Some interesting reviews on the list this week, including some excellent articles from leaders in the field which will be coming out in the September issue of Obstetrics & Gynecology Clinics of North America.
Ruta Nonacs, MD PhD
Analyses identified two classes of women with distinct trajectories; (1) a low-risk (n?=?1 249, 91%) and (2) a high-risk group (n?=?119, 9%). Complications after birth, elevated prenatal depressive symptoms, previous or current mental illness, and gestational week, predicted trajectory class membership.
Taylor CL, Stewart RJ, Howard LM. Schizophr Res. 2018 Aug 5. Free Article
There were 452 full term pregnancies, of which 128 (28.3%) were associated with relapse in the first 3?months postpartum, with recent relapse acting as an independent predictor (aOR; 95% CI:1.30-2.27). There was no evidence of a prophylactic effect of medication (aOR?=?0.99; 0.54-1.83), in women with non-affective or affective psychoses.
Skjothaug T, Smith L, Wentzel-Larsen T, Moe V.Infant Ment Health J. 2018 Aug 9.
Fathers’ symptoms of anxiety and depression during pregnancy as well as adverse childhood experiences predict paternal stress and a negative perception of their children’s behavior at 6 months’ postpartum.
Luberto CM, Park ER, Goodman JH. Mindfulness (N Y). 2018 Jun;9(3):850-859.
Improvements in anxiety, worry, mindfulness, and self-compassion observed at one week post-intervention were were maintained during the postpartum period, and reductions in depression further improved (p<.001). Participants were generally adherent to mindfulness practice recommendations during the intervention (54%-80% weekly adherence; M=17.31 total practice hours [SD=7.45]), and many continued practicing one-week post-intervention (91%) and postpartum (55%).
Osborne LM. Obstet Gynecol Clin North Am. 2018 Sep;45(3):455-468.
Clark CT, Wisner KL. Obstet Gynecol Clin North Am. 2018 Sep;45(3):403-417.
Baker AS, Freeman MP. Obstet Gynecol Clin North Am. 2018 Sep;45(3):495-509.
Kimmel MC, Cox E, Schiller C, Gettes E, Meltzer-Brody S. Obstet Gynecol Clin North Am. 2018 Sep;45(3):419-440.
Goutaudier N, Bertoli C, Séjourné N, Chabrol H.J Reprod Infant Psychol. 2018 Aug 10:1-12.
Childbirth may be experienced as threatening and traumatic and that this traumatic impact might develop way before the delivery.
McEvoy K, Payne JL, Osborne LM. Curr Psychiatry Rep. 2018 Aug 9;20(9):78.
The bulk of the evidence on neuroactive steroids in perinatal depression concerns allopregnanolone.
Gallaher KGH, Slyepchenko A, Frey BN, Urstad K, Dørheim SK. Sleep Med Clin. 2018 Sep;13(3):359-374.
Circadian rhythm disturbances were strongly correlated with depression, social factors and mothers`s exposure to light postpartum.
Zlotnick C, Wernette GT, Raker CA. Arch Womens Ment Health. 2018 Aug 7.
Preliminary results found the degree of IPV decreased significantly from baseline to the 4-month follow-up among women receiving the SURE intervention (paired t-test, p?<?0.001), while the control group was essentially unchanged.