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Postpartum mood anxiety disorders

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https://www.readbyqxmd.com/read/28667832/effect-of-previous-posttraumatic-stress-in-the-perinatal-period
#1
Pamela A Geller, Emily C Stasko
OBJECTIVE: To review the extant literature on the effect of traumatic experiences that pre-date conception, pregnancy, and the postpartum period (perinatal period) and present a thematic overview of current issues in this relatively new area of inquiry. DATA SOURCES: Electronic databases CINAHL, PsychINFO, and PubMed were searched. Manual searches of bibliographies supplemented the electronic search. STUDY SELECTION: Peer-reviewed articles written in English on the role of posttraumatic stress disorder during the perinatal period were included...
June 28, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28600645/acceptance-and-commitment-therapy-for-perinatal-mood-and-anxiety-disorders-development-of-an-inpatient-group-intervention
#2
REVIEW
Alexa Bonacquisti, Matthew J Cohen, Crystal Edler Schiller
Perinatal mood and anxiety disorders are a leading cause of morbidity and mortality for childbearing women. Current treatments, such as cognitive behavioral therapy and interpersonal therapy, have demonstrated modest success in addressing perinatal psychiatric symptoms; however, additional treatment options are needed to address the limitations of current approaches, particularly for women experiencing moderate to severe perinatal mental illness during pregnancy or postpartum. We discuss the use of acceptance and commitment therapy (ACT) as a promising treatment approach that may be uniquely suited for perinatal women due to its emphasis of values, mindfulness, and acceptance; these psychological constructs notably address the significant psychiatric and behavioral health condition comorbidity, somatic symptoms, and stigma associated with perinatal mood and anxiety disorders...
June 10, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28548001/the-psychiatric-morbidity-of-women-who-give-birth-to-children-with-fetal-alcohol-spectrum-disorder-fasd-results-of-the-manitoba-mothers-and-fasd-study
#3
Deepa Singal, Marni Brownell, Dan Chateau, Ana Hanlon-Dearman, Sally Longstaffe, Leslie L Roos
OBJECTIVE: To investigate differences in physician-diagnosed psychiatric disorders between women who gave birth to children with a fetal alcohol spectrum disorder (FASD) diagnosis (study group) compared to women who gave birth to children without FASD (comparison group). METHODS: We linked population-level health and social services data to clinical data on FASD diagnoses to identify study group ( n = 702) and comparison group ( n = 2097) women matched 1:3 on date of birth of index child, region of residence, and socioeconomic status...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28506679/a-scoping-review-of-the-mental-health-of-parents-of-infants-in-the-nicu
#4
REVIEW
Ariane Thaise Frello Roque, Gerri C Lasiuk, Vera Radünz, Kathleen Hegadoren
OBJECTIVE: To synthesize and summarize evidence regarding the mental health of parents of infants in the NICU. DATA SOURCES: Thirteen electronic databases were searched in October 2014 using the following terms individually and in combination: postpartum woman, mother, NICU, preterm birth, depression, anxiety, acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and parental stress. STUDY SELECTION: We examined the published research regarding the experiences of parents who have infants admitted to the NICU, the mental health problems that parents may develop, the tools that have been used to identify such problems, and factors related to parental mental health...
May 12, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28476427/clinical-phenotypes-of-perinatal-depression-and-time-of-symptom-onset-analysis-of-data-from-an-international-consortium
#5
Karen T Putnam, Marsha Wilcox, Emma Robertson-Blackmore, Katherine Sharkey, Veerle Bergink, Trine Munk-Olsen, Kristina M Deligiannidis, Jennifer Payne, Margaret Altemus, Jeffrey Newport, Gisele Apter, Emmanuel Devouche, Alexander Viktorin, Patrik Magnusson, Brenda Penninx, Anne Buist, Justin Bilszta, Michael O'Hara, Scott Stuart, Rebecca Brock, Sabine Roza, Henning Tiemeier, Constance Guille, C Neill Epperson, Deborah Kim, Peter Schmidt, Pedro Martinez, Arianna Di Florio, Katherine L Wisner, Zachary Stowe, Ian Jones, Patrick F Sullivan, David Rubinow, Kevin Wildenhaus, Samantha Meltzer-Brody
BACKGROUND: The perinatal period is a time of high risk for onset of depressive disorders and is associated with substantial morbidity and mortality, including maternal suicide. Perinatal depression comprises a heterogeneous group of clinical subtypes, and further refinement is needed to improve treatment outcomes. We sought to empirically identify and describe clinically relevant phenotypic subtypes of perinatal depression, and further characterise subtypes by time of symptom onset within pregnancy and three post-partum periods...
May 3, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28278440/lower-allopregnanolone-during-pregnancy-predicts-postpartum-depression-an-exploratory-study
#6
Lauren M Osborne, Fiona Gispen, Abanti Sanyal, Gayane Yenokyan, Samantha Meilman, Jennifer L Payne
Current evidence is mixed on the role of progesterone and its metabolites in perinatal mood and anxiety disorders. We measured second and third trimester (T2 and T3) progesterone (PROG) and allopregnanolone (ALLO) levels by ELISA and postpartum depression (PPD) by clinician interview (DSM-IV criteria) in 60 pregnant women with a prior diagnosis of a mood disorder. Methods included multivariate and logistic regression with general linear mixed effect models. We found that, after adjustment, every additional ng/mL of T2 ALLO resulted in a 63% (95% CI 13% to 84%, p=0...
May 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28152450/maternal-attachment-style-and-psychiatric-history-as-independent-predictors-of-mood-symptoms-in-the-immediate-postpartum-period
#7
Roberta Croce Nanni, Alfonso Troisi
BACKGROUND: There is evidence that both a past history of psychiatric illness and insecure attachment put women at risk for mood disturbances in the postpartum period. The aim of this study was to ascertain whether maternal insecure attachment is a risk factor for mood symptoms in the immediate postpartum period independently of the confounding effect of maternal psychiatric history. METHODS: A convenience sample of 120 mothers was assessed prenatally with the Maternal History of Mood Disturbances (MHMD), the Relationship Questionnaire (RQ), and in the first week after delivery with the Profile of Mood States (POMS)...
January 24, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28122520/postnatal-depression-screening-in-a-paediatric-primary-care-setting-in-italy
#8
Antonio Clavenna, Elena Seletti, Massimo Cartabia, Anna Didoni, Filomena Fortinguerra, Teresa Sciascia, Luca Brivio, Daniela Malnis, Maurizio Bonati
BACKGROUND: Postnatal depression is a non-psychotic depressive disorder that begins within 4 weeks of childbirth and occurs in 13% of mothers and 10% of fathers. A prospective study with the aim to evaluate the prevalence of postnatal depression by screening parents with the Edinburgh Postnatal Depression Scale (EPDS) in the Italian paediatric primary care setting was performed. METHODS: Mothers and fathers of infants born between 1 February and 31 July 2012, living in Italy's Milan-1 local health unit area, represented the target population of this pilot study...
January 25, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/27926635/the-obstetrician-gynecologist-s-role-in-detecting-preventing-and-treating-depression
#9
Amritha Bhat, Susan D Reed, Jürgen Unützer
Women are at a higher risk for depression than are men, and this risk is especially pronounced at specific reproductive periods of vulnerability: adolescence, pregnancy, postpartum, and the menopausal transition. Obstetrician-gynecologists are often the health care providers who women consult during these vulnerable periods, usually presenting with conditions or complaints other than depression or anxiety. Presenting symptoms are frequently known comorbidities with depression or are risk factors for depression...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27915390/lifetime-substance-use-as-a-predictor-of-postpartum-mental-health
#10
Betty-Shannon Prevatt, Sarah L Desmarais, Patricia A Janssen
Postpartum mood disorders (PPMD) affect approximately 10-20% of women and have adverse consequences for both mom and baby. Lifetime substance use has received limited attention in relation to PPMD. The present study examined associations of lifetime alcohol and drug use with postpartum mental health problems. Women (n = 100) within approximately 3 months postpartum (M = 2.01, SD = 1.32) participated in semi-structured interviews querying lifetime substance use, mental health history, and postpartum symptoms of anxiety, stress, posttraumatic stress disorder (PTSD), depression, and obsessive compulsive disorder...
February 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27737714/mindfulness-based-cognitive-therapy-for-psychological-distress-in-pregnancy-study-protocol-for-a-randomized-controlled-trial
#11
Lianne M Tomfohr-Madsen, Tavis S Campbell, Gerald F Giesbrecht, Nicole L Letourneau, Linda E Carlson, Joshua W Madsen, Sona Dimidjian
BACKGROUND: Clinically significant psychological distress in pregnancy is common, with epidemiological research suggesting that between 15 and 25 % of pregnant women experience elevated symptoms of stress, anxiety, and depression. Untreated psychological distress in pregnancy is associated with poor obstetrical outcomes, changes in maternal physiology, elevated incidence of child physical and psychological disorders, and is predictive of maternal postpartum mood disorders. Despite the wide-ranging impact of antenatal psychological distress on mothers and their children, there is a gap in our knowledge about the most effective treatments that are available for psychological distress experienced in pregnancy...
October 13, 2016: Trials
https://www.readbyqxmd.com/read/27631144/functional-recovery-after-postpartum-psychosis-a-prospective-longitudinal-study
#12
Karin M Burgerhout, Astrid M Kamperman, Sabine J Roza, Mijke P Lambregtse-Van den Berg, Kathelijne M Koorengevel, Witte J G Hoogendijk, Steven A Kushner, Veerle Bergink
OBJECTIVE: Postpartum psychosis is an acute and severe mood disorder. Although the prognosis is generally good, postpartum psychosis is a highly stressful life-event presumed to have a major impact on functioning and well-being beyond the acute stage of the illness. We studied functional recovery, including psychosocial functioning and the presence of psychological distress, in patients with a recent diagnosis of postpartum psychosis. METHODS: Seventy-eight patients with postpartum psychosis consecutively admitted for inpatient hospitalization between 2005 and 2011 were assessed 9 months postpartum...
January 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27511109/postpartum-psychiatric-emergency-visits-a-nested-case-control-study
#13
Lucy Church Barker, Paul Kurdyak, Kinwah Fung, Flora I Matheson, Simone Vigod
Mental health conditions are one of the most common reasons for postpartum emergency department (ED) visits. Characteristics of women using the ED and their mental health service use before presentation are unknown. We characterized all women in Ontario, Canada (2006-2012), who delivered a live born infant and had a psychiatric ED visit within 1 year postpartum (n = 8728). We compared those whose ED visit was the first physician mental health contact since delivery to those who had accessed mental health services on specific indicators of marginalization hypothesized to be associated with lower likelihood of mental health contact prior to the ED visit...
December 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27259080/associations-between-poor-subjective-prenatal-sleep-quality-and-postnatal-depression-and-anxiety-symptoms
#14
Elaine K H Tham, Joyce Tan, Yap-Seng Chong, Kenneth Kwek, Seang-Mai Saw, Oon-Hoe Teoh, Daniel Y T Goh, Michael J Meaney, Birit F P Broekman
BACKGROUND: Symptoms of depression and anxiety are common during pregnancy and the postnatal period. A risk factor for mood disorders is poor sleep quality. In this study we investigate the effects of poor subjective prenatal sleep quality on postnatal depressive and anxiety symptoms, independent of prenatal depression or anxiety, amongst pregnant women in the general population. METHODS: We analysed data from a subset of women taking part in a prospective cohort study, Growing Up in Singapore towards Healthy Outcomes...
September 15, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27173845/factors-influencing-attempted-and-completed-suicide-in-postnatal-women-a-population-based-study-in-taiwan
#15
Shu-Chuan Weng, Jung-Chen Chang, Ming-Kung Yeh, Shun-Mu Wang, Yi-Hua Chen
The aims of study were to investigate risk factors associated with attempted and completed suicide. This nested case-control study was conducted using the medical and death data of nearly all pregnant women for the period 2002-2012 in Taiwan. A total of 139 cases of attempted suicide and 95 cases of completed suicide were identified; for each case, 10 controls were randomly selected and matched to the cases according to age and year of delivery. A conditional logistic regression model was used. The mean attempted and completed suicide rates were 9...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27165448/of-rodents-and-humans-a-comparative-review-of-the-neurobehavioral-effects-of-early-life-ssri-exposure-in-preclinical-and-clinical-research
#16
REVIEW
Matthew E Glover, Sarah M Clinton
Selective serotonin reuptake inhibitors (SSRIs) have been a mainstay pharmacological treatment for women experiencing depression during pregnancy and postpartum for the past 25 years. SSRIs act via blockade of the presynaptic serotonin transporter and result in a transient increase in synaptic serotonin. Long-lasting changes in cellular function such as serotonergic transmission, neurogenesis, and epigenetics, are thought to underlie the therapeutic benefits of SSRIs. In recent years, though, growing evidence in clinical and preclinical settings indicate that offspring exposed to SSRIs in utero or as neonates exhibit long-lasting behavioral adaptions...
June 2016: International Journal of Developmental Neuroscience
https://www.readbyqxmd.com/read/27138783/role-of-self-compassion-in-psychological-well-being-among-perinatal-women
#17
Jennifer N Felder, Elizabeth Lemon, Kerry Shea, Kate Kripke, Sona Dimidjian
Self-compassion is associated with depression and anxiety in general samples. Although recent research indicates that dysfunctional maternal attitudes predict the development of perinatal depression and anxiety symptoms, no research to date has examined the construct of self-compassion and its relationship with psychological well-being in perinatal women. Pregnant and postpartum women (N = 189) completed self-report measures of depression and anxiety history, current depression and anxiety symptom severity, and self-compassion...
August 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/27131505/perinatal-anxiety-disorder-prevalence-and-incidence
#18
Nichole Fairbrother, Patricia Janssen, Martin M Antony, Emma Tucker, Allan H Young
BACKGROUND: Anxiety and related disorders (AD) disproportionately affect women, and are the most prevalent of all mental health conditions. The current research represents the first study of maternal postpartum AD prevalence in which all of the AD are assessed, and one of few studies of this type in which maternal prenatal AD incidence is assessed. METHODS: A Canadian sample of pregnant women (N=310) was recruited from a defined geographical area between November 2007 and November 2010...
August 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27035701/history-of-postpartum-depression-in-a-clinic-based-sample-of-women-with-premenstrual-dysphoric-disorder
#19
Alyson L Kepple, Ellen E Lee, Nazli Haq, David R Rubinow, Peter J Schmidt
OBJECTIVE: Overlapping comorbidities between premenstrual dysphoric disorder (PMDD) and postpartum depression (PPD) suggest that these disorders represent a continuum of vulnerability with shared pathophysiology. We report the past histories of PPD (and other Axis I psychiatric illnesses) in a clinic-based sample of women meeting criteria for PMDD. METHODS: 215 women, ages 19 to 51 years, who attended the National Institute of Mental Health Mood Disorders Clinic between 1988 and 2013 seeking treatment for PMDD and in whom we confirmed the diagnosis of PMDD (DSM-IV), were identified...
April 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/26802019/treatment-of-severe-perinatal-mood-disorders-on-a-specialized-perinatal-psychiatry-inpatient-unit
#20
Mary C Kimmel, S Lara-Cinisomo, K Melvin, A Di Florio, A Brandon, S Meltzer-Brody
Perinatal patients with bipolar and psychotic mood disorder exacerbations are challenging to treat and often receive suboptimal care. We sought to examine the treatment patterns and outcomes on one of the only US-based Perinatal Psychiatry Inpatient Units (PPIU). Perinatal patients admitted to the PPIU completed self-report measures at admission and before discharge. Retrospective chart reviews extracted history, diagnoses (current and past), and medication treatment. Patients who had discharge diagnoses of bipolar disorder, major depression with psychotic features, or postpartum psychosis were included...
August 2016: Archives of Women's Mental Health
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