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Trastorno de angustia durante el embarazo y el periodo postparto

Published online by Cambridge University Press:  12 May 2020

Borwin Bandelow
Affiliation:
von-Siebold-Str. 5, Departamento de Psiquiatría y Psicoterapia, Universidad de Gotinga, Alemania
Felicita Sojka
Affiliation:
von-Siebold-Str. 5, Departamento de Psiquiatría y Psicoterapia, Universidad de Gotinga, Alemania
Andreas Broocks
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad de Lübeck, Alemania
Göran Hajak
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad de Regensburg, Alemania
Stefan Bleich
Affiliation:
Departamento de Psiquiatría y Psicoterapia, Universidad de Erlangen-Nuremberg, Alemania
Eckart Rüther
Affiliation:
von-Siebold-Str. 5, Departamento de Psiquiatría y Psicoterapia, Universidad de Gotinga, Alemania
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Resumen

Antecedentes.

– Los estudios anteriores sobre la influencia del embarazo y el periodo postparto en el curso del trastorno de angustia (panic disorder) no han sido coherentes. El presente estudio pretende cuantificar las manifestaciones de angustia en estos periodos en una muestra grande de mujeres.

Método.

– Se evaluó retrospectivamente las manifestaciones de angustia, incluidas las exacerbaciones y las nuevas manifestaciones del trastorno de angustia, en una muestra de 128 mujeres con trastorno de angustia con o sin agorafobia, 93 de las cuales habían tenido 195 embarazos.

Resultados.

– Las manifestaciones de angustia fueron menores en número durante el embarazo y más frecuentes en el periodo postparto cuando se comparaba con el periodo de control. Las mujeres que nunca habían estado embarazadas tenían significativamente más manifestaciones de angustia que las mujeres con embarazos anteriores. La lactancia materna y los abortos espontáneos no tuvieron un efecto significativo. Las mujeres con angustia postparto comunicaron más acontecimientos de estrés psicosocial durante este periodo.

Conclusiones.

– Se analizan las posibles razones para la angustia postparto y los efectos protectores del embarazo, incluidos los factores psicosociales u hormonales y otros cambios neurobiológicos. La angustia postparto coincide con una caída repentina de las hormonas después del parto.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2007

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