Depressive Disorders

Mood and well-being after removal of both ovaries

The risk of depression after removal of both ovaries (also called bilateral oöphorectomy or surgical menopause) is a major factor for women to consider when they confront medical problems that require removal of the uterus (called a hysterectomy).  Many women are advised to consider having their ovaries removed when they are having the uterus removed.  Sometimes removal of the ovaries is required to fully treat the condition leading to surgery, but other times it is suggested as a precaution to reduce the risk of ovarian cancer.  Removal of both ovaries in a premenopausal woman results in an abrupt withdrawal of estrogen, progesterone, and testosterone.  Therefore removing both ovaries (rather than just one or neither ovary) may have significant effects on mood and well-being in women.

By |2015-08-12T14:02:54-04:00February 24th, 2009|Depressive Disorders, Menopausal Symptoms, Prevalence & Risk Factors|Comments Off on Mood and well-being after removal of both ovaries

Maternal depression, in-home violence, and use of physical punishment

Parental use of physical punishment early in childhood may be associated with subsequent maladaptive behaviors such as child aggression and impaired social information processing. There are links between certain childhood behaviors and risk for parental use of physical punishment, although cause and effect are difficult to establish with these associations.  Higher rates of physical punishment correlate with maternal depression and domestic violence.

By |2015-08-12T12:27:53-04:00January 26th, 2009|Depressive Disorders, Postpartum Psychiatric Disorders|Comments Off on Maternal depression, in-home violence, and use of physical punishment

Phytoestrogens and Menopause

For decades, estrogen was used as a component of hormone replacement therapy to treat menopausal symptoms and for anticipated preventative health benefits in women with prostesterone, or as a monotherapy hormone treatment in women after hysterectomy, but after studies reported that long-term estrogen increase the prevalence of cardiovascular events and breast cancer, many patients and researchers have looked into alternative treatments such as food or products containing phytoestrogens.  Phytoestrogens are weak plant-derived estrogens that are structurally similar to estrogen hormones produced by the body.

By |2015-08-12T12:26:11-04:00January 20th, 2009|Alternative & Complementary, Depressive Disorders, Menopausal Symptoms, Treatment|Comments Off on Phytoestrogens and Menopause

Cognitive Behavioral Therapy Used to Treat Depression in Pregnancy

Mood disorders and symptoms during pregnancy and the postpartum period are not uncommon and affect women across the world.  In spite of relatively high rates of depression among childbearing women, there are often inadequate resources for treatment, particularly in poorer countries. In countries lacking resources, health care is often managed by community health workers or individuals with basic health care training who provide care to difficult-to-reach populations. There are often few mental health professionals, leaving many women without adequate treatment. In an attempt to provide treatment to a greater number of women, some investigators are attempting to train community health workers to provide some psychotherapy as part of their standard duties.

By |2016-03-14T12:20:53-04:00January 13th, 2009|Depressive Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Cognitive Behavioral Therapy Used to Treat Depression in Pregnancy

Dr. Lee Cohen talks with Dr. Oz about Pregnancy and Mood Disorders on Oprah.com

Earlier this year, Dr. Lee S. Cohen, Director of the MGH Center for Women's Mental Health, spoke with Dr. Mehmet Oz from Oprah.com and a woman with bipolar disorder about mood disorders during pregnancy and weighing the risks of treatment options.

By |2015-08-12T12:15:34-04:00December 8th, 2008|Bipolar Disorder, Depressive Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Dr. Lee Cohen talks with Dr. Oz about Pregnancy and Mood Disorders on Oprah.com

Exercise and Depression

Exercise plays a vital role in achieving and maintaining good health.  Along with numerous other health benefits, recent studies have shown that exercise alleviates symptoms of depression and may be useful in treating mild to moderate major depressive disorder (MDD).  A study by Dunn and colleagues (2005) examined the efficacy of exercise as a treatment for depression, along with the dose-response relationship of exercise and reduction in depressive symptoms.

By |2015-08-12T12:05:36-04:00November 24th, 2008|Alternative & Complementary, Depressive Disorders, General, Outcomes, Treatment|Comments Off on Exercise and Depression

Depression during Pregnancy Increases the Risk of Preterm Delivery

A new study reported in Human Reproduction supports what many other studies have found, that untreated depression during pregnancy increases the likelihood of delivering before 37 weeks gestation.

By |2015-08-12T11:47:05-04:00November 3rd, 2008|Depressive Disorders, Outcomes, Pregnancy Outcomes, Psychiatric Disorders During Pregnancy|Comments Off on Depression during Pregnancy Increases the Risk of Preterm Delivery

Impact of Infertility Treatment on Risk for Depression and Anxiety

Infertility and its treatment have been shown to be a trigger for both depression and anxiety.  Women with pre-existing histories of depression and anxiety who have been stable on medication may find themselves with worsening symptoms brought on by the stress involved in the process of infertility treatment.  Many women find the process an emotional roller coaster of hopefulness and disappointment.

By |2015-08-11T14:43:11-04:00August 28th, 2008|Anxiety Disorders, Depressive Disorders, Infertility and Mental Health, Outcomes, Psychiatric Disorders During Pregnancy|Comments Off on Impact of Infertility Treatment on Risk for Depression and Anxiety

Pre-Existing Psychiatric Illness is a Risk Factor for Postpartum Suicide Attempt

A recent population-based case-control study published in the American Journal of Obstetrics & Gynecology used Washington State birth certificates linked to hospital discharge data to evaluate the association between hospitalization for a psychiatric illness before delivery and risk of postpartum suicide attempt. The study compared women hospitalized for a postpartum suicide attempt (n = 355) with a group of controls who had not been hospitalized (n = 1420).

By |2015-08-11T14:41:39-04:00August 21st, 2008|Depressive Disorders, Prevalence & Risk Factors, Psychiatric Disorders During Pregnancy, Suicide|Comments Off on Pre-Existing Psychiatric Illness is a Risk Factor for Postpartum Suicide Attempt

Antidepressants and Risk for Osteoporosis

Selective serotonin reuptake inhibitors (SSRIs) account for approximately 62% of all antidepressants prescribed in the United States. There have been several recent studies suggesting that SSRIs may lower bone mineral density in individuals over the age of 65. However, depression itself has been shown to decrease bone mineral density and has also been associated with an increased risk of hip fractures in older women.

By |2018-06-17T23:22:37-04:00August 15th, 2008|Antidepressants, Anxiety Disorders, Depressive Disorders, Menopausal Symptoms, Outcomes|Comments Off on Antidepressants and Risk for Osteoporosis
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