Preconception planning to reduce the risk of perinatal depression and anxiety disorders

Avni-Barron, Orit; Hoagland, Kelly; Ford, Christina; Miller, Laura J.

doi:10.1586/eog.10.27

Cited by 7 publications

(3 citation statements)

References 140 publications

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“…In our study, none of the depressed women had pre-existing psychiatric illnesses. However, contrasting results from a study suggest that women with pre-existing psychiatric conditions are more susceptible to developing PPD, possibly because the additional stress of childbirth can be particularly challenging for these women [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study Exploring Postpartum Depression at a Tertiary Care Center in Eastern Uttar Pradesh, India

Kapoor,

Malik,

Gupta

et al. 2024

Cureus

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Background Postpartum depression (PPD) is a significant public health concern globally characterized by a spectrum of mood disturbances ranging from mild mood swings to severe depressive episodes initiating within four weeks post childbirth and potentially persisting up to 12 months. Besides affecting the mother, it also affects the mental health and development of the babies born to affected mothers. Despite its considerable burden and potential adverse effects on both maternal and child well-being, PPD often goes undetected and untreated. Materials and methods A cross-sectional study was conducted from January 2024 to March 2024 at a tertiary care center in Gorakhpur to assess PPD in 280 postpartum women. The Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10 was used to confirm depression. Data collection involved a pretested, structured questionnaire. Data were analyzed using SPSS version 22 (IBM Corp., Armonk, NY). A p-value < 0.05 was considered statistically significant. Results The prevalence of PPD was 12.14%. Age and education were significant sociodemographic risk factors (p < 0.05). In psychosocial factors, adverse life events (p < 0.001), wishing for a male child but giving birth to a female (p = 0.01), domestic violence (p = 0.005), relationship issues, an alcoholic spouse (p = 0.01), and poor in-law relations (p < 0.001) were found to be linked to PPD. Obstetric factors such as complicated antenatal history, physical illness, cesarean section, complicated intranatal history, and postpartum complications were also found to be important factors. Conclusion PPD affects many women, emphasizing the need for effective measures. Initiatives like the appointment of healthcare counselors and PPD screening programs in healthcare settings are essential to detect and support affected mothers.

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Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study Exploring Postpartum Depression at a Tertiary Care Center in Eastern Uttar Pradesh, India

Kapoor,

Malik,

Gupta

et al. 2024

Cureus

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“…Such knowledge may be used in preconception planning, as has been suggested but has rarely been implemented. 66 Moreover, ability to identify women whose depression was precipitated by specific risk factors would help to focus and target treatment efforts. For example, MBCT focuses, in large part, on emotion regulation and the links between emotion, thought, and action because basic research has suggested that these are critical processes in predicting depressive relapse.…”

Section: Equifinality and Multifinalitymentioning

confidence: 99%

The Developmental Psychopathology of Perinatal Depression: Implications for Psychosocial Treatment Development and Delivery in Pregnancy

Goodman

Dimidjian

2012

Can J Psychiatry

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Taking a developmental psychopathology perspective, our objective was to identify ways in which psychosocial treatment of depression during pregnancy may be enhanced. We first consider the state of evidence on psychosocial interventions for antenatal depression, next define key developmental psychopathology concepts that are relevant to antenatal depression, and finally discuss implications for clinical practice and research. We found a limited, but promising, evidence base for effective psychosocial interventions for depression during pregnancy. Examining antenatal depression from a developmental psychopathology perspective revealed suggestions for improving treatment. A developmental psychopathology perspective suggests that treatment of depression during pregnancy may be improved by attention to the continuum of depression, from subclinical to severe major depressive disorder; personalized care based on individual women's pattern of risk and resilience factors and correlated risks; consideration of the potential benefits of treating the couple's relationship, the mother's qualities of parenting, and infants' and children's mental health needs; and, including a detailed understanding of the developmental pathways to antenatal depression for each patient in treatment planning. W W WSelon une perspective de psychopathologie développementale, notre objectif était d'identifier des moyens d'améliorer le traitement psychosocial de la dépression durant la grossesse. Nous examinons d'abord l'état des données probantes sur les interventions psychosociales pour la dépression prénatale, puis nous définissons les principaux concepts de la psychopathologie développementale qui concernent la dépression prénatale, et nous discutons enfin des implications pour la pratique clinique et la recherche. Nous avons trouvé une base factuelle limitée, mais prometteuse, pour des interventions psychosociales efficaces pour la dépression durant la grossesse. L'examen de la dépression prénatale dans une perspective de psychopathologie développementale a révélé des pistes pour améliorer le traitement. Une perspective de psychopathologie développementale suggère que le traitement de la dépression durant la grossesse peut être amélioré en portant attention au continuum de la dépression, du trouble subclinique au trouble dépressif majeur grave; par des soins personnalisés basés pour chaque femme sur son modèle de risque, ses facteurs de résilience et les risques corrélés; par la prise en compte des avantages potentiels de traiter la relation du couple, les qualités parentales de la mère, et les besoins de santé mentale des bébés et des enfants; et en incluant une compréhension exhaustive des voies développementales de la dépression prénatale pour chaque patiente dans la planification du traitement.

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“…Há alguns anos tem sido associada a ocorrência de ambas as alterações do humor às mesmas mulheres, parecendo haver associação entre os sintomas depressivos no pós-parto e a disforia de intensidade variável no estado preconcepcional. 1 A possível relação entre a sintomatologia emocional no pré-menstrual e a depressão pós-parto surge em decorrência de que ambas as situações apresentam muita semelhança clínica e ambiente fisiológico comuns. A tristeza imotivada, labilidade emocional com choro fácil, insônia e irritabilidade prevalecem em ambas as situações.…”

Section: Introductionunclassified

Association between emotional symptoms of premenstrual syndrome and the risk of developing depressive symptoms in the postpartum period

Morais¹,

Marini²,

Carlos³

et al. 2013

Revista Médica De Minas Gerais

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Este estudo verificou a possível associação entre a situação emocional no pré-menstrual (TPM emocional) e risco de depressão puerperal. Foram estudadas 94 mulheres no pós-parto imediato na Maternidade do Hospital das Clínicas da Universidade Federal de Minas Gerais, entre julho de 2011 e agosto de 2012. Foram aplicados questionários para avaliação da sintomatologia pré-menstrual e do Escore de Edimburgo relativo ao risco de desenvolvimento de depressão puerperal. O relato de três ou mais sintomas emocionais no pré-menstrual e a pontuação de 12 ou mais no escore de Edimburgo foram correlacionados pelo teste do qui-quadrado, considerando-se significativo p<0,05. Calculou-se o risco relativo (RR) de a sintomatologia emocional pré-menstrual associar-se ao mais alto risco de depressão puerperal. Houve significância entre as alterações emocionais e o RR de 3,78 diante de TPM emocional com risco aumentado de desenvolver depressão puerperal. É possível que ambas as situações tenham semelhança fisiopatológica na liberação de neurotransmissores afetados particularmente pelas variações hormonais que ocorrem em ambos os momentos. A TPM emocional bem caracterizada predispõe a elevado risco de depressão puerperal.

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Preconception planning to reduce the risk of perinatal depression and anxiety disorders

Cited by 7 publications

References 140 publications

A Cross-Sectional Study Exploring Postpartum Depression at a Tertiary Care Center in Eastern Uttar Pradesh, India

A Cross-Sectional Study Exploring Postpartum Depression at a Tertiary Care Center in Eastern Uttar Pradesh, India

The Developmental Psychopathology of Perinatal Depression: Implications for Psychosocial Treatment Development and Delivery in Pregnancy

Association between emotional symptoms of premenstrual syndrome and the risk of developing depressive symptoms in the postpartum period

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