Course of panic disorder during the early postpartum period: a prospective analysis

Güler, Özkan; Köken, Gülengül; Emül, Murat; Özbulut, Ömer; Geçici, Ömer; Uğuz, Faruk; Gezginç, Kazım; Zeytinci, Ismet Esra; Karatayli, Savas; Askin, Rustem

doi:10.1016/j.comppsych.2007.06.007

Cited by 20 publications

(11 citation statements)

References 20 publications

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“…[56] On the contrary, pregnant women were observed to less likely suffer from PD than nonpregnant women [57] or to experience an improvement in PD symptoms in the early postpartum period. [58] Consistently, Bandelow et al [59] discerned fewer PD manifestations during pregnancy and more frequent manifestations in the postpartum period. A review of eight studies, however, did not discern a clear pattern, [60] with the number of patients experiencing an improvement of symptoms during pregnancy ranging from 74 to 20% and, in turn, the number of patients experiencing a worsening of symptoms during the postpartum period ranging from 16 to 70%.…”

Section: Assessment Of Incest Victimsmentioning

confidence: 89%

Life events in panic disorder-an update on “candidate stressors”

et al. 2010

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Studies on gene-environment interactions in mental disorders are characterized by powerful genetic techniques and well defined "candidate genes," whereas a definition of "candidate stressors," in most cases assessed in the form of life events (LEs), is inconsistent or not even provided. This review addresses this problem, with particular attention to the clinical phenotype of panic disorder (PD), by providing an overview and critical discussion for which life events are known to contribute to the etiology of the disease and how they may be conceptualized. There is converging evidence for a significant impact of cumulative as well as specific life events, such as threat, interpersonal and health-related events in adulthood, and abuse or loss/separation experiences in childhood, respectively, on the pathogenesis of panic disorder with some overlapping effect across the anxiety disorder spectrum as well as on comorbid major depression. Besides genetic vulnerability factors, personality and behavioral characteristics, such as anxiety sensitivity, neuroticism, and cognitive appraisal might moderate the influence of LEs on the development of panic disorder. The present state of knowledge regarding the specification and conceptualization of LEs in PD within a more complex multifactorial model, involving mediating and moderating factors in between genes and the clinical phenotype, is hoped to aid in informing future gene-environment interaction studies in panic disorder.

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Section: Assessment Of Incest Victimsmentioning

confidence: 89%

Life events in panic disorder-an update on “candidate stressors”

et al. 2010

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“…Women with PD who did not have a panic attack during pregnancy had similar risk for preterm birth as women without PD (55). Interestingly, some women with PD experience improvement of symptoms during pregnancy (56). In the longitudinal study of over 2500 pregnant women, PD was not associated with increased risk for preterm birth in analyses adjusted for factors such as other psychiatric disorders, nicotine or alcohol use, race/ethnicity and previous pregnancy history, to name a few (57).…”

Section: Epidemiology Of Anxiety Disorders Across the Female Lifespanmentioning

confidence: 99%

Anxiety Disorders Among Women: A Female Lifespan Approach

Hantsoo

Epperson

2017

FOC

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Anxiety symptoms may present differently between women and men, and at different points in the female lifespan. The female lifespan includes distinct epochs of hormonal function, including puberty, the premenstruum, in some women pregnancy or postpartum, and the menopausal transition. These stages give rise to important treatment considerations when treating anxiety in women. When making assessments, the clinician should consider reproductive events and hormonal status, as well as sex differences in anxiety presentation. This review is structured to: 1) Define major epochs of the female lifespan, 2) Provide a brief summary of the major anxiety disorders, with a focus on prevalence and presentation in the context of sex differences and at points in the female lifespan, 3) Describe potential biopsychosocial underpinnings of anxiety disorders among women, 4) Provide guidelines for assessment and differential diagnosis, and 5) Describe treatment options with attention to reproductive events such as pregnancy.

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“…Researchers [8,34] in their respective studies observed that somatic symptoms were higher in the first trimester as compared to later stage of pregnancy which they argued might have further resulted into higher level of anxiety among women during first trimester of pregnancy. Research has also found an association of anxiety during early pregnancy with severity of nausea and vomiting among the pregnant women [35]. Roesch and others observed that shorter the gestational period higher was the anxiety among the pregnant women [4].…”

Section: Somatic Symptomsmentioning

confidence: 96%

General Health during pregnancy and the post-partum period in women

Raina¹,

Thakur²

2017

IJMH

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The present study was planned and executed with the aim to investigate general health during pregnancy and postpartum period among women. The sample comprised of 80 women who were selected from Indira Gandhi State Hospital, Shimla, Himachal Pradesh, and were observed during first trimester and third trimester of pregnancy and one month postpartum. In order to study general health among women, General Health Questionnaire-28 (GHQ-28) was used. Three sub-scales of GHQ-28: somatic symptoms, anxiety, and social dysfunction scores were taken to measure general health of the selected sample of women. One way repeated analysis of variance was carried out to investigate general health among these women for the three time periods, i.e., first trimester, third trimester of pregnancy and one month postdelivery. The results revealed that (i) Women experienced significantly more somatic symptoms during first trimester as compared to third trimester of pregnancy and postpartum period. (ii) Women experienced significantly higher level of anxiety during first trimester as compared to third trimester of pregnancy and postpartum period. (iii) Women were significantly more socially dysfunctional during postpartum period as compared to first and third trimester of pregnancy.

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Course of panic disorder during the early postpartum period: a prospective analysis

Cited by 20 publications

References 20 publications

Life events in panic disorder-an update on “candidate stressors”

Life events in panic disorder-an update on “candidate stressors”

Anxiety Disorders Among Women: A Female Lifespan Approach

General Health during pregnancy and the post-partum period in women

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