关注 男性产后抑郁更严重

不久前媒体报道了成都一名男子当众割喉的一幕：面对亲友数小时的苦劝，该男子突然用刀片往脖子上一抹，顿时血染衣襟。幸亏警察处置果断，避免了更大的悲剧发生。

事后，男子的父亲说：“儿子与儿媳感情一直不错。儿媳分娩前后没上班，儿子最近又求职不顺，常常念叨生活压力大，导致精神逐渐失常。”

其实，这是一则典型的产后抑郁症。过去人们总以为女性产后容易发生抑郁症，但越来越多的研究证明，产后抑郁症并非女人的“专利”。据美国一项调查显示，妻子患产后抑郁症的比例为14%，而丈夫患同样病的比例则为10%，且容易“感染”妻子。

导致男子产后抑郁症的主要原因有：第一，男子由于对生儿育女缺乏足够的心理准备，突然间多了一个孩子会使家庭开支大幅度上升，使男性经济压力增加。对一些低收入者，更易造成冲击，使其时刻处于担忧中。如果一旦失业，对男子的精神打击将更大。第二，作为丈夫，他除了上班挣钱外，回家还要照顾妻子和孩子，休息不够，睡眠不足，时间一长，就可能产生心烦意乱、身心俱疲的感觉。第三，有了孩子，妻子一般会把大部分精力转移到孩子身上，丈夫可能产生心理上的较大落差，有的妻子生育后在性方面冷落了对方，处理不好，也容易引起男性情绪低落、精神抑郁。

男性产后抑郁难被人察觉

男子产后抑郁症总是以持续性的心境低落为主，有的会从闷闷不乐发展到悲痛欲绝，严重者可出现幻觉、妄想等精神病性症状。一般说来，至少具备以下4项症状，且症状持续时间不少于2周，即可初步诊断为抑郁症。

情绪低落，一般以“早晨重晚上轻”为特点;

思维迟缓，记忆降低，大脑反应慢等;

活动减少，不愿参加社交活动，常喜独处;

常有焦虑、内疚感，担心给家庭增加负担;

睡眠障碍，以早醒为其典型表现;

多有疲乏、心悸、胸闷、胃肠不适、便秘等症状;

有自暴自弃、厌世或有自杀心理及行为;

性欲明显减退。

值得一提的是，男性抑郁症常常不被人理解，他们更倾向于在他人面前隐藏自己的情感，但其内心深处却极度痛苦、压抑、忧愁和悲哀。这与男性受传统价值观的束缚，要求扮演坚毅强壮的角色有关。但这种“压抑”不能持久，最后一定得找“出口”宣泄出来，这种宣泄常常极具侵略性和破坏性，如表现为摔东西、打骂人、酗酒、狂赌、超速驾车，甚至自杀或杀人等行为。据报道，尽管女性因抑郁症试图自杀的更多，但男性自杀的暴烈性或死亡率却比女性高得多。

Not long ago, the media reported on a scene in Chengdu where a man cut his throat in public: Facing several hours of persuasion from relatives and friends, the man suddenly wiped his neck with a razor blade, and immediately stained his shirt with blood. Fortunately, the police dealt decisively and avoided a greater tragedy.

After the incident, the man’s father said: “The son and daughter-in-law have always had a good relationship. The daughter-in-law did not go to work before and after childbirth, and the son has recently failed to apply for a job. He often stresses his life and leads to gradual mental disorders.”

In fact, this is a typical postpartum depression. In the past, people always thought that women were prone to depression after childbirth, but more and more studies have proved that postpartum depression is not a “patent” for women. According to a survey in the United States, the proportion of wives suffering from postpartum depression is 14%, while the proportion of husbands suffering from the same disease is 10%, and it is easy to “infect” the wife.

The main causes of postpartum depression in men are: First, due to the lack of adequate psychological preparation for men to give birth to children, the sudden addition of a child will greatly increase family expenses and increase the economic pressure on men. For some low-income earners, it is more likely to cause shocks and keep them in constant worry. Once unemployed, the mental blow to men will be even greater. Second, as a husband, in addition to working to earn money, he has to take care of his wife and children at home. If he does not have enough rest and sleep, he may feel upset and exhausted after a long time. Third, with a child, the wife will generally transfer most of the energy to the child. The husband may have a large psychological gap. Some wives have left the other side sexually after giving birth. The treatment is not good, and it can also cause male emotions. Depression, depression.

Male postpartum depression is difficult to be noticed

Men’s postpartum depression is always dominated by persistent depression, and some will develop from being unhappy to being grieved. In severe cases, psychotic symptoms such as hallucinations and delusions may occur. Generally speaking, if you have at least the following 4 symptoms and the duration of the symptoms is not less than 2 weeks, you can initially diagnose depression.

Low mood, generally characterized by “morning is more important than evening”;

Slow thinking, reduced memory, slow brain response, etc.;

Decreased activity, unwilling to participate in social activities, often happy alone;

often has anxiety and guilt, worrying about increasing the burden on the family;

Sleep disorder, with early wake-up as its typical manifestation;

Mostly have symptoms such as fatigue, heart palpitations, chest tightness, gastrointestinal discomfort, constipation;

Have self-abortion, world-abandonment or suicidal psychology and behavior;

Significant loss of libido.

It is worth mentioning that men’s depression is often not understood, they are more inclined to hide their emotions in front of others, but the depth of their hearts is extremely painful, depressed, sad and sad. This is related to the fact that men are bound by traditional values ​​and are required to play strong and strong roles. However, this kind of “suppression” cannot last forever. Finally, you must find an “export” to vent. This kind of catharsis is often extremely aggressive and destructive, such as being thrown, cursed, drunk, gambling, speeding, or even driving. Suicide or homicide. According to reports, although women are more likely to commit suicide due to depression, the violent or mortality rate of male suicide is much higher than that of women.

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