Role functioning and symptom remission in women with postpartum depression after antidepressant treatment

Logsdon, M. Cynthia; Wisner, Katherine L.; Hanusa, Barbara H.; Phillips, Amanda

doi:10.1053/j.apnu.2003.10.004

Cited by 42 publications

(33 citation statements)

References 35 publications

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“…Psychosocial factors, such as social support and social role changes, are also important when considering PMD course and treatment response, and may be addressed in psychotherapy (Logsdon et al 2003; Misri et al 2012). Several previous studies have found psychotherapy (CBT and interpersonal therapy; IPT) alone or with antidepressant medications to be more effective than no psychotherapy, although not all studies were careful to limit enrollment to women with incident PMD and many included women with depression onset any time during the first postpartum year (Sockol et al 2011).…”

Section: Discussionmentioning

confidence: 99%

A randomized, placebo-controlled, double-blind trial of sertraline for postpartum depression

et al. 2013

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Rationale Postpartum depression (PMD) occurs in roughly 10% of postpartum women and negatively impacts the mother and her offspring, but there are few placebo-controlled studies of antidepressant treatment in this population. Objectives To compare the selective serotonin reuptake inhibitor (SSRI) sertraline to placebo for treating PMD. Methods This was a single-center, 6-week, randomized double-blind placebo-controlled trial of sertraline with a one-week placebo lead-in. Participants (n=38) were women with depression onset within 3 months of delivery; a subset (n=27) met strict DSM-IV criteria for PMD (onset within 4 weeks of delivery). Participants were prescribed sertraline 50 mg or placebo daily, to a maximum of 200 mg/day. Primary outcome variables were the Hamilton Depression Rating Scale (HAM-D) and Clinical Global Impressions (CGI) scores, which were used to determine rates of response and remission. Results Sertraline produced a significantly greater response rate (59%) than placebo (26%) and a more than 2-fold increased remission rate (53% vs. 21%). Mixed models did not reveal significant group by time effects, although in the subset of women who met DSM-IV criteria, there was a statistically significant group by time effect for the HAM-D, Hamilton Anxiety Rating Scale (HAM-A) and CGI. Conclusions Women with PMD are more likely to have a remission of their depression with sertraline treatment, a finding that is more pronounced in women who have onset of depression within 4 weeks of childbirth. These data support the continued use of 4 weeks for the DSM-5 postpartum onset specifier for major depressive disorder.

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Section: Discussionmentioning

confidence: 99%

A randomized, placebo-controlled, double-blind trial of sertraline for postpartum depression

et al. 2013

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“…Postpartum depression causes deleterious effects on the new mother's quality of life, her ability to work and to care for her infant, and her relationships (Logsdon et al, 2003;Wisner et al, 2002). Few new mothers recognize that they are experiencing PPD (Garg et al, 2005).…”

Section: Discussion and Implications For Practicementioning

confidence: 99%

“…Postpartum depression (PPD) has deleterious effects on a new mother's relationships, her ability to work and function in other life roles, and her ability to care for her infant (Logsdon, Wisner, Hanusa, & Phillips, 2003;Wisner, Parry, & Piontek, 2002). After depression is identified, it is important to begin treatment as soon as possible.…”

mentioning

confidence: 99%

Self-Efficacy and Postpartum Depression Teaching Behaviors of Hospital-Based Perinatal Nurses

Logsdon¹,

Pinto²,

Myers³

2010

j perinat educ

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Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, selfefficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a perinatal nurse's self-efficacy in postpartum-depression teaching, self-esteem, and the following self-efficacy-related variables: social persuasion (supervisor's expectations for teaching); mastery (postpartum depression continuing education and teaching experience); and vicarious experience (observing other nurses teach new mothers about postpartum depression). Teaching new mothers about postpartum depression can assist mothers in overcoming barriers to depression treatment. Nurse educators and managers play an important role in encouraging postpartum depression education for perinatal nurses.

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“…Additionally, the pharmacological treatment trials present with methodological limitations, including: (1) small sample sizes, (2) absence of adequate control or comparison group; (3) failure to evaluate the effects of antidepressant medication on symptoms of comorbid anxiety, with the exception of one study (Misri et al, 2004); and (4) failure to evaluate the effects of antidepressant treatment on maternal role functioning, with few exceptions (e.g., Logsdon, Wisner, Hanusa, & Phillips, 2003). In sum, studies investigating pharmacological treatments for PPD provide little efficacy data and present with methodological limitations, making it difficult to provide informed treatment recommendations for depressed postpartum women.…”

Section: Maternal Role Functioningmentioning

confidence: 99%

Efficacy of yoga for depressed postpartum women: A randomized controlled trial

Buttner

Brock

O’Hara

et al. 2015

Complementary Therapies in Clinical Practice

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Role functioning and symptom remission in women with postpartum depression after antidepressant treatment

Cited by 42 publications

References 35 publications

A randomized, placebo-controlled, double-blind trial of sertraline for postpartum depression

A randomized, placebo-controlled, double-blind trial of sertraline for postpartum depression

Self-Efficacy and Postpartum Depression Teaching Behaviors of Hospital-Based Perinatal Nurses

Efficacy of yoga for depressed postpartum women: A randomized controlled trial

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