Recent Publications in Women’s Mental Health

Bengtson L, Aubuchon-Endsley NL.  Women of all ages Health and fitness. 2023 Apr 5:1-12. 

In this study of 96 women, enhanced prenatal depressive indicators had been related to elevated prenatal cortisol awakening reaction, as properly as moderated the connection involving interpersonal trauma publicity and higher prenatal cortisol awakening response. A significant good correlation was also discovered in between trauma and prenatal depressive signs, as nicely as a sizeable negative correlation between prenatal depressive signs and symptoms and breastfeeding frequency. 

Nutritional interventions for perinatal depression and stress and anxiety: a systematic evaluate and meta-analysis of randomized managed trials.

Tsai Z, Shah N, Tahir U, Mortaji N, Owais S, Perreault M, Van Lieshout RJ.  Am J Clin Nutr. 2023 Apr 3:S0002-9165(23)46315-.

Regardless of their common recognition, PUFAs and elemental metals do not show up to properly lessen perinatal depression. Vitamin D taken in doses of 1800 to 3500 Global Units (IU) for each day could have some promise. Added significant-quality, substantial-scale randomized controlled trials (RCTs) are required.

The function of perinatal psychiatry entry systems in advancing psychological health and fitness equity.

Deichen Hansen ME, Londoño Tobón A, Kamal Haider U, Moore Simas TA, Newsome M, Finelli J, Boama-Nyarko E, Mittal L, Tabb KM, Nápoles AM, Schaefer AJ, Davis WN, Mackie TI, Flynn HA, Byatt N.  Gen Hosp Psychiatry. 2023 May perhaps-Jun82:75-85.

Racial-Ethnic Variations in Treatment method Initiation for New Diagnoses of Perinatal Depression.

Avalos LA, Nance N, Iturralde E, Badon SE, Quesenberry CP, Sterling S, Li DK, Flanagan T.  Psychiatr Serv. 2023 Apr 174(4):341-348.

In complete, 13,637 females with a new despair diagnosis (prenatal: N=7,041, 51.6% postpartum: N=6,596, 48.4%) ended up identified. Of the pregnant females, 31.4% initiated remedy, and of the postpartum women, 73.1% initiated therapy. Latina and Asian women had been a lot less very likely than White girls to initiate cure postpartum. In the course of pregnancy and postpartum, non-White females have been far more very likely to initiate psychotherapy. White women of all ages ended up additional probably to initiate antidepressant medicine for the duration of pregnancy and postpartum or a mixture of antidepressant medication and psychotherapy during the postpartum interval.

Barker LC, Fung K, Zaheer J, Brown HK, Bronskill SE, Kurdyak P, Vigod SN.  Gen Hosp Psychiatry. 2023 Apr 583:27-34. 

Psychiatric admission transpired for 9.5% (n = 1242) in just 365 times of a psychiatric unexpected emergency section go to. Threat was lower amid adolescents (vs. ?35 yrs aRR .80, 95%CI .65-.97) and immigrants (<5 years in Canada vs. Canadian-born/long-term residents 0.70, 0.51-0.96 ?5 years in Canada 0.79, 0.65-0.95). Among four identified subgroups, compared to the “older/urban/high-income” subgroup (11.1% admission), the “urban/immigrant/low-income” (7.6% 0.68, 0.55-0.82) and “young/rural/low-income” subgroups (9.7% 0.78, 0.63-0.96), but not the “semi-urban/middle-income” subgroup (9.5% 0.86, 0.73-1.01), were at lower admission risk.

Follow-up after postpartum psychiatric emergency department visits: an equity-focused population-based study in Canada.

Barker LC, Brown HK, Bronskill SE, Kurdyak P, Austin PC, Hussain-Shamsy N, Fung K, Vigod SN.  Lancet Psychiatry. 2022 May9(5):389-401.

Fewer than half of emergency department visits for a psychiatric reason in the post-partum period were followed by timely outpatient care, with social-determinants-of-health-based disparities in access to care. 

Co-occurrence of depression, anxiety, and perinatal posttraumatic stress in postpartum persons.

Howard S, Witt C, Martin K, Bhatt A, Venable E, Buzhardt S, Chapple AG, Sutton EF.

BMC Pregnancy Childbirth. 2023 Apr 523(1):232.

Postpartum patients with mild anxiety or more (i.e. GAD7> 4) experienced 26 moments larger odds of screening optimistic for indications of despair (PHQ9 > 4) (altered odds ratio [aOR] 26.3 95% self-confidence interval [CI] 15.29-46.92 p < 0.001). Postpartum persons with a PPQII score indicating symptoms of perinatal PTSD (PPQII [Formula: see text] 19) had 44 times higher odds of screening positive for symptoms of depression (PHQ> 4) (aOR 44.14 95%CI 5.07-5856.17 p < 0.001).

Dysphoric Milk Ejection Reflex: Report of Two Cases and Postulated Mechanisms and Treatment.

Liu H, Li J, Li X, Lu H.  Breastfeed Med. 2023 Apr 5. 

An investigation into the relationship between community engagement and maternal mental health in Calgary, Alberta using the All Our Families cohort.

Benny C, Pietrosanu M, Lowe SAJ, Yamamoto SS, Kong L, McDonald S, Pabayo R.  Soc Psychiatry Psychiatr Epidemiol. 2023 Apr 5. 

Community engagement has a protective effect against depression and anxiety amongst mothers. The results of this study are in line with existing evidence suggesting that social cohesion, civic participation, and community engagement are protective against adverse mental health outcomes.

Psychodynamic Psychotherapy for Postpartum Depression: A Systematic Review.

Valverde N, Mollejo E, Legarra L, Gómez-Gutiérrez M.  Matern Child Health J. 2023 Apr 8. 

Effectiveness of interventions to prevent perinatal depression: An umbrella review of systematic reviews and meta-analysis.

Motrico E, Bina R, Kassianos AP, Le HN, Mateus V, Oztekin D, Rodriguez-Muñoz MF, Moreno-Peral P, Conejo-Cerón S.  Gen Hosp Psychiatry. 2023 May-Jun82:47-61.

Exercise/physical activity-based and psychological interventions have a small-to-medium effect on reducing perinatal depressive symptoms. There is insufficient evidence to conclude that dietary supplements and pharmacological interventions are effective in preventing perinatal depression. 

Muzard A, Olhaberry M, Nuñez C, Vaccarezza S, Franco P, Morán J, Sieverson C, León MJ, Apter G.  Gen Hosp Psychiatry. 2023 Apr 583:20-26. 

Differences between maternal and paternal personality traits and emotion regulation difficulties during the perinatal period as well as distinct contributions on infant’s socioemotional development.

Interaction between isolated maternal hypothyroxinemia and pregnancy-related anxiety on preschooler’s internalizing and externalizing problems: A birth cohort study.

Li P, Ru X, Teng Y, Han Y, Liu Z, Tao F, Huang K.

Psychoneuroendocrinology. 2023 Mar 29152:106102. 

Hypothyroidism during pregnancy and pregnancy-related anxiety during pregnancy may synergistically increase the risk of internalizing and externalizing problems in preschooler children. This interaction is distinct in internalizing problems of preschool girls.

Wisner KL, Appelbaum PS.  JAMA Psychiatry. 2023 Apr 180(4):285-286.

Maternal anxiety, depression and posttraumatic stress disorder (PTSD) after natural disasters: a systematic review.

Futterman ID, Grace H, Weingarten S, Borjian A, Clare CA.  J Matern Fetal Neonatal Med. 2023 Dec36(1):2199345.

A total of 8357 pregnant or birthing persons in the antepartum and postpartum periods were studied. The prevalence of post-pandemic anxiety, depression and PTSD were calculated to be 48.2%, 27.3%, and 22.9%. Post-earthquake depression and PTSD rates were 38.8% and 22.4%. The prevalence of post-hurricane anxiety, depression and PTSD were 17.4%, 22.5%, and 8.2%. The rates of post-political conflict anxiety, depression and PTSD were 48.8%, 31.6% and 18.5%.

Risk of Global Developmental Delay in Infants Born from Mothers with COVID-19: A Cross-Sectional Study.

Silva PYF, Lima da Cruz MC, Guerra Azevedo I, Moreira RS, Sousa KG, Pereira SA.  Int J Womens Health. 2023 Apr 115:467-474. 

In this study including 54 infants, those born to mothers with COVID-19 were at high risk of motor developmental delay and socioemotional alterations. 

High rate of insecure attachment patterns in preterm infants at early school age.

Mehler K, Heine E, Kribs A, Schoemig C, Reimann L, Nonhoff C, Kissgen R.

Acta Paediatr. 2023 May112(5):977-983. 

Very preterm infants had the highest rate of insecure attachment (81%) compared to moderate or late preterm infants (60%) and full-term infants (47%) (p = 0.013).