Course of major depressive disorder after pregnancy and the postpartum period

Freeman, Marlene P.; Claypoole, Lauren D.; Burt, Vivien K.; Sosinsky, Alexandra Z.; Moustafa, Danna; Noe, Olivia; Cheng, Laura; Cohen, Lee S.

doi:10.1002/da.22836

Cited by 8 publications

(5 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 Weighted with the composite weight, constructed by multiplying the survey weight with the stabilized inverse probability of treatment weighting using maternal baseline covariates. 4 Observations reporting "hardly ever" self-harm thoughts are excluded in this comparison. 5 Observations reporting "quite often/sometimes" self-harm thoughts are excluded in this comparison.…”

Section: Resultsmentioning

confidence: 99%

“…3 Women having the first language different from the official main language in the country of residency. 4 Indicates alcohol use after awareness of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…During pregnancy, between 2% and 6% of women take antidepressants to treat perinatal psychiatric disorders, mainly depression and anxiety, and their use appears to be trending upward since the 1990s [1][2][3]. Women with an antenatal mental illness are at high risk for sustained illness during the perinatal period and/or for a relapse up to one year postpartum [4,5]. Despite this, it is unclear to what extent antidepressant treatment in pregnancy could reduce the risk of severe mental health outcomes after childbirth, including self-harm and attempted suicide [6,7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association between Antidepressant Treatment during Pregnancy and Postpartum Self-Harm Ideation in Women with Psychiatric Disorders: A Cross-Sectional, Multinational Study

Vallee

Wong

Mannino

et al. 2020

IJERPH

View full text Add to dashboard Cite

This study sought to estimate whether there is a preventative association between antidepressants during pregnancy and postpartum self-harm ideation (SHI), as this knowledge is to date unknown. Using the Multinational Medication Use in Pregnancy Study, we included a sample of mothers who were in the five weeks to one year postpartum period at the time of questionnaire completion, and reported preexisting or new onset depression and/or anxiety during pregnancy (n = 187). Frequency of postpartum SHI (‘often/sometimes’ = frequent, ‘hardly ever’ = sporadic, ‘never’) was measured via the Edinburgh Postnatal Depression Scale (EPDS) item 10, which reads “The thought of harming myself has occurred to me”. Mothers reported their antidepressant use in pregnancy retrospectively. Overall, 52.9% of women took an antidepressant during pregnancy. Frequent SHI postpartum was reported by 15.2% of non-medicated women and 22.0% of women on past antidepressant treatment in pregnancy; this proportion was higher following a single trimester treatment compared to three trimesters (36.3% versus 18.0%). There was no preventative association of antidepressant treatment in pregnancy on reporting frequent SHI postpartum (weighted RR: 1.90, 95% CI: 0.79, 4.56), relative to never/hardly ever SHI. In a population of women with antenatal depression/anxiety, there was no preventative association between past antidepressant treatment in pregnancy and reporting frequent SHI in the postpartum year. This analysis is only a first step in providing evidence to inform psychiatric disorder treatment decisions for pregnant women.

show abstract

Section: Resultsmentioning

confidence: 99%

“…3 Women having the first language different from the official main language in the country of residency. 4 Indicates alcohol use after awareness of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association between Antidepressant Treatment during Pregnancy and Postpartum Self-Harm Ideation in Women with Psychiatric Disorders: A Cross-Sectional, Multinational Study

Vallee

Wong

Mannino

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Postpartum depression (PPD) is present in up to one in five women, with substantial adverse effects on mothers and their families, including recurrent depressive episodes, relationship difficulties with partners, compromised parenting, and poorer cognitive, emotional, and behavioral outcomes in offspring (Freeman et al., 2018; Netsi et al., 2018; O'Hara & McCabe, 2013). Unfortunately, just 15% of women with PPD receive evidence‐based treatment, due in part to the many barriers they face in accessing the treatments they most prefer––psychotherapy (Bowen, Bowen, Butt, Rahman, & Muhajarine, 2012; Goodman, 2009; Grissette, Spratling, & Aycock, 2018).…”

Section: Introductionmentioning

confidence: 99%

Public health nurses’ experiences learning and delivering a group cognitive behavioral therapy intervention for postpartum depression

Layton

Bendo

Amani

et al. 2020

Public Health Nursing

View full text Add to dashboard Cite

ObjectivesPublic Health Nurses (PHNs) often provide support to women with postpartum depression (PPD) in the absence of specialized training. The objective of this study was to explore the experiences of six PHNs who were trained to deliver a group cognitive behavioral therapy (CBT) intervention for PPD in the public health setting, and to describe how learning and delivering this intervention affected their professional roles and personal lives.DesignThis qualitative study employed a phenomenological approach.SampleSix PHNs who completed the CBT training program and delivered at least one CBT group in their community.MeasurementsIndividual in‐depth interviews were conducted and transcribed verbatim. Transcripts were analyzed according to thematic derivation procedures.ResultsThe themes that emerged from the interviews with the PHNs included: (a) components of the CBT training program that nurses most valued, (b) benefits of training for their professional role as a PHN, (c) implications for practice, and (d) using CBT skills in their personal lives.ConclusionsThe provision of CBT training to PHNs may not only positively impact their work with clients with mental illness, but may also have the potential to provide broader clinical and professional benefits for these skilled professionals and their other clients.

show abstract

“…Up to one in five women experience depressive symptoms during pregnancy (Yin et al, 2020). Antenatal depressive symptoms are likely to continue unabated postnatally (Suri et al, 2017) and follow a protracted, recurrent course throughout the parenting years (Freeman et al, 2018). Thus, depressed mood during pregnancy has far-reaching implications for women’s well-being throughout parenthood.…”

mentioning

confidence: 99%

Social Support Buffers the Effects of Prenatal Depressed Mood: A Mixed-Methods Study

Epstein

Rice

French

et al. 2022

J Am Psychiatr Nurses Assoc

View full text Add to dashboard Cite

BACKGROUND: Women use various coping strategies to deal with stress and depression. These strategies are shaped by social contexts over the life course and may attenuate and/or exacerbate the physiologic effects of depression. AIMS: The purpose of this study was to determine whether coping strategies (active, disengaged, or social support coping) moderate depression-related diurnal cortisol dysregulation and to explore how social context influences women’s use of coping. METHODS: This was a mixed-methods study of pregnant women ( N = 65) during mid-pregnancy. Cortisol was measured in saliva collected during the waking hours of the day. Participants completed the Edinburgh Depression Scale and the Brief COPE. A subset of the sample participated in semistructured qualitative interviews ( n = 20). RESULTS: Social support coping, but not active or disengaged coping, moderated end-of-day cortisol levels. Among depressed women, higher use of social support was associated with lower and more dynamic (i.e., less flat) diurnal cortisol rhythms. The qualitative findings revealed how complex social dynamics related to financial insecurity, lack of mutuality, and social identity affected women’s use of and access to social support. CONCLUSION: These findings support theories of the stress-buffering effects of social support. Future research is needed to examine how social determinants affect access to social support, and how early life social experiences condition women’s adaptive formation of social support coping strategies over the life course. Clinically, these findings underscore the value of relationship-centered nursing care for depressed women.

show abstract

Course of major depressive disorder after pregnancy and the postpartum period

Abstract: Women with MDD experienced high rates of recurrent depression across the childbearing years. This represents a critical variable for clinical care and research.

Cited by 8 publications

References 35 publications

Association between Antidepressant Treatment during Pregnancy and Postpartum Self-Harm Ideation in Women with Psychiatric Disorders: A Cross-Sectional, Multinational Study

Association between Antidepressant Treatment during Pregnancy and Postpartum Self-Harm Ideation in Women with Psychiatric Disorders: A Cross-Sectional, Multinational Study

Public health nurses’ experiences learning and delivering a group cognitive behavioral therapy intervention for postpartum depression

Social Support Buffers the Effects of Prenatal Depressed Mood: A Mixed-Methods Study

Contact Info

Product

Resources

About