anxiety disorders

Brief Scales for Identifying Postpartum Depression and Anxiety

While most agree that there is a need for improved detection of anxiety and mood disorders in pregnant and postpartum women, there remain questions regarding the best instruments to use for screening.  The Edinburgh Postnatal Depression Scale (a questionnaire consisting of 10 items) has long been used to screen women for postpartum depression (PPD); however, it is unclear how well these questions could be incorporated into larger surveillance programs, such as the CDC-sponsored Pregnancy Risk Assessment Monitoring System (PRAMS) which was designed to assess health behaviors and to screen for health problems, including depression and anxiety, in pregnant and postpartum women.

By |2015-08-06T13:54:12-04:00December 13th, 2012|Anxiety Disorders, Depressive Disorders, Diagnosis & Screening, Postpartum Psychiatric Disorders|Comments Off on Brief Scales for Identifying Postpartum Depression and Anxiety

Childhood Somatic Symptoms May Be Related to Early Exposure to Maternal Depression or Anxiety

About 10-30% of children have functional somatic symptoms (FSS).  These are physical complaints, such as headaches, pain, fatigue, and dizziness, that cannot be explained medically. A new study suggests that when a child is exposed to depression or anxiety in the mother during the first year of life, he or she is more likely to report these somatic symptoms later on.

By |2015-08-12T11:33:07-04:00October 9th, 2012|Anxiety Disorders, Child Outcomes, Depressive Disorders, Outcomes, Postpartum Psychiatric Disorders|Comments Off on Childhood Somatic Symptoms May Be Related to Early Exposure to Maternal Depression or Anxiety

New Research from the CWMH: Surgically Induced Menopause No Worse than Natural in Terms of Risk for Depression, Anxiety

Each year about 600,000 women in the United States undergo a hysterectomy.  Somewhere between 55% and 80% of these women who also have their ovaries removed along with the uterus—a procedure known as oophorectomy.  After the removal of the ovaries, menopause follows immediately and is associated with a constellation of symptoms including hot flashes and insomnia, as well as depression and anxiety. 

By |2016-03-28T13:02:53-04:00August 2nd, 2012|Depressive Disorders, Menopausal Symptoms, Prevalence & Risk Factors, Research at CWMH|Comments Off on New Research from the CWMH: Surgically Induced Menopause No Worse than Natural in Terms of Risk for Depression, Anxiety

Infertility Increases Risk of Serious Psychiatric Illness

Multiple small studies have demonstrated a link between infertility and psychological distress, reporting high rates of anxiety and depressive symptoms among women with infertility.  These studies have evaluated psychiatric symptoms or psychological distress; however, less is known about the prevalence of more significant psychiatric disorders in this population.  

By |2015-08-12T13:54:43-04:00July 16th, 2012|Anxiety Disorders, Depressive Disorders, Infertility and Mental Health, Prevalence & Risk Factors|Comments Off on Infertility Increases Risk of Serious Psychiatric Illness

Acupuncture Helpful for Reducing Anxiety in Women Undergoing IVF

Most women undergoing infertility treatment experience increased anxiety.  In a randomized clinical trial, researchers explored the effectiveness of acupuncture in diminishing anxiety in a group of women undergoing IVF.  43 patients undergoing IVF received either active acupuncture (n=22) or sham treatment (n=21).  Women with a history of psychiatric illness and those using antidepressants and/or anxiolytic drugs were excluded from the study.  Anxiety levels were assessed before and after treatment using the Hamilton Anxiety Rating Scale (HAS). 

By |2015-08-12T13:58:40-04:00July 10th, 2012|Alternative & Complementary, Anxiety Disorders, Infertility and Mental Health, Psychiatric Disorders During Pregnancy, Treatment|Comments Off on Acupuncture Helpful for Reducing Anxiety in Women Undergoing IVF

Postpartum PTSD is Probably More Common Than You Think

Post-traumatic stress disorder (PTSD) occurs in approximately 10% of all women at some point in their lifetime.  PTSD tends to occur more commonly in women during their childbearing years, yet we have only recently begun to look more closely at the incidence of PTSD associated with childbirth. 

By |2015-08-12T14:40:47-04:00June 12th, 2012|Postpartum Psychiatric Disorders, Prevalence & Risk Factors, PTSD and Stress Related Disorders|Comments Off on Postpartum PTSD is Probably More Common Than You Think

CBT for the Prevention of Postpartum OCD

Given the prevalence of postpartum OCD and obsessive symptoms in women with postpartum depression, we should devote more time to this topic.  This is an informative and well-written article by Alice Wolton on postpartum OCD in Forbes.  In this piece, she mentions a recent study from Timpano and colleagues at the University of Miami where cognitive behavioral therapy (CBT) was used to prevent postpartum OCD. 

By |2015-08-12T14:52:07-04:00June 5th, 2012|Anxiety Disorders, Postpartum Psychiatric Disorders, Prevention, Psychotherapy|Comments Off on CBT for the Prevention of Postpartum OCD

Anxiety During Pregnancy Predicts Worse Outcomes

In treating pregnant women with mood or anxiety disorders, we tend to focus primarily on the reproductive safety of psychotropic medications; however, it must be recognized that withholding or withdrawing pharmacologic treatment for depression or anxiety during pregnancy may carry some degree of risk. Untreated psychiatric illness in the mother cannot be considered a benign event, and a number of studies have indicated that depression during pregnancy may negatively affect pregnancy outcomes (reviewed in Bonari 2004).

By |2024-03-24T11:56:41-04:00July 14th, 2010|Anxiety Disorders, Outcomes, Pregnancy Outcomes, Psychiatric Disorders During Pregnancy|Comments Off on Anxiety During Pregnancy Predicts Worse Outcomes
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