Peri- und postnatale Depression und ihre Behandlungsmöglichkeiten

ZUSAMMENFASSUNG

Depressive Episoden treten in der Schwangerschaft und postpartal bei etwa jeder zehnten Frau auf und stellen damit eine der häufigsten peri- und postpartalen Erkrankungen dar. Die vorliegende Übersicht stellt die klinische Inzidenz dar. Es werden vorhandene Behandlungsoptionen der peri- und postnatalen Depression vorgestellt und klinisch bewertet. Die meiste klinische Erfahrung besteht in der medikamentösen Therapie und psychotherapeutischen Behandlung. Weniger zugänglich sind die Hirnstimulationsverfahren, die sich aber im Hinblick auf den Schutz des Foetus besonders eignen. Elektrokrampftherapie wird nur im stationären Rahmen durchgeführt. Die repetitive transkranielle Magnetstimulation hingegen eignet sich problemlos im ambulanten Bereich und stellt in Betrachten der spezifischen Risiken eine gut verträgliche und wirksame Behandlungsoption dar.

ABSTRACT

During pregnancy and postpartum in about one in ten women depressive episodes occur, making it one of the most common peri- and postpartum conditions. This overview presents the clinical incidence of depression related to pregnancy. The currently available treatment options for peri- and postnatal depression are introduced and clinically evaluated. Most clinical experience exists in drug therapy and psychotherapeutic treatment. Brain stimulation methods are less accessible, but they are particularly suitable with regard to the protection of the fetus. Electroconvulsive therapy is only performed in an inpatient setting. Repetitive transcranial magnetic stimulation, on the other hand, is easily suitable for outpatient care and, considering the specific risks, represents a well-tolerated and effective treatment option.

Schlüsselwörter

Schwangerschaft - postpartale Depression - perinatale Depression - postnatale Depression - Behandlungsoptionen

Key words

Pregnancy - postpartum depression - perinatal depression - postnatal depression - reatment options

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