Essential Reads: Postpartum Depression, Is it Unipolar or Bipolar?
Vigilance is required in screening women who present with postpartum depression; a subset of women who screen positive for depression may actually have bipolar disorder.
Postpartum Depression: Unipolar or Bipolar?
About 15% of women will experience postpartum depression after the birth of a child. While most of those women will have unipolar depression, a certain number of women will have bipolar depression. At this juncture, [...]
Conceiving Through IVF Does Not Increase Risk for PPD
Infertility and its treatment are enormously stressful. Previous studies have shown that women undergoing infertility treatment are more vulnerable to clinically significant anxiety and depressive symptoms. But what happens when the desired outcome is achieved? [...]
From Ob Gyn News: Opportunities and Limits in Universal Screening for Perinatal Depression
The American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice recently published a revised opinion on screening for perinatal depression, recommending that “clinicians screen patients at least once during the perinatal period for [...]
Maternal Depression Leads to Risky Behaviors in Adolescent Children
Maternal depression has been identified as a risk factor for adolescent depression. In addition, maternal depression appears to increase the risk of certain behavioral problems in children; however, it appears that the timing of exposure may play an important role in mediating the effects of maternal depression. A recent study suggests that childhood exposure to maternal depression between the ages of 4 and 14 may result in risky behaviors later on during adolescence.
Parent’s Suicide Attempt Increases a Child’s Risk of Suicide
Previous studies have shown that children who have lost a parent to suicide are more likely to attempt suicide than children whose parents died unintentionally. One obvious explanation for this finding is that the parents who attempt or commit suicide are more likely to have a mood disorder or serious psychiatric illness and that their children share this genetic vulnerability and are therefore more likely to have a psychiatric illness which increases their risk for suicide.
L-Methylfolate for the Treatment of Depression: Can We Use it During Pregnancy?
Last summer, we posted a blog about using folate to treat (and perhaps prevent) depression in women of childbearing age. Supporting that recommendation are the several reports indicating that people with lower folate levels are at higher risk of major depression or may experience more severe depressive symptoms. Other studies have indicated that in folate-deficient patients, antidepressants may be less effective or may take longer to take effect.
Folic Acid and Risk of Perinatal Depression: Is There an Association?
Recent reports suggest that people with lower folate levels are at higher risk of major depression or may experience more severe depressive symptoms. Other studies indicate that in folate deficient patients, antidepressants may be less effective or may take longer to take effect. In addition, some clinical trials have shown that folate may have a therapeutic effect on depression, either when taken alone or in combination with an antidepressant.
New Research from the CWMH: History of Depression and Anxiety Predict Lower Quality of Life in Midlife Women
The National Comorbidity Survey estimates that by the time women reach midlife, approximately 23% have experienced at least one episode of major depression and 30% have been diagnosed with an anxiety disorder. Depression and anxiety disorders are each associated with impaired functioning and lower quality of life (QOL). There is also some data to suggest that, even after a depressive episode resolves, those with a history of a affective illness have a lower quality of life than those without histories of depression, with impairment in social and interpersonal functioning.
Outcomes of Children Exposed to Antiepileptic Drugs in Pregnancy: No Good News for Valproate
There have long been concerns regarding the use of the anticonvulsant valproate (Depakote) during pregnancy. First trimester use of valproate has been associated with a 3-5% risk of neural tube defects, as well as an increased risk of other malformations affecting the heart. In addition, recent reports have indicated that in utero exposure to valproate may also result in lower IQ.