Affective temperaments in pregnancy

Yazıcı, Esra; Terzi, Hasan; Boşgelmez, Şükriye; Yazıcı, Ahmet Bülent; Zincir, Selma Bozkurt; Kale, Ahmet

doi:10.3109/09513590.2014.943722

Cited by 13 publications

(4 citation statements)

References 33 publications

(48 reference statements)

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“…A novel finding of our study was that women with comorbid PMDD had an earlier age at menarche, and perhaps more importantly, the age of onset of BD was closer to the menarche in women with PMDD compared to those without PMDD. Previous smaller studies have supported an association between onset of BD and menarche , and if our result is replicated in an independent large study this may open a venue for research on the role of hormones/puberty on the onset of BD.…”

Section: Discussionsupporting

confidence: 79%

Increased illness burden in women with comorbid bipolar and premenstrual dysphoric disorder: data from 1 099 women from STEP‐BD study

Slyepchenko

Frey

Lafer

et al. 2017

Acta Psychiatr Scand

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Objective The impact of co-morbid Premenstrual Dysphoric Disorder (PMDD) in women with bipolar disorder (BD) is largely unknown. We compared illness characteristics and female-specific mental health problems between women with BD with and without PMDD. Method 1,099 women with BD who participated in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were studied. Psychiatric diagnoses and illness characteristics were assessed using the Mini International Neuropsychiatric Interview. Female-specific mental health was assessed using a self-report questionnaire developed for STEP-BD. PMDD diagnosis was based on DSM-5 criteria. Results Women with co-morbid BD and PMDD had earlier onset of bipolar illness (p<0.001) and higher rates of rapid cycling (p=0.039), and increased number of past-year hypo/manic (p=0.003), and lifetime/past-year depressive episodes (p<0.05). Co-morbid PMDD was also associated with higher proportion of panic disorder, post-traumatic stress disorder, generalized anxiety disorder, bulimia nervosa, substance abuse, adult attention deficit disorder (all p<0.05). There was a closer gap between BD onset and age of menarche in women with co-morbid PMDD (p=0.003). Women with comorbid PMDD reported more severe mood symptoms during the perinatal period and while taking oral contraceptives (p<0.001). Conclusions The comorbidity between PMDD and BD is associated with worse clinical outcomes and increased illness burden.

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Section: Discussionsupporting

confidence: 79%

Increased illness burden in women with comorbid bipolar and premenstrual dysphoric disorder: data from 1 099 women from STEP‐BD study

Slyepchenko

Frey

Lafer

et al. 2017

Acta Psychiatr Scand

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“…We found that having CT was related to having a lower level of educational attainment. This was also reported by Yazici et al (2014), who found CT to be related to lower educational level in young pregnant women. We also found a lower likelihood of employment, and an increase in somatic and psychiatric morbidity in both the participants and their first-degree relatives.…”

Section: Discussionsupporting

confidence: 78%

Cyclothymic temperament: Associations with ADHD, other psychopathology, and medical morbidity in the general population

Syrstad

Oedegaard

Fasmer

et al. 2020

Journal of Affective Disorders

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Background: Cyclothymic temperament (CT) is an affective disposition often preceding bipolar disorder (BD), and is the most common affective temperament in patients with BD. In depressed patients, CT is a predictor for developing a bipolar course. In a clinical sample of adults with BD and attention deficit hyperactivity disorder (ADHD), CT was associated with higher loads of psychiatric symptoms, somatic comorbidity, impairment, and higher morbidity among first-degree relatives. We aimed to investigate the morbidity and occupational functioning of persons with CT in the general population.Methods: Randomly recruited Norwegian adults (n = 721) were assessed with a 21-item cyclothymic subscale from the TEMPS Autoquestionnaire. Self-reported data were collected on psychiatric symptoms, comorbidity, educational and occupational level, and known family morbidity.Results: Thirteen percent had CT associated with an increased prevalence of ADHD, BD, high scores on the Mood Disorder Questionnaire (MDQ), and childhood and adulthood ADHD symptoms. CT was found in 75% (p<0.001) of the bipolar participants, and in 68% (p<0.001) of those with a positive MDQ score. CT was associated with more anxiety/depression, substance and alcohol problems, lower educational and occupational levels, and having a first-degree relative with anxiety/depression, alcohol problems, ADHD, and BD. Limitations:The CT subscale alone might include overlapping features with cyclothymic, anxious, irritable, and depressed temperaments, thus increasing the prevalence estimate of CT.Conclusions: CT is a strong predictor of occupational failure and associated with more psychiatric impairment in the participants and their families. CT should be assessed in both mood disorder and ADHD patients.

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“…Anxious, cyclothymic, depressive, and irritable temperaments were found to be related to more dysfunctional sleep patterns during the perinatal period [ 44 ]. Pregnancy seems to independently and negatively predict irritable, anxious, and cyclothymic temperament [ 45 ]; our results on the PHQ-9 ≤4 group are consistent with these findings.…”

Section: Discussionsupporting

confidence: 89%

Depressive Symptoms during Pregnancy: Prevalence and Correlates with Affective Temperaments and Psychosocial Factors

Mazza

Avallone

Kotzalidis

et al. 2023

JPM

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Pregnancy is a unique experience in women’s life, requiring a great ability of adaptation and self-reorganization; vulnerable women may be at increased risk of developing depressive symptoms. This study aimed to examine the incidence of depressive symptomatology during pregnancy and to evaluate the role of affective temperament traits and psychosocial risk factors in predicting them. We recruited 193 pregnant women, collected data regarding sociodemographic, family and personal clinical variables, social support and stressful life events and administered the Mood Disorder Questionnaire (MDQ), the Patient Health Questionnaire-9 (PHQ-9), and the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire (TEMPS-A). In our sample, prevalence of depressive symptomatology was 41.45% and prevalence of depression was 9.85% (6.75% mild and 3.10% moderate depression). We have chosen a cutoff >4 on PHQ-9 to identify mild depressive symptoms which may predict subsequent depression. Statistically significant differences between the two groups were found in the following factors: gestational age, occupation, partner, medical conditions, psychiatric disorders, family psychiatric history, stressful life events, and TEMPS-A mean scores. In our sample mean scores on all affective temperaments but the hyperthymic, were significantly lower in the control group. Only depressive and hyperthymic temperaments were found to be, respectively, risk and protective factors for depressive symptomatology. The current study confirms the high prevalence and complex aetiology of depressive symptomatology during pregnancy and suggests that affective temperament assessment seems to be a useful adjunctive instrument to predict depressive symptomatology during pregnancy and postpartum.

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Affective temperaments in pregnancy

Abstract: The third trimester of pregnancy is associated with significantly lower affective temperament. Future studies may help to understand the biological background of the present findings.

Cited by 13 publications

References 33 publications

Increased illness burden in women with comorbid bipolar and premenstrual dysphoric disorder: data from 1 099 women from STEP‐BD study

Increased illness burden in women with comorbid bipolar and premenstrual dysphoric disorder: data from 1 099 women from STEP‐BD study

Cyclothymic temperament: Associations with ADHD, other psychopathology, and medical morbidity in the general population

Depressive Symptoms during Pregnancy: Prevalence and Correlates with Affective Temperaments and Psychosocial Factors

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