

Abstract

For women pregnancy represents a condition of intense physical and psychological changes which subject the pregnant women to a number of potentially stressful situations. Hormonal changes during pregnancy predispose to exhaustion and therefore to an increased vulnerability to affective disorders. Depression is one of the most commonly diagnosed psychiatric disorders in the female population with an increased incidence during the reproductive years. Recent studies showed that approximately 10–13% of patients suffer from a depressive episode in the perinatal period requiring specialized treatment including psychotherapy and/or pharmacotherapy. Underestimation of this condition and a lack of proper management can hinder normal mother-child bonding leading to impaired cognitive and emotional long-term development of the child. In this article the medical literature related to the prevalence and clinical presentation of depression during the perinatal period and its association to maternal exhaustion is reviewed. The clinical implications and therapeutic options are discussed.

Keywords

Depressive disorder Pregnancy complications Hormones Antidepressants Psychological tests 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Universitätsfrauenklinik HeidelbergHeidelbergDeutschland
  2. 2.Klinik für Allgemeine PsychiatrieUniversitätsklinikum HeidelbergHeidelbergDeutschland

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