The first two studies highlight the issues we face with regard to taking care of women with perinatal mood and anxiety disorders. Women who screen positive for postpartum depression often do not seek or are not able to access care. Thus, we must find innovative approaches to delivering treatment to this vulnerable population.
Ruta Nonacs, MD PhD
Bauer NS, Ofner S, Pottenger A, Carroll AE, Downs SM. Front Pediatr. 2017 Oct 3;5:212. Free Article
The majority of mothers suspected of having PPD during a pediatrics visit recalled receiving a referral for further intervention; yet, less than half took action.
Byatt N, Moore Simas TA, Biebel K, Sankaran P, Pbert L, Weinreb L, Ziedonis D, Allison J. J Psychosom Obstet Gynaecol. 2017 Oct 10:1-10.
PRISM was beneficial for patients, clinicians, and support staff. Both PRISM and MCPAP for Moms alone improve depression symptom severity.
Psouni E, Agebjörn J, Linder H. Scand J Psychol. 2017 Oct 20.
A scale combining items from the EPDS and Gotland Male Depression Scale (GMDS) showed higher sensitivity than the EPDS alone in identifying fathers with elevated depressive symptoms, at equal levels of specificity.
Kang LJ, Koleva PT, Field CJ, Giesbrecht GF, Wine E, Becker AB, Mandhane PJ, Turvey SE, Subbarao P, Sears MR, Scott JA, Kozyrskyj AL; CHILD Study Investigators.Brain Behav Immun. 2017 Oct 11.
Infants born to mothers with depressive symptoms appear to have lower fecal sIgA concentrations, predisposing them to higher risk for allergic disease.
Szpunar MJ, Parry BL. Arch Womens Ment Health. 2017 Oct 11.
Morning cortisol is reduced in pregnant and postpartum women with MDD. Evidence did not support changes in TSH as a marker of MDD during the peripartum period, and evidence for changes in prolactin in peripartum MDD was equivocal.
Matthies LM, Wallwiener S, Müller M, Doster A, Plewniok K, Feller S, Sohn C, Wallwiener M, Reck C. Infant Behav Dev. 2017 Oct 5;49:228-237.
High maternal trait anxiety and early infant regulatory problems negatively contributed to the prediction of maternal self-confidence, explaining 31.8% of the variance
Farré-Sender B, Torres A, Gelabert E, Andrés S, Roca A, Lasheras G, Valdés M, Garcia-Esteve L. Arch Womens Ment Health. 2017 Oct 18.
Emotional abuse in childhood, family psychiatric history, previous psychiatric hospitalization, and anxiety during pregnancy were significant predictors of disturbances in mother-infant bonding, explaining 10.7% of the variance.
Choi KW, Sikkema KJ. Trauma Violence Abuse. 2016 Dec;17(5):427-453.
Dennis CL, Brown HK, Wanigaratne S, Vigod SN, Grigoriadis S, Fung K, Marini F, Brennenstuhl S. J Affect Disord. 2017 Sep 25;227:24-30.
Ertel, Karen A. et al. Annals of Epidemiology (2017).
Perinatal Weight and Risk of Prenatal and Postpartum Depressive Symptoms
Pre-pregnancy obesity (BMI>30 kg/m2) was associated with higher odds of postpartum depressive symptoms (OR=1.69) compared to normal pre-pregnancy weight.
Potharst ES, Aktar E, Rexwinkel M, Rigterink M, Bögels SM. Mindfulness (N Y). 2017;8(5):1236-1250. Free Article
Mindful with your baby is a promising intervention for mothers with babies who are referred to mental health care because of elevated stress or mental health problems, infant (regulation) problems, or mother-infant interaction problems.