TITLE

Influence of postpartum onset on the course of mood disorders

AUTHOR(S)
Serretti, Alessandro; Olgiati, Paolo; Colombo, Cristina
PUB. DATE
January 2006
SOURCE
BMC Psychiatry;2006, Vol. 6, p4
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: To ascertain the impact of postpartum onset (PPO) on the subsequent time course of mood disorders. Methods: This retrospective study compared per year rates of excited (manic or mixed) and depressive episodes between fifty-five women with bipolar (N = 22) or major depressive (N = 33) disorders with first episode occurring postpartum (within four weeks after childbirth according to DSM-IV definition) and 218 non-postpartum onset (NPPO) controls. Such patients had a traceable illness course consisting of one or more episodes alternating with complete symptom remission and no additional diagnoses of axis I disorders, mental retardation or brain organic diseases. A number of variables reported to influence the course of mood disorders were controlled for as possible confounding factors Results: Bipolar women with postpartum onset disorder had fewer excited episodes (p = 0.005) and fewer episodes of both polarities (p = 0.005) compared to non-postpartum onset subjects. No differences emerged in the rates of depressive episodes. All patients who met criteria for rapid cycling bipolar disorder (7 out of 123) were in the NPPO group. Among major depressives, PPO patients experienced fewer episodes (p = 0.016). With respect to clinical and treatment features, PPO-MDD subjects had less personality disorder comorbidity (p = 0.023) and were less likely to be on maintenance treatment compared to NPPO comparison subjects (p = 0.002) Conclusion: Such preliminary findings suggest that PPO mood disorders may be characterized by a less recurrent time course. Future research in this field should elucidate the role of comorbid personality disorders and treatment. Moreover it should clarify whether PPO disorders are also associated with a more positive outcome in terms of social functioning and quality of life.
ACCESSION #
29323732

 

Related Articles

  • Dealing with pregnancy-related depression, or the 'baby blues'. LoBuono, Charlotte // Drug Topics;6/5/2006 Supplement, Vol. 150, p15s 

    The article provides information on postpartum obsessive-compulsive disorder (PPOCD) experienced by women during pregnancy. It is defined as an obsessive-compulsive spectrum disorder seen in women become consumed with certain thoughts and images shortly after giving birth. Elizabeth Goldman, a...

  • Supporting the Breastfeeding Mother Through Postpartum Depression. Roberts, Nancy // International Journal of Childbirth Education;Mar2005, Vol. 20 Issue 1, p15 

    Supporting the mother who is nursing her infant and finds herself in the midst of postpartum depression has unique considerations that she deals with on a day-to-day basis. It is important for the health care provider to know what these issues are so this mother can effectively receive the...

  • Risk factors associated with postpartum depression in the Saudi population. Alharbi, Abeer A.; Abdulghani, Hamza Mohammad // Neuropsychiatric Disease & Treatment;2014, Vol. 10, p311 

    Introduction: Postpartum depression (PPD) is one of the major psychological disorders worldwide that affects both mother and child. The aim of this study was to correlate the risk of PPD with obstetric and demographic variables in Saudi females. Materials and methods: Data were collected by...

  • Antenatal risk factors for postnatal depression: a prospective study of chinese women at maternal and child health centres.  // BMC Psychiatry;2012, Vol. 12 Issue 1, p22 

    The article focuses on a study that aims to identify antenatal risk factors for postnatal depression (PND) in Chinese women. The study involved a sample of Chinese women of age between 18 and 50 years attending the Maternal and Child Health Centres (MCHCs) involved in the Comprehensive Child...

  • Not Just a Middle-Class Affliction: Crafting a Social Work Research Agenda on Postpartum Depression. Abrams, Laura S.; Curran, Laura // Health & Social Work;Nov2007, Vol. 32 Issue 4, p289 

    Postpartum depression (PPD) is a major mental health disorder that affects at least 13 percent of new mothers and has detrimental consequences for populations that are of concern to social workers, such as low-income women, women of color, young women, and single mothers. Despite the relevance...

  • Risk factors for depression in the first postnatal year. Inandi, Tacettin; Bugdayci, Resul; Dundar, Pinar; Sumer, Haldun; Sasmaz, Tayyar // Social Psychiatry & Psychiatric Epidemiology;Sep2005, Vol. 40 Issue 9, p725 

    Background The aim of the study was to identify risk factors for depression and to estimate its prevalence in postnatal mothers. Methods This cross-sectional and multi-centre study was carried out on 1,350 Turkish women in their first postnatal year. Measures included a structured questionnaire...

  • The Postpartum Visit: Is Six Weeks Too Late? Apgar, Barbara S.; Serlin, David; Kaufman, Amanda // American Family Physician;12/15/2005, Vol. 72 Issue 12, p2443 

    Discusses the benefits of a six-week postpartum visit to a physician. Discontinuation rate of breastfeeding at two weeks postpartum; Reason for the decision of some women to continue breastfeeding up to 12 weeks postpartum; Factors that help to determine the risk of postpartum depression in women.

  • Detecting Women at Risk for Postnatal Depression Using the Edinburgh Postnatal Depression Scale at 2 to 3 Days Postpartum. Teissèdre, Frédérique; Chabrol, Henri // Canadian Journal of Psychiatry;Jan2004, Vol. 49 Issue 1, p51 

    Objective: This study evaluates the capacity of the Edinburgh Postnatal Depression Scale (EPDS) implemented in the first days postpartum to detect women who will suffer from postnatal depression. Method: A sample of 1154 women completed the EPDS at 2 to 3 days postpartum and again at 4 to 6...

  • Perinatal Psychiatric Disorders. Frank, Julia B. // Psychiatric Annals;Jul2012, Vol. 42 Issue 7, p250 

    The article discusses various reports in this issue, including those about melancholia in pregnancy, postpartum depression as a psychiatric disorder and bipolar II disorder.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics