postpartum depression

Examining Modifiable Risk Factors for Postpartum Depression

Approximately 10-15% of women will experience mood symptoms that meet criteria for a Major Depressive Episode during the postpartum period. However, as many as 50% of women may experience some level of depressive symptoms during the postpartum period. Recent evidence suggests that even depressive symptoms that do not qualify for a diagnosis of postpartum depression may have a negative impact on both mother and child. In spite of the fact that so many postpartum women will experience depressive symptoms, little research has been conducted in order to identify potentially modifiable factors that could reduce the risk of depressive symptoms or the development of a major depressive episode during this time.

By |2015-08-12T15:02:04-04:00August 31st, 2009|Postpartum Depression, Postpartum Psychiatric Disorders, Prevention|Comments Off on Examining Modifiable Risk Factors for Postpartum Depression

Postpartum Depressive Symptoms Increase the Risk of Smoking Relapse

While many women who smoke successfully quit smoking during pregnancy, most of these women return to smoking within 12 months of delivery.  Several studies have suggested that certain factors may increase the risk of postpartum relapse, including unwanted pregnancy, multiparity, and stressful life events.  Two recent studies indicate that postpartum depressive symptoms may also increase the risk of smoking relapse after delivery.

By |2016-03-28T13:23:58-04:00May 19th, 2009|Nicotine, Perinatal Substance Use, Postpartum Depression, Postpartum Psychiatric Disorders, Prevalence & Risk Factors|Comments Off on Postpartum Depressive Symptoms Increase the Risk of Smoking Relapse

A Mouse Model of Postpartum Depression

Maguire and Mody's report, GABAA R Plasticity during Pregnancy: Relevance to Postpartum Depression, in the July 2008, Neuron, provides evidence that an abnormal Gamma-aminobutyric acid (GABAA) receptor subunit in pregnant mice may be a useful model for postpartum depression.  The report describes how GABAA receptors, specifically, the delta-subunit-containing GABA receptor, are a preferred target for neurosteroids.  They designed a study to identify functional changes in these receptors during pregnancy and postpartum and then looked at possible behavioral correlates in the mice. 

By |2015-08-12T14:07:14-04:00March 10th, 2009|Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off on A Mouse Model of Postpartum Depression

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

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

University of North Carolina Center for Mood Disorders Expands Services to Postpartum Women

Last Wednesday, the UNC Medical Center opened an outpatient clinic for women with postpartum depression, and on November 3rd opened an inpatient unit for women with postpartum depression.  The inpatient unit is called "the first of its kind" in the United States, and is a progressive example of specialized health care initiatives for improved screening, diagnosis, and treatment of postpartum mood disorders in the US.

By |2015-08-12T11:48:26-04:00November 5th, 2008|Postpartum Psychiatric Disorders, Treatment|Comments Off on University of North Carolina Center for Mood Disorders Expands Services to Postpartum Women

Identifying Postpartum Depression: A Three Question Screening Tool

While postpartum depression is common among new mothers, our ability to reliably detect this illness remains poor.  Recent studies have indicated that most obstetricians report that they screen for postpartum psychiatric problems at routine follow-up visits but typically do not use standardized instruments to assess for postpartum depression.  Unfortunately, studies which have measured the success of routine screening suggest that without the use of standardized screening tools like the Edinburgh Postnatal Depression Scale, many women with postpartum depression are not identified.

By |2015-08-12T11:45:03-04:00October 27th, 2008|Diagnosis & Screening, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off on Identifying Postpartum Depression: A Three Question Screening Tool

Post-Traumatic Stress Disorder (PTSD) Following Childbirth

Post-Traumatic Stress Disorder (PTSD) after childbirth is an understudied condition. Traditionally, much of the data have been based on case reports, indicating that PTSD can occur following a range of childbirth and child loss situations, including long or complicated labor, severe pain with labor or delivery, cesarean section, and unanticipated pregnancy outcome, such as child loss, miscarriage or infant birth defects. PTSD related to childbirth is frequently overlooked by physicians; the relative newness of the diagnosis and lack of literature on this topic are factors which may hinder recognition of this disorder.

By |2026-01-11T11:58:13-04:00October 8th, 2008|Diagnosis & Screening, Postpartum Psychiatric Disorders, Prevalence & Risk Factors, PTSD and Stress Related Disorders|Comments Off on Post-Traumatic Stress Disorder (PTSD) Following Childbirth

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
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