Mass General Hospital

Harvard Medical School

Weekly Roundup for FEBRUARY 10, 2017: Recent Publications in Women’s Mental Health

The Neurobiology of Postpartum Anxiety and Depression.

Pawluski JL, Lonstein JS, Fleming AS.

Trends Neurosci. 2017 Feb;40(2):106-120.


Functional Recovery After Postpartum Psychosis: A Prospective Longitudinal Study.

Burgerhout KM, Kamperman AM, Roza SJ, Lambregtse-Van den Berg MP, Koorengevel KM, Hoogendijk WJ, Kushner SA, Bergink V.  J Clin Psychiatry. 2017 Jan;78(1):122-128.


Implementation of Routine Postpartum Depression Screening and Care Initiation Across a Multispecialty Health Care Organization: An 18-Month Retrospective Analysis.

Lind A, Richter S, Craft C, Shapiro AC.  Matern Child Health J. 2017 Feb 1.

PPD screening occurred at 88% of eligible visits. PPD was identified in 8.1% of screened women. Of women with PPD, at least 44.8% were prescribed an SSRI and 21.4% attended a visit with a mental health professional.


The association between pregnancy intendedness and experiencing symptoms of postpartum depression among new mothers in the United States, 2009 to 2011: A secondary analysis of PRAMS data.

Gauthreaux C, Negron J, Castellanos D, Ward-Peterson M, Castro G, Rodríguez de la Vega P, Acuña JM.  Medicine (Baltimore). 2017 Feb;96(6):e5851. Free Article

Women with pregnancies categorized as mistimed: desired sooner, mistimed: desired later, or unwanted were 20% (adjusted odds ratio [AOR]?=?1.2; 95% confidence interval [CI]: 1.1-1.3), 30% (AOR?=?1.3; 95% CI: 1.2-1.4), and 50% (AOR?=?1.5; 95% CI: 1.3-1.7) more likely to experience symptoms of PPD.  


The Effect of Postpartum Depression and Current Mental Health Problems of the Mother on Child Behaviour at Eight Years.

Closa-Monasterolo R, Gispert-Llaurado M, Canals J, Luque V, Zaragoza-Jordana M, Koletzko B, Grote V, Weber M, Gruszfeld D, Szott K, Verduci E, ReDionigi A, Hoyos J, Brasselle G, Escribano Subías J.  Matern Child Health J. 2017 Feb 11.

Children whose mothers with history of PPD and current mental problems exhibited the highest levels of psychological problems, followed by those whose mothers had only current mental problems or only PPD.


Doomed for Disorder? High Incidence of Mood and Anxiety Disorders in Offspring of Depressed and Anxious Patients: A Prospective Cohort Study.

Havinga PJ, Boschloo L, Bloemen AJ, Nauta MH, de Vries SO, Penninx BW, Schoevers RA, Hartman CA.  J Clin Psychiatry. 2017 Jan;78(1):e8-e17.

The offspring of depressed and anxious patients are at very high risk of a mood and/or anxiety disorder; the cumulative incidence of mood and/or anxiety disorder was 38.0% at age 20 years and 64.7% at age 35 years.


A pilot randomized controlled trial of time-intensive cognitive-behaviour therapy for postpartum obsessive-compulsive disorder: effects on maternal symptoms, mother-infant interactions and attachment.

Challacombe FL, Salkovskis PM, Woolgar M, Wilkinson EL, Read J, Acheson R.

Psychol Med. 2017 Jan 31:1-11.

iCBT was successful in ameliorating maternal symptoms of OCD; however, mother-infant interactions were unchanged by treatment.


Maternal childhood trauma, postpartum depression, and infant outcomes: Avoidant affective processing as a potential mechanism.

Choi KW, Sikkema KJ, Vythilingum B, Geerts L, Faure SC, Watt MH, Roos A, Stein DJ.

J Affect Disord. 2017 Mar 15;211:107-115.

Women with childhood trauma experienced greater depressive symptoms through six months postpartum, which then predicted negative child outcomes at one year.


Postnatal depression screening in a paediatric primary care setting in Italy.

Clavenna A, Seletti E, Cartabia M, Didoni A, Fortinguerra F, Sciascia T, Brivio L, Malnis D, Bonati M; Postnatal Depression Study Group..  BMC Psychiatry. 2017 Jan 25;17(1):42. \  Free Article

126 out of 2706 mothers (4.7%) and 24 out of 1420 fathers (1.7%) were found to be positive for depressive symptoms. Women with mood disorders and anxiety during pregnancy were at increased risk of postpartum depression (OR 22.9).


Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support.

Barton K, Redshaw M, Quigley MA, Carson C.  BMC Pregnancy Childbirth. 2017 Jan 26;17(1):44. Free Article

Unplanned pregnancy was associated with a significantly increased odds of PPD compared to planned (OR 1.73). This was more pronounced among women who reported negative or ambivalent feelings in early pregnancy (OR 2.72 and 2.56, respectively), than those who reported positive feelings (OR 1.39).


Association of peripartum synthetic oxytocin administration and depressive and anxiety disorders within the first postpartum year.

Kroll-Desrosiers AR, Nephew BC, Babb JA, Guilarte-Walker Y, Moore Simas TA, Deligiannidis KM.  Depress Anxiety. 2017 Feb;34(2):137-146.

Exposure to peripartum oxytocin increased the risk of postpartum depressive or anxiety disorder by 36% (relative risk (RR): 1.36).


Maternal attachment style and psychiatric history as independent predictors of mood symptoms in the immediate postpartum period.

Croce Nanni R, Troisi A.  J Affect Disord. 2017 Jan 24;212:73-77.

Mothers with higher scores on the preoccupied and fearful attachment scales had more severe postpartum anxiety and depression symptoms but only fearful attachment remained a significant predictor of postpartum anxiety when the significant effect of maternal history of mood disturbances was included in the model.


Infertile women who screen positive for depression are less likely to initiate fertility treatments.

Crawford NM, Hoff HS, Mersereau JE.  Hum Reprod. 2017 Jan 9.

Women who screened positive for depression had 0.55 times the odds of initiating treatment for infertility as compared to women without depression.

 

 

Share This Page:
Email this to someoneShare on Facebook2Tweet about this on TwitterShare on Google+0Share on LinkedIn0Share on Reddit0Buffer this pagePrint this page

No comments yet.

Leave a Reply