Bipolar postpartum depression: An update and recommendations

Sharma, Verinder; Doobay, Minakshi; Baczynski, Christine

doi:10.1016/j.jad.2017.05.014

Cited by 53 publications

(19 citation statements)

References 49 publications

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“…Indeed, the risk of underlying bipolarity in firstonset depression that occurs in the postpartum period is higher than in first-onset depression that occurs outside the perinatal period. In addition, women with bipolar disorder have a high risk of postpartum episodes, including depression, anxiety, mania and psychosis 26,27 .…”

Section: [H2] Mood Disorders and Anxietymentioning

confidence: 99%

Postpartum psychiatric disorders

Meltzer‐Brody

Howard

Bergink

et al. 2018

Nat Rev Dis Primers

230

173

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Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders (PPDs). These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other PPDs can include obsessive-compulsive disorder, post-traumatic stress disorder and eating disorders. The aetiology of PPDs is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors. The goals of treating postpartum mental illness are reducing maternal symptoms and supporting maternal-child and family functioning. Women and their families should receive psychoeducation about the illness, including evidence-based discussions about the risks and benefits of each treatment option. Developing effective strategies in global settings that allow the delivery of targeted therapies to women with different clinical phenotypes and severities of PPDs is essential.

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Section: [H2] Mood Disorders and Anxietymentioning

confidence: 99%

Postpartum psychiatric disorders

Meltzer‐Brody

Howard

Bergink

et al. 2018

Nat Rev Dis Primers

230

173

View full text Add to dashboard Cite

show abstract

“…There is overlap between the sleep alterations of pregnancy and the sleep alterations found in psychiatric disorders. Depression, mania, and obsessive-compulsive disorder (OCD) are particularly important disorders in perinatal women because they occur frequently in this population 22,23 , commonly overlap 24 , and are related to suicide in new mothers 25 . For example, sleep disturbances found both in pregnancy and depression include decreased sleep quality and sleep efficiency and increased sleep onset latency 26 .…”

Section: Peripartum Psychiatric Symptoms and Sleepmentioning

confidence: 99%

Delayed sleep timing and circadian rhythms in pregnancy and transdiagnostic symptoms associated with postpartum depression

et al. 2020

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Later sleep timing, circadian preference, and circadian rhythm timing predict worse outcomes across multiple domains, including mood disorders, substance use, impulse control, and cognitive function. Disturbed sleep is common among pregnant and postpartum women. We examined whether sleep timing during third trimester of pregnancy predicted postpartum symptoms of mania, depression, and obsessive-compulsive disorder (OCD). Fifty-one women with a previous, but not active, episode of unipolar or bipolar depression had symptoms evaluated and sleep recorded with wrist actigraphy at 33 weeks of gestation and 2, 6, and 16 weeks postpartum. Circadian phase was measured in a subset of women using salivary dim light melatonin onset (DLMO). We divided the sample into "early sleep" and "late sleep" groups using average sleep onset time at 33 weeks of gestation, defined by the median-split time of 11:27 p.m. The "late sleep" group reported significantly more manic and depressive symptoms at postpartum week 2. Longer phase angle between DLMO and sleep onset at 33 weeks was associated with more manic symptoms at postpartum week 2 and more obsessive-compulsive symptoms at week 6. Delayed sleep timing in this sample of atrisk women was associated with more symptoms of mania, depression, and OCD in the postpartum period. Sleep timing may be a modifiable risk factor for postpartum depression.

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“…However, Chee et al, [31] argue that the complexity of the role of confinement in postpartum mental distress should not be overestimated while Sharma et al, [33] acknowledges that presence of psychological distress during the postnatal period may be associated with postnatal traditional practices. The review highlighted that while some studies found confinement to be a protective factor; others have found it to perpetuate the vulnerability to postpartum mood disturbance.…”

Section: Mental Distress and Confinementmentioning

confidence: 99%

“…In addition, the difference in the period of confinement as well as the type of rituals performed in different parts of the world may also determine vulnerability to postpartum mental distress. Hence, health care should be receptive to traditional practices as they provide care to women in the postpartum period in order to reduce the risk of mental distress while looking out for those who may at risk [33].…”

Section: Mental Distress and Confinementmentioning

confidence: 99%

Confinement Following Child Birth and Associated Postpartum Mental Distress

Mwape¹,

Muleya²,

Katowa-Mukwato³

et al. 2018

OJPsych

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Objective: This study sought to explore confinement following childbirth and its association with mental distress. Methods: A descriptive-analytical cross sectional study design was used. The study was conducted in two districts of Zambia representing an urban and rural setting, targeting parenting mothers during the first two months after delivery. Systematic random sampling technique was used to select the participants. Every second case seen at the study sites between March to August 2017 was selected to participate in the study. The data were collected using the Edinburgh Postnatal Depression Scale and analyzed using the Statistical Package for Social Sciences (SPSS) version 22. Pearson correlation coefficient was used to determine the relationship between the dependent and independent variables while binary logistic regression was used to check the combined impact of independent variables on mental distress. Ethical approval was obtained from the local Research Ethics Committees. Participation in the study was voluntary. Results: A total of 200 women participated in the study. The results revealed a high prevalence of mental distress, with 42 percent of women reporting severe levels, and 36.0 percent showing moderate levels. A statistically significant relationship was found between mental distress and confinement (X 2 = 29.289; P = 0.001), residential type (X 2 = 16.863; P = 0.001), and age (X 2 = 17.996; P = 0.006). Suicidal thoughts during confinement were also found to be prevalent in 16 percent of the participants. Binary logistic regression revealed that changes in

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Bipolar postpartum depression: An update and recommendations

Cited by 53 publications

References 49 publications

Postpartum psychiatric disorders

Postpartum psychiatric disorders

Delayed sleep timing and circadian rhythms in pregnancy and transdiagnostic symptoms associated with postpartum depression

Confinement Following Child Birth and Associated Postpartum Mental Distress

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