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Schwangerschaftsdepression und deren Behandlung

Depression during pregnancy and its treatment

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Zusammenfassung

Etwa 11% aller schwangeren Frauen leiden unter einer behandlungsbedürftigen Depression, welche unbehandelt mit Risiken wie Frühgeburt oder niederem Geburtsgewicht verbunden ist. Da manche Symptome der Depression oft der Schwangerschaft zugeschrieben werden, ist die Diagnose einer Schwangerschaftsdepression nicht immer leicht. Eine weitere Herausforderung ist die Wahl der geeigneten Therapiemaßnahme. Als Behandlungsmöglichkeiten stehen neben Psycho- und Pharmakotherapie auch die Elektrokrampftherapie (EKT) sowie Lichttherapie zur Auswahl. Aktuelle Berichte über Auswirkungen von Antidepressiva auf die Entwicklung des Ungeborenen und postpartale Anpassungsschwierigkeiten führen zu großen Verunsicherungen. Die Entscheidung, welche Therapiemaßnahme ergriffen wird, kann nur mit der werdenden Mutter zusammen getroffen werden; ein sorgfältiges Abwägen der Vor- und Nachteile der Behandlung ist dafür Voraussetzung.

Summary

Approximately 11% of pregnant women suffer from major depression which requires treatment and if left untreated there are risks of preterm delivery or low birth weight. The initial difficulty lies in diagnosing the depression itself, as many symptoms of depression can be ascribed to the pregnancy. A further challenge is choosing the appropriate therapy. Treatment options are psychotherapy, antidepressants, electroconvulsive therapy (ECT) or the new possibility of light therapy. A growing number of reports on the side effects of antidepressants in pregnancy have led to uncertainties as to how to proceed. Thus, choosing the most suitable treatment needs to be made together with the pregnant woman and a careful clarification of possible risks attendant on each treatment option is essential.

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Authors and Affiliations

  1. Zentrum für Chronobiologie, Universitäre Psychiatrische Kliniken, Basel, Schweiz

    A. Bader & A. Wirz-Justice

  2. Psychiatrische Poliklinik, Universitätsspital, Petersgraben 4, 4031, Basel, Schweiz

    A. Bader, U. Frisch &  A. Riecher-Rössler

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  1. A. Bader
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  2. U. Frisch
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  3. A. Wirz-Justice
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  4. A. Riecher-Rössler
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Correspondence to A. Riecher-Rössler.

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Bader, A., Frisch, U., Wirz-Justice, A. et al. Schwangerschaftsdepression und deren Behandlung. Nervenarzt 81, 267–276 (2010). https://doi.org/10.1007/s00115-009-2821-2

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  • DOI: https://doi.org/10.1007/s00115-009-2821-2

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