Послеродовые депрессии: клинико-психопатологические аспекты и типология

Abstract

The aim of study was to investigate psychopathological features, ways of formation and dynamics of postpartum depressions.Material and methods: by clinical-psychopathological method 148 females were examined, who had developed depressions during 6 months after uncomplicated labor. Depressions corresponded to diagnostics criteria for postpartum depressions according (F53 to ICD-10).Results and discussion: three types of postpartum depressions were described. They differed in its psychopathological structure and conditions of formation. Typologically postpartum depressions were correspondingly specified as endogenous, endoreactive, and endosomatoendocrine ones. It was shown, that the formation of postpartum depressions and psychopathological specificities of each type took place under the impact of pathoplastic factors. Autochthonous evolution as well as the impact of psychogenic, or neuroendocrine factors, determined peculiarity and type of syndromal clinical picture. The role of hormonal disorders during the period of labor is considered as one of the significant factors, determining the picture of neuroendocrine syndrome and conditioning peculiarity and development of endosomatoendocrine type of postpartum depression. The legitimacy of its diagnostics is discussed as postpartum depressions proper, which are the most clinically specific and corresponding to postpartum depression (F53.0 to ICD-10).