|Risk of hospital admission after discharge from postpartum psychiatric emergency department visits: A focus on the social determinants of health.
Barker LC, Fung K, Zaheer J, Brown HK, Bronskill SE, Kurdyak P, Vigod SN. Gen Hosp Psychiatry. 2023 Apr 5;83:27-34.
Psychiatric admission occurred for 9.5% (n = 1242) within 365 days of a psychiatric emergency department visit. Risk was lower among adolescents (vs. ?35 years aRR 0.80, 95%CI 0.65-0.97) and immigrants (<5 years in Canada vs. Canadian-born/long-term residents 0.70, 0.51-0.96; ?5 years in Canada 0.79, 0.65-0.95). Among four identified subgroups, compared to the “older/urban/high-income” subgroup (11.1% admission), the “urban/immigrant/low-income” (7.6%; 0.68, 0.55-0.82) and “young/rural/low-income” subgroups (9.7%; 0.78, 0.63-0.96), but not the “semi-urban/middle-income” subgroup (9.5%; 0.86, 0.73-1.01), were at lower admission risk.
Follow-up after postpartum psychiatric emergency department visits: an equity-focused population-based study in Canada.
Barker LC, Brown HK, Bronskill SE, Kurdyak P, Austin PC, Hussain-Shamsy N, Fung K, Vigod SN. Lancet Psychiatry. 2022 May;9(5):389-401.
Fewer than half of emergency department visits for a psychiatric reason in the post-partum period were followed by timely outpatient care, with social-determinants-of-health-based disparities in access to care.
Co-occurrence of depression, anxiety, and perinatal posttraumatic stress in postpartum persons.
Howard S, Witt C, Martin K, Bhatt A, Venable E, Buzhardt S, Chapple AG, Sutton EF.
BMC Pregnancy Childbirth. 2023 Apr 5;23(1):232.
Postpartum patients with mild anxiety or more (i.e. GAD7 > 4) had 26 times higher odds of screening positive for symptoms of depression (PHQ9 > 4) (adjusted odds ratio [aOR] 26.3; 95% confidence interval [CI] 15.29-46.92; p < 0.001). Postpartum persons with a PPQII score indicating symptoms of perinatal PTSD (PPQII [Formula: see text] 19) had 44 times higher odds of screening positive for symptoms of depression (PHQ > 4) (aOR 44.14; 95%CI 5.07-5856.17; p < 0.001).
Dysphoric Milk Ejection Reflex: Report of Two Cases and Postulated Mechanisms and Treatment.
Liu H, Li J, Li X, Lu H. Breastfeed Med. 2023 Apr 5.
An investigation into the relationship between community engagement and maternal mental health in Calgary, Alberta using the All Our Families cohort.
Benny C, Pietrosanu M, Lowe SAJ, Yamamoto SS, Kong L, McDonald S, Pabayo R. Soc Psychiatry Psychiatr Epidemiol. 2023 Apr 5.
Community engagement has a protective effect against depression and anxiety amongst mothers. The results of this study are in line with existing evidence suggesting that social cohesion, civic participation, and community engagement are protective against adverse mental health outcomes.
Psychodynamic Psychotherapy for Postpartum Depression: A Systematic Review.
Valverde N, Mollejo E, Legarra L, Gómez-Gutiérrez M. Matern Child Health J. 2023 Apr 8.
Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis.
Motrico E, Bina R, Kassianos AP, Le HN, Mateus V, Oztekin D, Rodriguez-Muñoz MF, Moreno-Peral P, Conejo-Cerón S. Gen Hosp Psychiatry. 2023 May-Jun;82:47-61.
Exercise/physical activity-based and psychological interventions have a small-to-medium effect on reducing perinatal depressive symptoms. There is insufficient evidence to conclude that dietary supplements and pharmacological interventions are effective in preventing perinatal depression.