Screening for postpartum depression and borderline personality disorder: Food for thought

Giacomo, Ester di; Colmegna, Fabrizia; Dakanalis, Antonios; Pessina, Rodolfo; Placenti, Valeria; Pescatore, Francesca; Clerici, Massimo

doi:10.1177/0004867419893425

Cited by 4 publications

(2 citation statements)

References 3 publications

(3 reference statements)

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“…Although high rates of BPD have been identified in women who score above the ‘cut-off’ on the EPDS when used in antenatal women (di Giacomo et al, 2020; Judd et al, 2019), only a few studies have examined the range of diagnoses other than depression and anxiety identified at routine antenatal screening (Harvey and Pun, 2007; Judd et al, 2019; Lydsdottir et al, 2014). The findings here indicate that BPP is not uncommon among women identified by antenatal screening and referred for mental health assessment during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of women with borderline personality pathology referred to a perinatal consultation liaison service

Nagel¹,

Thomson

Lorimer³

et al. 2021

Aust N Z J Psychiatry

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Objective: To examine the prevalence and characteristics of pregnant women with borderline personality pathology (defined as borderline personality disorder and borderline personality traits) referred to a perinatal consultation-liaison psychiatry service. Method: Socio-demographic and clinical data, and diagnoses made according to Diagnostic and Statistical Manual of Mental Disorders (5th ed.) criteria were recorded for all women referred to and seen by the perinatal consultation-liaison psychiatry service over an 18-month period. Data were analysed using descriptive statistics and logistic regression analysis. Results: A total of 318 women were seen. The most common diagnoses found were depressive disorder (25.5%) and anxiety disorder (15.1%). Borderline personality disorder was found in 10.1% of women and almost one in five women had two or more borderline personality traits (19.5%). When compared to women with other diagnoses, women with borderline personality pathology had higher rates of unplanned pregnancy, being unpartnered, substance use during pregnancy and higher rates of child safety services involvement as a child or in a previous pregnancy. Over 40% of women with borderline personality pathology were referred to child safety services in the current pregnancy and a diagnosis of borderline personality pathology increased the risk of child safety services involvement by almost sixfold (odds ratio: 5.5; 95% confidence interval = [1.50, 20.17]). Conclusion: The prevalence of borderline personality pathology in antenatal women identified at antenatal screening and the recognition that women with borderline personality pathology are ‘high-risk’ caregivers argue for borderline personality pathology to be recognised as a high priority for investment in service development.

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Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of women with borderline personality pathology referred to a perinatal consultation liaison service

Nagel¹,

Thomson

Lorimer³

et al. 2021

Aust N Z J Psychiatry

View full text Add to dashboard Cite

show abstract

“…Mothers with BPD are more likely to experience compromised obstetric outcomes including emergency caesarean delivery and preterm birth (Blankley et al, 2015 ; di Giacomo et al, 2020 ; Pare-Miron et al, 2016 ). Post-childbirth, maternal BPD can interfere with parenting efficacy through decreased emotion recognition, inconsistency, insensitivity, overprotection, hostility, and abuse (Chlebowski, 2013 ; Crandell et al, 2003 ; Newman & Stevenson, 2005 ; Sved Williams et al, 2018 ; White et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Interventions for perinatal borderline personality disorder and complex trauma: a systematic review

May

Balzan

Williams

et al. 2023

Arch Womens Ment Health

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Perinatal borderline personality disorder (BPD) and complex post-traumatic stress disorder (cPTSD) are associated with significant impairment to interpersonal functioning, and risk of intergenerational transmission of psychopathology. Evaluation of interventions, however, is scarce. To date, no systematic review has addressed interventions for perinatal BPD, cPTSD, and associated symptomatology. Given the modest evidence to support informed clinical guidelines, the objective of this systematic review is to synthesise the literature on interventions for perinatal BPD and cPTSD, and to generate future directions for research. A comprehensive literature search following PRISMA guidelines was conducted in PsycInfo, MEDLINE, Emcare, Scopus, and ProQuest Dissertations and Theses Global databases. Seven original studies were included, of which only two were randomised controlled trials, using less intensive comparison conditions. Results suggest an association between Dialectical Behavioural Therapy (DBT) group skills training, a multimodal therapeutic approach at a Mother-Baby Unit (MBU), and Child-Parent Psychotherapy with improved perinatal mental health outcomes and remission of symptoms. MBU admission and home-visiting programs were associated with healthy postpartum attachment relationships. Home-visiting programs and DBT group skills were additionally associated with improved maternal parenting capabilities. Conclusions to inform clinical guidelines are limited by a lack of credible comparison conditions, and low quantity and quality of evidence. The feasibility of implementing intensive interventions in real-world settings is dubious. Hence, it is suggested that future research considers utilising antenatal screening to identify at-risk mothers, and the implementation of early intervention, using robust designs that can inform robust conclusions.

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The prevalence of borderline personality features and borderline personality disorder during the perinatal period: a systematic review and meta-analysis

Prasad

Kuhathasan

Cardoso

et al. 2022

Arch Womens Ment Health

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Screening for postpartum depression and borderline personality disorder: Food for thought

Cited by 4 publications

References 3 publications

Prevalence and characteristics of women with borderline personality pathology referred to a perinatal consultation liaison service

Prevalence and characteristics of women with borderline personality pathology referred to a perinatal consultation liaison service

Interventions for perinatal borderline personality disorder and complex trauma: a systematic review

The prevalence of borderline personality features and borderline personality disorder during the perinatal period: a systematic review and meta-analysis

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