|Postpartum Depression and Psychosis and Subsequent Severe Mental Illnesses in Mothers and Neurodevelopmental Disorders in Children: A Nationwide Study.
Chen MH, Pan TL, Bai YM, Huang KL, Tsai SJ, Su TP, Chen TJ, Hsu JW. J Clin Psychiatry. 2021 Jul 27;82(4):20m13735.
Women experiencing postpartum depression or postpartum psychosis were more likely to have a diagnosis of schizophrenia, bipolar disorder, and major depressive disorder in mothers, with hazard ratios (HRs) ranging between 8.80 (95% CI, 7.95-9.74) and 63.96 (95% CI, 50.39-81.18). Children exposed to maternal postpartum depression or psychosis were more likely to develop ADHD. Only postpartum depression was related to an increased likelihood of offspring ASD.
Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis.
Zhao L, Chen J, Lan L, Deng N, Liao Y, Yue L, Chen I, Wen SW, Xie RH.
JMIR Mhealth Uhealth. 2021 Oct 7;9(10):e32544. Free article.
Nine RCTs with a total of 1958 women with PPD were included. The EPDS and anxiety scores were significantly lower in the telehealth group compared with the control group. Significant subgroup differences were found in depressive symptoms according to the severity of PPD, telehealth technology, specific therapy, and follow-up time.
Predictors of Early Postpartum Maternal Functioning Among Women Veterans.
Goger P, Szpunar MJ, Baca SA, Gartstein MA, Lang AJ. Matern Child Health J. 2021 Oct 9.
Pregnancy-related anxiety was a more robust predictor of postpartum depression (PPD) than depression during pregnancy. PPD, in turn, was significantly associated with bonding and parenting stress, such that more depressed mothers were more likely to experience greater bonding difficulties, increased rejections and pathological anger towards their infants, greater anxiety towards their infants, and more parenting stress.
Effects of an evidence-based nursing intervention on prevention of anxiety and depression in the postpartum period.
Meng J, Du J, Diao X, Zou Y. Stress Health. 2021 Oct 11.
Six weeks of evidence-based nursing intervention significantly reduced the incidence of postpartum depression. The application of the evidence-based nursing also improved the patients’ satisfaction degree and effectively alleviated their anxiety according to both the intention-to-treat and per protocol analyses. E
Postpartum Psychiatric Admissions in the United States.
Wen T, Fein AW, Wright JD, Mack WJ, Attenello FJ, D’Alton ME, Friedman AM. Am J Perinatol. 2021 Jan;38(2):115-121.
Of 15.7 million deliveries from 2010 to 2014, 11,497 women (0.07%) were readmitted for a primary psychiatric diagnosis within 60 days postpartum. In the adjusted model, women with psychiatric diagnoses at delivery were 9.7 times more likely to be hospitalized compared with those without psychiatric comorbidity. Women at highest risk for psychiatric admission were those with Medicare and Medicaid, in lower income quartiles, and of younger age.
Socioeconomic and racial/ethnic disparities in postpartum consultation for mental health concerns among US mothers.
Dagher RK, Pérez-Stable EJ, James RS. Arch Womens Ment Health. 2021 Oct;24(5):781-791.
Latinas had lower odds of seeking mental health consultations than Whites (OR 0.39). Mothers who were employed prenatally full-time or part-time had lower odds of seeking consultations than non-employed mothers (OR 0.62; OR 0.52). Mothers with household incomes of $50,000-$74,999 had higher odds of seeking consultations than those with incomes less than $25,000 (OR 2.20).