Mothers with acute and chronic postpartum psychoses and impact on the mother-infant interaction

Ramsauer, Brigitte; Achtergarde, Sandra

doi:10.1016/j.schres.2018.02.032

Cited by 19 publications

(10 citation statements)

References 86 publications

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“…Consistent with studies in the broader literature mentioned earlier (e.g. Hayes et al, 2013; Ramsauer and Achtergarde, 2018), our findings confirm a negative association between perinatal mental disorder, with onset prior to childbirth, and mother–infant EA. In addition, the lower EA among women with BD and their infants, compared to dyads in the MDD group, supports the notion that the severity and complexity of the disorder are adversely associated with the mother–infant relationship.…”

Section: Discussionsupporting

confidence: 92%

“…Prior research has shown antenatal depression to predict lower mother–infant relationship quality at 12 months of infant age, independent of postnatal depression (Hayes et al, 2013). In addition, a recent systematic review of postpartum psychoses identified chronic psychosis was associated with poorer mother–infant interactions than acute-onset (de novo or relapse) psychosis (Ramsauer and Achtergarde, 2018). While not specific to BD, these related studies highlight that onset (or course of disorder) is an important consideration when examining perinatal disorders and mother–infant relationship quality.…”

Section: Introductionmentioning

confidence: 99%

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Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study

Aran

Lewis

Watson

et al. 2021

Aust N Z J Psychiatry

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Objective: Poorer mother–infant interaction quality has been identified among women with major depression; however, there is a dearth of research examining the impact of bipolar disorder. This study sought to compare mother–infant emotional availability at 6 months postpartum among women with perinatal major depressive disorder, bipolar disorder and no disorder (control). Methods: Data were obtained for 127 mother–infant dyads from an Australian pregnancy cohort. The Structured Clinical Interview for the DSM-5 was used to diagnose major depressive disorder ( n = 60) and bipolar disorder ( n = 12) in early pregnancy (less than 20 weeks) and review diagnosis at 6 months postpartum. Prenatal and postnatal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale, along with self-report psychotropic medication use. Mother and infant’s interaction quality was measured using the Emotional Availability Scales when infants reached 6 months of age. Multivariate analyses of covariance examining the effects of major depressive disorder and bipolar disorder on maternal emotional availability (sensitivity, structuring, non-intrusiveness, non-hostility) and child emotional availability (responsiveness, involvement) were conducted. Results: After controlling for maternal age and postpartum depressive symptoms, perinatal disorder (major depressive disorder, bipolar disorder) accounted for 17% of the variance in maternal and child emotional availability combined. Compared to women with major depressive disorder and their infants, women with bipolar disorder and their infants displayed lower ratings across all maternal and child emotional availability qualities, with the greatest mean difference seen in non-intrusiveness scores. Conclusions: Findings suggest that perinatal bipolar disorder may be associated with additional risk, beyond major depressive disorder alone, to a mother and her offspring’s emotional availability at 6 months postpartum, particularly in maternal intrusiveness.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study

Aran

Lewis

Watson

et al. 2021

Aust N Z J Psychiatry

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“…Newer studies have re-affirmed previously known risk factors including genetics, likely contribution of rapidly declining estrogen postpartum, and sleep deprivation [ 13 ]. Newer studies have focused research on particular roles of stress.…”

Section: Pathophysiologymentioning

confidence: 99%

Postpartum Psychosis

Friedman

Reed

Ross

2023

Curr Psychiatry Rep

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Purpose of Review Postpartum psychosis is a psychiatric emergency that can affect the health and life of mothers, infants, and families. Postpartum psychosis (PPP) is distinct from non-postpartum psychosis in many ways, and it is crucial to study and understand PPP to identify, treat, and possibly prevent this condition. We therefore sought to review the latest research findings about PPP with the intention of updating readers about the latest evidence base. Recent Findings Multiple physiologic pathways have been implicated in the development of PPP, and further understanding these pathways may allow for early detection and treatment. Risk assessment and treatment should include consideration of the woman patient but also the mother-infant dyad and the larger family. Summary It is our hope that this review of research updates in postpartum psychosis may inform clinical practice and promote specialized, evidence-based diagnosis, risk assessment, and treatment.

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“…Furthermore, this association was partly attributed to high prevalence of single parents in African-Caribbean families in comparison to other ethnic groups and that it was also associated with poverty and social class. However, mothers with acute psychosis have shown better mother-infant interactions and lower risks of displacement than mothers with schizophrenia (33). Despite the evidence that most mentally ill mothers do not abuse their children, it remains a significant variable in the history of maltreated children (34,35).…”

Section: Parenting Risks In Mothers With Smimentioning

confidence: 99%

Pregnancy and severe mental illness: Confounding ethical doctrines

Aneja

Arora

2020

IJME

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Pregnancy brings joy and excitement to some women, but great distress to those who suffer from severe mental illnesses like schizophrenia. Women with severe mental illnesses (SMIs) may have difficulty planning a pregnancy and deciding whether to continue to viability, and thence to term. Dilemmas also surround pharmacotherapy for this population, as (non)treatment is associated with its own challenges. The psychiatrist may have to make challenging decisions based on the principles of autonomy, beneficence, and relational ethics. Furthermore, there are ethical controversies inherent to the underlying pathologies, their nontreatment, and the various psychosocial factors that could impact parenting in such mothers. In addition, limited or ineffective use of family planning, mental health services, and contraception often act as forerunners of these problems. Considering the sparse literature on this topic and the perplexing legal responsibilities pertaining to the recently implemented Mental Health Care Act, 2017, we have attempted to highlight the various ethical dilemmas that confront a psychiatrist while managing a patient from this group.

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Mothers with acute and chronic postpartum psychoses and impact on the mother-infant interaction

Cited by 19 publications

References 86 publications

Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study

Emotional availability in women with bipolar disorder and major depression: A longitudinal pregnancy cohort study

Postpartum Psychosis

Pregnancy and severe mental illness: Confounding ethical doctrines

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