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Antepartum depression

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https://www.readbyqxmd.com/read/28260619/improving-discrimination-in-antepartum-depression-screening-using-the-edinburgh-postnatal-depression-scale
#1
Kartik K Venkatesh, Anjali J Kaimal, Victor M Castro, Roy H Perlis
BACKGROUND: Universal screening of pregnant women for postpartum depression has recently been recommended; however, optimal application of depression screening tools in stratifying risk has not been defined. The current study examines new approaches to improve the ability of the Edinburgh Postnatal Depression Scale (EPDS) to stratify risk for postpartum depression, including alternate cut points, use of a continuous measure, and incorporation of other putative risk factors. METHODS: An observational cohort study of 4939 women screened both antepartum and postpartum with a negative EPDS screen antepartum(i...
February 24, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28170295/after-chemotherapy-treatment-for-maternal-cancer-during-pregnancy-is-breastfeeding-possible
#2
Stephen Stopenski, Anum Aslam, Xinmin Zhang, Elyce Cardonick
OBJECTIVE: To report breastfeeding complaints of women diagnosed with cancer during pregnancy and correlate success with characteristics of their treatment. MATERIALS AND METHODS: This is a prospective cohort study of women diagnosed with cancer during pregnancy who attempted breastfeeding. We surveyed participants about breast engorgement, milk let down, and consistent breast milk production through mailed questionnaires. Treatment details, including the type and number of chemotherapy cycles given during pregnancy and antepartum or postpartum depression, were collected...
March 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/28167438/a-more-rational-theory-driven-approach-to-analysing-the-factor-structure-of-the-edinburgh-postnatal-depression-scale
#3
Zoltan Kozinszky, Annamária Töreki, Emőke A Hompoth, Robert B Dudas, Gábor Németh
We endeavoured to analyze the factor structure of the Edinburgh Postnatal Depression Scale (EPDS) during a screening programme in Hungary, using exploratory (EFA) and confirmatory factor analysis (CFA), testing both previously published models and newly developed theory-driven ones, after a critical analysis of the literature. Between April 2011 and January 2015, a sample of 2967 pregnant women (between 12th and 30th weeks of gestation) and 714 women 6 weeks after delivery completed the Hungarian version of the EPDS in South-East Hungary...
January 23, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28076674/trajectories-of-perinatal-depressive-and-anxiety-symptoms-in-a-community-cohort
#4
Hamideh Bayrampour, Lianne Tomfohr, Suzanne Tough
OBJECTIVE: The evidence on trajectories of perinatal depression is mostly based on studies composed of women at high risk for poor mental health. Research on maternal anxiety trajectories is also scarce. Using a large community cohort, the All Our Babies study, in Alberta, Canada, we examined trajectories of perinatal depressive and anxiety symptoms and compared characteristics of women across trajectories. METHODS: Anxiety and depressive symptoms were measured at the second and third trimesters and at 4 and 12 months postpartum among 1,445 women recruited between May 2008 and December 2010...
November 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28012622/variable-liver-fat-concentration-as-a-proxy-for-body-fat-mobilization-postpartum-has-minor-effects-on-insulin-induced-changes-in-hepatic-gene-expression-related-to-energy-metabolism-in-dairy-cows
#5
C Weber, C T Schäff, U Kautzsch, S Börner, S Erdmann, R M Bruckmaier, M Röntgen, B Kuhla, H M Hammon
The liver plays a central role in adaptation for energy requirements around calving, and changes in the effects of insulin on hepatic energy metabolism contribute to metabolic adaptation in dairy cows. Hepatic insulin effects may depend on body fat mobilization. The objective of this study was to investigate the effects of insulin on the hepatic gene expression of enzymes involved in energy metabolism and factors related to nutrition partitioning in cows with high and low total liver fat concentration (LFC) after calving...
February 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/27940036/maternal-history-of-child-maltreatment-and-maternal-depression-risk-in-the-perinatal-period-a-longitudinal-study
#6
Yang Li, Zhouting Long, Danfeng Cao, Fenglin Cao
Existing research is limited, with only a few studies considering each single type and multiple types of child maltreatment (CM) as well as multiple assessments of maternal depression throughout the perinatal period. The purpose of the study was to assess each type and accumulative types of CM in relation to the risk of maternal depression throughout the perinatal period. In total, 276 pregnant women were recruited from the prenatal clinic at a general hospital in China. Maternal CM history and depression risk were assessed at late pregnancy, postpartum week 1, and postpartum week 4 using the Childhood Trauma Questionnaire (CTQ) and Edinburgh Postnatal Depression Scale (EPDS)...
January 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27930912/poor-sleep-quality-antepartum-depression-and-suicidal-ideation-among-pregnant-women
#7
Bizu Gelaye, Gifty Addae, Beemnet Neway, Gloria T Larrabure-Torrealva, Chunfang Qiu, Lee Stoner, Miguel Angel Luque Fernandez, Sixto E Sanchez, Michelle A Williams
OBJECTIVE: To evaluate the independent and combined associations of maternal self-reported poor sleep quality and antepartum depression with suicidal ideation during the third trimester METHODS: A cross-sectional study was conducted among 1298 pregnant women (between 24 and 28 gestational weeks) attending prenatal clinics in Lima, Peru. Antepartum depression and suicidal ideation were assessed using the Patient Health Questionnaire-9 (PHQ-9). The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality...
February 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27821114/bright-light-therapy-in-pregnant-women-with-major-depressive-disorder-study-protocol-for-a-randomized-double-blind-controlled-clinical-trial
#8
Babette Bais, Astrid M Kamperman, Marjolein D van der Zwaag, Gwen C Dieleman, Hanneke W Harmsen van der Vliet-Torij, Hilmar H Bijma, Ritsaert Lieverse, Witte J G Hoogendijk, Mijke P Lambregtse-van den Berg
BACKGROUND: Depression during pregnancy is a common and high impact disease. Generally, 5-10 % of pregnant women suffer from depression. Children who have been exposed to maternal depression during pregnancy have a higher risk of adverse birth outcomes and more often show cognitive, emotional and behavioural problems. Therefore, early detection and treatment of antepartum depression is necessary. Both psychotherapy and antidepressant medication, first choice treatments in a non-pregnant population, have limitations in treating depression during pregnancy...
November 8, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27740883/role-of-mediators-in-reducing-antepartum-depressive-symptoms-in-rural-low-income-women-receiving-a-culturally-tailored-cognitive-behavioral-intervention
#9
D Elizabeth Jesse, Hui Bian, Elizabeth C Banks, Bradley N Gaynes, Steve D Hollon, Edward R Newton
Although cognitive behavioral interventions (CBIs) have demonstrated effectiveness for reducing depressive symptoms in the general population, the mechanism for reducing antepartum depressive symptoms (APDS) in rural low-income and minority women is unknown. This study tested the hypothesis that reducing stress and negative thinking, enhancing self-esteem, and increasing social-support will mediate the effect of a CBI on reducing APDS in rural low-income and minority women. Our findings show that CBI may work through reducing stress and negative thinking and enhancing self-esteem, but not social support...
November 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27650773/epidemiology-of-maternal-depression-risk-factors-and-child-outcomes-in-low-income-and-middle-income-countries
#10
REVIEW
Bizu Gelaye, Marta B Rondon, Ricardo Araya, Michelle A Williams
Maternal depression, a non-psychotic depressive episode of mild to major severity, is one of the major contributors of pregnancy-related morbidity and mortality. Maternal depression (antepartum or post partum) has been linked to negative health-related behaviours and adverse outcomes, including psychological and developmental disturbances in infants, children, and adolescents. Despite its enormous burden, maternal depression in low-income and middle-income countries remains under-recognised and undertreated...
October 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/27566453/summary-diagnostic-validity-of-commonly-used-maternal-major-depression-disorder-case-finding-instruments-in-the-united-states-a-meta-analysis
#11
Arthur H Owora, Hélène Carabin, Jessica Reese, Tabitha Garwe
INTRODUCTION: Major Depression Disorder (MDD) is common among mothers of young children. However, its detection remains low in primary-care and community-based settings in part due to the uncertainty regarding the validity of existing case-finding instruments. We conducted meta-analyses to estimate the diagnostic validity of commonly used maternal MDD case finding instruments in the United States. METHODS: We systematically searched three electronic bibliographic databases PubMed, PsycINFO, and EMBASE from 1994 to 2015 to identify relevant published literature...
November 15, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27565804/suicidality-in-early-pregnancy-among-antepartum-mothers-in-urban-india
#12
T A Supraja, K Thennarasu, Veena A Satyanarayana, T K Seena, Geetha Desai, Kavita V Jangam, Prabha S Chandra
This study assessed the prevalence and predictors of suicidality among 462 pregnant women in South India. Women in early pregnancy (<20 weeks) attending an urban public hospital antenatal center were assessed for suicidality using a modified version of the Suicide Behaviors Questionnaire-Revised (SBQR) and a single-item (item 10) from the Edinburgh Postnatal Depression Scale (EPDS). Severity of depressive symptoms, family violence, and perceived social support were also measured. The prevalence of suicidality in pregnancy was 7...
August 26, 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27376660/risk-and-protective-factors-for-antepartum-and-postpartum-depression-a-prospective-study
#13
Sarah Hain, Silvia Oddo-Sommerfeld, Franz Bahlmann, Frank Louwen, Karin Schermelleh-Engel
INTRODUCTION: Antepartum risk and protective factors for postpartum depression (PPD; the most common mental disorder after childbirth besides postpartum anxiety), have been frequently investigated in cross-sectional studies, but less often longitudinally. This study examined linear and moderator effects of risk and protective factors for peripartum depression. First, we investigated the predictive power of risk factors (physical problems during pregnancy, pregnancy-related anxiety, stressful life events, dysfunctional self-consciousness (DSC)) and protective factors (resilience, social support) for antepartum depression (APD) and PPD...
December 2016: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27324912/suicidal-ideation-in-pregnancy-an-epidemiologic-review
#14
REVIEW
Bizu Gelaye, Sandhya Kajeepeta, Michelle A Williams
Suicidal behaviors are the leading causes of injury and death worldwide, and are leading causes of maternal deaths in some countries. One of the strongest risk factors, suicidal ideation, is considered a harbinger and distal predictor of later suicide attempt and completion, and also presents an opportunity for interventions prior to physical self-harm. The purpose of this systematic epidemiologic review is to synthesize available research on antepartum suicidal ideation. Original publications were identified through searches of the electronic databases using the search terms pregnancy, pregnant women, suicidal ideation, and pregnan* and suicid* as root searches...
October 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27240311/diagnostic-performance-of-major-depression-disorder-case-finding-instruments-used-among-mothers-of-young-children-in-the-united-states-a-systematic-review
#15
REVIEW
Arthur H Owora, Hélène Carabin, Jessica Reese, Tabitha Garwe
INTRODUCTION: Growing recognition of the interrelated negative outcomes associated with major depression disorder (MDD) among mothers and their children has led to renewed public health interest in the early identification and treatment of maternal MDD. Healthcare providers, however, remain unsure of the validity of existing case-finding instruments. We conducted a systematic review to identify the most valid maternal MDD case-finding instrument used in the United States. METHODS: We identified articles reporting the sensitivity and specificity of MDD case-finding instruments based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) by systematically searching through three electronic bibliographic databases, PubMed, PsycINFO, and EMBASE, from 1994 to 2014...
September 1, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27227751/suicidal-ideation-during-the-postpartum-period
#16
Susan Bodnar-Deren, Kimberly Klipstein, Madeleine Fersh, Eyal Shemesh, Elizabeth A Howell
OBJECTIVE: To examine the association between suicidal ideation (SI), 3 weeks, 3 months, and 6 months postpartum with demographic, psychosocial, clinical factors, and depressive/anxiety symptoms (measured 24-48 hours after delivery), among a cohort of postpartum women. METHODS: This study included 1,073 mothers who gave birth in a large tertiary New York City hospital (2009-2010). Later, self-report SI was assessed using the suicide measure from the Edinburgh Postnatal Depression Scale and from the Patient Health Questionnaire...
December 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27210067/implementation-of-universal-screening-for-depression-during-pregnancy-feasibility-and-impact-on-obstetric-care
#17
Kartik K Venkatesh, Hiyam Nadel, Dyan Blewett, Marlene P Freeman, Anjali J Kaimal, Laura E Riley
BACKGROUND: Given the growing policy and public health interest in the identification and treatment of depression in pregnancy, an understanding of the feasibility, challenges, and implications for resource utilization of the implementation of a universal screening program is crucial. OBJECTIVE: The purpose of this study was to assess the feasibility of large-scale implementation of universal screening for depression in pregnancy and during the postpartum period with the use of the Edinburgh Postnatal Depression Scale...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27193345/serum-brain-derived-neurotrophic-factor-bdnf-concentrations-in-pregnant-women-with-post-traumatic-stress-disorder-and-comorbid-depression
#18
Na Yang, Bizu Gelaye, Qiuyue Zhong, Marta B Rondon, Sixto E Sanchez, Michelle A Williams
There is accumulating evidence for the role of brain-derived neurotrophic factor (BDNF) in the pathophysiology of depression. However, the role of BDNF in the pathophysiology of post-traumatic stress disorder (PTSD) remains controversial, and no study has assessed BDNF concentrations among pregnant women with PTSD. We examined early-pregnancy BDNF concentrations among women with PTSD with and without depression. A total of 2928 women attending prenatal care clinics in Lima, Peru, were recruited. Antepartum PTSD and depression were evaluated using PTSD Checklist-Civilian Version (PCL-C) and Patient Health Questionnaire-9 (PHQ-9) scales, respectively...
December 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27173085/childhood-abuse-and-suicidal-ideation-in-a-cohort-of-pregnant-peruvian-women
#19
Qiu-Yue Zhong, Anne Wells, Marta B Rondon, Michelle A Williams, Yasmin V Barrios, Sixto E Sanchez, Bizu Gelaye
BACKGROUND: Childhood abuse is a major global and public health problem associated with a myriad of adverse outcomes across the life course. Suicide is one of the leading causes of mortality during the perinatal period. However, few studies have assessed the relationship between experiences of childhood abuse and suicidal ideation in pregnancy. OBJECTIVE: We sought to examine the association between exposure to childhood abuse and suicidal ideation among pregnant women...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27137422/reanalysis-of-efficacy-of-interpersonal-psychotherapy-for-antepartum-depression-versus-parenting-education-program-initial-severity-of-depression-as-a-predictor-of-treatment-outcome
#20
Margaret G Spinelli, Jean Endicott, Ray R Goetz, Lisa S Segre
OBJECTIVE: Interpersonal psychotherapy (IPT) is supported by substantial empirical evidence as a treatment for depression. Surprisingly, our recently reported randomized, single-blind, controlled clinical trial found no significant difference between interpersonal psychotherapy for antepartum depression (IPT-P) and a parenting education program (PEP) control condition for the treatment of prenatal depression. Because depression severity has been found to influence treatment response in antidepressant treatment trials, the current study reassessed IPT-P outcomes, limiting analyses to women with moderate depressive symptoms...
April 2016: Journal of Clinical Psychiatry
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