Mixed depression in the postpartum period: diagnostic and treatment issues

Sharma, Verinder

doi:10.1503/jpn.130150

Cited by 6 publications

(2 citation statements)

References 8 publications

(6 reference statements)

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“…Additionally, women who present with a major depressive episode after delivery may be bipolar and will often have mixed depressive states. 76,77 We should perceive this specifier as the beginning of more precise examinations.…”

Section: 'With Peripartum Onset'mentioning

confidence: 99%

Current viewpoints on DSM‐5 in Japan

Kuroki

Ishitobi

Kamio

et al. 2016

Psychiatry Clin Neurosci

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The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) was published in 2013, and its official Japanese version was published in 2014. The Japanese Government uses classifications from the 10th revision of the I nternational C lassification of D iseases (ICD‐10) to categorize disorders and determine treatment fees. However, since the publication of the DSM‐III, the use of the DSM system has become prevalent in research and educational settings in Japan. In addition to traditional psychiatry, both the ICD and the DSM are taught by many Japanese medical schools, and virtually all clinical research and trials refer to the DSM to define targeted disorders. Amid the current backdrop in which the reputation of the DSM‐5 is being established, the editorial board of P sychiatry and C linical N eurosciences has asked Japanese experts across 12 specialties to examine the structure of the DSM‐5, including the following categories: Neurodevelopmental Disorders, Schizophrenia Spectrum Disorders, Major Depression, Bipolar Disorders, Obsessive–Compulsive Disorders, Somatic Symptom Disorder, Eating Disorders, Substance‐Related and Addictive Disorders, Gender Dysphoria, and Neurocognitive Disorders. Although opinions were only obtained from these selected experts, we believe that we have succeeded, to a certain extent, in presenting views that are representative of each specialty.

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Section: 'With Peripartum Onset'mentioning

confidence: 99%

Current viewpoints on DSM‐5 in Japan

Kuroki

Ishitobi

Kamio

et al. 2016

Psychiatry Clin Neurosci

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“…Postpartum blues are typical in the perinatal period and refer to a low mood with mild depressive symptoms that are transient (Balaram and Marwaha, 2022). Although relatively mild, postpartum blues could be the early manifestation of postpartum depression to postpartum psychosis (Sharma, 2013). The risk factors associated with postpartum blues are multifactorial (Myo et al, 2021), such as biological, social, and obstetric factors.…”

mentioning

confidence: 99%

Social Determinants in Association with Postpartum Blues during the Transition Period of COVID-19 Pandemic

Mujab

Theresa²,

Saleh³

et al. 2023

J Matern Child Health

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postpartum blues on screening test results during the transition period of the COVID-19 pandemic in Banyumanik, Semarang. Subjects and Method: This was a cross-sectional study conducted in Banyumanik, Semarang, from November to December 2022. 39 subjects were selected using a consecutive sampling technique. The dependent variable is postpartum blues. The independent variables include marital status, employment status of the mother, employment status of the spouse, and family income level. The study instrument was EPDS questionnaire. The data were analyzed used Chi-square. Results: Out of 39 subjects, 13 (33.3%) were experiencing postpartum blues, and 26 (66.7%) were not experiencing it. Mother’s employment status associated with postpartum blues. Mothers who unemployed have a risk of experiencing postpartum blues 1.65 times compared to employed, but these were not statistically significant (OR= 1.65; 95% CI= 0.40 to 6.77; p= 0.727). Family income level associated with postpartum blues. Mothers with low to moderate family income reduced postpartum blues by 0.73 times compared to mothers with high income levels, but these were not statistically significant (OR= 0.73; 95%CI= 0.19 to 2.80; p= 0.908). Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Conclusion: Mother’s employment status and family income status associated with postpartum blues. Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Keywords: social factors, postpartum blues, screening test results, COVID-19 pandemic. Correspondence: Salwa Tsabitah Althaf Mujab, Medical Bachelor Program, Faculty of Medicine, UPN Veteran Jakarta, Indonesia. Jl. Rumah Sakit Fatmawati, Pondok Labu, Jakarta Selatan, DKI Jakarta 12450. Email: salwatsabitaham@upnvj.ac.id. Mobile: +628122608388.

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Issues on the diagnosis and etiopathogenesis of mood disorders: reconsidering DSM-5

et al. 2017

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The authors present a narrative review from the diagnostic and nosologic viewpoints of mood disorders (bipolar and depressive ones) by revisiting the revision from the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, Text Revision to DSM-5, including the following: the separation of the bipolar and depressive sections; the addition of increased energy and continuation of symptoms to the hypo/manic criteria; the elimination of mixed episodes; the creation of new categories and specifiers ("other specified bipolar and related disorder", "disruptive mood dysregulation disorder", "with anxious distress", "with mixed features", "with peripartum onset"); the categorization of hypo/manic episodes during antidepressant treatment into bipolar disorder; the elimination of the "bereavement exclusion"; the ambiguous separation between bipolar I and II; the insufficient distinction between "other specified bipolar and related disorders" and major depressive disorder; the differentiation regarding borderline personality disorder; agitation; premenstrual dysphoric disorder; and society and psychiatry. Through this analysis, we point out both the achievements and limitations of DSM-5. In addition, to examine the future direction of psychiatry, we introduce our cohort study regarding maternal depression and an outline of the National Institute of Mental Health's Research Domain Criteria project in the US. Finally, we advocate the importance of elucidating etiopathogeneses by starting from or going beyond the DSM operational diagnostic system, which has shown great efficacy.

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Mixed depression in the postpartum period: diagnostic and treatment issues

Cited by 6 publications

References 8 publications

Current viewpoints on DSM‐5 in Japan

Current viewpoints on DSM‐5 in Japan

Social Determinants in Association with Postpartum Blues during the Transition Period of COVID-19 Pandemic

Issues on the diagnosis and etiopathogenesis of mood disorders: reconsidering DSM-5

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