Postpartum Depression—New Screening Recommendations and Treatments

Moore Simas, Tiffany A.; Whelan, Anna; Byatt, Nancy

doi:10.1001/jama.2023.21311

Cited by 13 publications

(4 citation statements)

References 5 publications

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“…A 2023 paper on new screening recommendations for PND [84] describes PND as the leading cause of overall and preventable maternal mortality. This will obviously cause severe downstream effects.…”

Section: Downstream Effectsmentioning

confidence: 99%

Female Teens and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

McCrossin

2024

Preprint

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New information suggests female autistic spectrum disorder (ASD) is much more common than previously thought, with a likely prevalence of 6% and with 80% undiagnosed at the age of 18. ASD then becomes a common comorbidity of female mental illness with nearly one in five women who develop a mental illness being autistic. ASD has heretofore been regarded as a pediatric condition and though now thought to be life long it is still not well recognized by adult health services. Most mental illness first presents in the teens and early twenties. Comorbid ASD is more difficult to diagnose due to diagnostic overshadowing, and ASD comorbidity maks the mental illness more severe and mor difficult to treat. Recognized ASD is readily treatable with an approach sympathetic to neurodiversity. Improving the pathway from adolescence to adulthood by increasing knowledge of autism in adult health services would dramatically improve female mental health at surprisingly little extra cost. It is low hanging fruit in a very fraught area of healthcare. This paper will examine the extent of the problem. It will explore solutions and quantify the gains of appropriate therapy.

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Section: Downstream Effectsmentioning

confidence: 99%

Female Teens and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

McCrossin

2024

Preprint

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“…A 2023 paper on new screening recommendations for PND [81] describes PND as the leading cause of overall and preventable maternal mortality. This will obviously cause severe downstream effects.…”

Section: Downstream Effectsmentioning

confidence: 99%

Female Teenbs and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

McCrossin

2024

Preprint

View full text Add to dashboard Cite

New information suggests female autistic spectrum disorder (ASD) is much more common than previously thought, with a likely prevalence of 6% and with 80% undiagnosed at the age of 18. ASD then becomes a common comorbidity of femal mental illness with nearly one in five women who develop a mental illness being autistic. ASD has heretofore been regarded as a pediatric condition and tough now thought to be life long it is still not well recognized by adult health services. Most mental illness first presents in the teens and early twenties. Comorbid ASD is more difficult to diagnose due to diagnostic overshadowing, and ASD comorbidity maks the mental illness more severe and mor difficult to treat.. Recognized ASD is readily treatable with an approach sympathetic to neurodiversity. Improving the pathway from adolescence to adulthood by increasing knowledge of autism in adult health services would dramatically improve female mental health at surprisingly little extra cost. It is low hanging fruit in a very fraught area of healthcare. This paper will examine the extent of the problem. It will explore solutions and quantify the gains of appropriate therapy.

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“…Affective disorders such as depression are the most common mental disorders experienced during pregnancy. Depression is experienced in about 10% of pregnancies (Falah-Hassani et al 2017;Moore Simas et al 2023) and antidepressants are commonly used in pregnant women. Pregnant women and health care professionals largely overestimate the risks associated with antidepressant use during pregnancy (Lupattelli et al 2014;Nordeng et al 2010;Petersen et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Social determinants of antidepressant continuation during pregnancy in the USA: findings from the ABCD cohort study

Dupuis,

Weir,

Vidonscky Lüthold

et al. 2024

Arch Womens Ment Health

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Purpose Patients and healthcare professionals overestimate the risks of using antidepressants during pregnancy. According to current literature, approximately half of people stop taking an anti-depressant medication when they become pregnant. Discontinuing antidepressants during pregnancy increases risks of postnatal relapses. Factors like socioeconomic status, education, and planned pregnancies play a role in the decision to continue antidepressant medication, which can worsen disparities in maternal and child health. Our aim was to identify the sociodemographic factors associated with antidepressant continuation after awareness of pregnancy. Methods We used representative data from the Adolescent Brain Cognitive Development (ABCD) study that captures maternal medication during pregnancy. We identified women who used antidepressants before awareness of their pregnancy. We calculated crude and adjusted associations between sociodemographic factors and continuation of antidepressant medication during pregnancy. Our model included age, education, ethnicity, first language, household income, living with a partner, having planned the pregnancy, pregnancy duration and smoking during pregnancy. Results In total, 199 women continued antidepressants and 100 discontinued. The logistic regressions resulted in only one significant factor: first language. Native English speakers were more likely to continue medication than other mothers (adjusted OR = 14.94, 95% CI = [2.40; 291.45], p = .015). Conclusions Language differences were associated with continuation of antidepressants. Non-native English speakers were more likely to discontinue antidepressants, which may lead to health inequities. This finding should be taken into account to reinforce information about the limited risks of antidepressants among people with non-English speaking backgrounds in the USA.

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Postpartum Depression—New Screening Recommendations and Treatments

Abstract: This Insights in the Women’s Health series describes perinatal depression (occurring prepregnancy through postpartum periods) and new recommendations and treatment guidelines for this condition.

Cited by 13 publications

References 5 publications

Female Teens and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

Female Teens and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

Female Teenbs and Young Adults with Mental Illness Who Are Autistic: How Common Is It and Why Is It Important?

Social determinants of antidepressant continuation during pregnancy in the USA: findings from the ABCD cohort study

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