PMS AND PMDD
INFERTILITY AND MENTAL HEALTH
PSYCHIATRIC ILLNESS DURING PREGNANCY
Ayre Ok, Liu X, Howard LM, Dutta R, Munk-Olsen T. Psychol Med. 2023 Might;53(7):2895-2903.
Prevalence charges of self-harm in being pregnant had been 32.2 per 100 000 deliveries and, postnatally, 63.3 per 100 000 deliveries. Danger elements for perinatal self-harm: youthful age, non-Danish beginning, prior self-harm, psychiatric historical past and parental psychiatric historical past. Extra danger elements for postpartum self-harm: multiparity and preterm beginning. Of psychiatric circumstances, persona dysfunction was most strongly related to self-harm throughout being pregnant (aHR 3.15, 95% CI 1.68-5.89); psychosis was most strongly related to postpartum self-harm (aHR 6.36, 95% CI 4.30-9.41).
Pingeton BC, Cochran A, Goodman SH, Laurent H, Sbrilli MD, Knight B, Newport DJ, Stowe ZN. J Have an effect on Disord. 2023 Sep 1;336:112-119.
Moyer SW, Brown R, Jallo N, Kinser PA. J Womens Well being (Larchmt). 2023 Jul;32(7):767-778.
Foti TR, Watson C, Adams SR, Rios N, Staunton M, Wei J, Sterling SA, Ridout KK, Younger-Wolff KC. Int J Environ Res Public Well being. 2023 Jul 4;20(13):6289.
Sufferers with 1-2 ACEs or ?3 ACEs (versus 0 ACEs) had increased odds of hysteria and depressive issues, depressive signs, IPV, and any prenatal substance use (OR 1.44-4.40, p < 0.05).
Chen C, Wang X, Xu H, Li Y. Arch Womens Ment Well being. 2023 Aug;26(4):423-439.
Digital psychological interventions are efficient in lowering perinatal despair, however the methodological high quality and reliability of end result indicators are principally low.
MEDICATIONS AND PREGNANCY
Bang Madsen Ok, Robakis TK, Liu X, Momen N, Larsson H, Dreier JW, Kildegaard H, Groth JB, Newcorn JH, Hove Thomsen P, Munk-Olsen T, Bergink V. Mol Psychiatry. 2023 Apr;28(4):1739-1746.
In whole, 898 kids had been uncovered to ADHD medicine throughout being pregnant in comparison with 1270 kids whose moms discontinued ADHD medicine earlier than being pregnant. After adjustment for demographic and psychiatric traits of the mom, no elevated danger of any offspring developmental issues was discovered mixed (aHR 0.97, 95% CI 0.81 to 1.17) or for separate subcategories. Equally, no elevated danger was discovered for any sub-categories of outcomes within the detrimental management or sibling managed analyses. Neurodevelopment and progress in offspring don’t differ based mostly on antenatal publicity to ADHD medicine.
Holmes LB, Quinn M, Conant S, Lyons A, Hauser WA, Yerby M, Hernandez-Diaz S. Delivery Defects Res. 2023 Jun 30.
The NAAPR enrolls pregnant girls who’re taking a number of AEDs for any medical situation, however primarily to forestall seizures, and an unexposed comparability group. Contributors are interviewed by medical analysis coordinators (CRCs) at enrollment, later in being pregnant and postpartum. Malformations are recognized within the mom’s stories and her toddler’s medical data by means of age 12 weeks. A teratologist, blinded to publicity standing, evaluates every potential malformation recognized.
Galbally M, Watson SJ, Nguyen T, Boyce P.Toddler Behav Dev. 2023 Jun 28;72:101849.
Use of antidepressants sertraline, escitalopram and citalopram throughout being pregnant weren’t related to elevated toddler waking or time awake. Nevertheless, sertraline was related to longer time for an toddler to fall asleep.
POSTPARTUM PSYCHIATRIC ILLNESS
Andersson A, Garcia-Argibay M, Viktorin A, Ghirardi L, Butwicka A, Skoglund C, Bang Madsen Ok, D’onofrio BM, Lichtenstein P, Tuvblad C, Larsson H.
J Have an effect on Disord. 2023 Mar 15;325:817-823.
A complete of 16.76 % of the ladies with an ADHD prognosis had been additionally identified with despair issues within the postpartum interval, prevalence ratio (PR) 5.09 (95 % confidence interval (CI), 4.68-5.54). A complete of 24.92 % of the ladies with an ADHD prognosis had been additionally identified with anxiousness issues within the postpartum interval, PR 5.41 (5.06-5.78).
Buskmiller C, Grauerholz KR, Bute J, Brann M, Fredenburg M, Refuerzo JS.
Cureus. 2023 Apr 20;15(4):e37884.
MEDICATIONS AND BREASTFEEDING
PERINATAL SUBSTANCE USE
MATERNAL MENTAL HEALTH AND CHILD OUTCOMES
Choe DE, Deer LK, Hastings PD. Dev Psychol. 2023 Aug;59(8):1452-1463.
Youngsters uncovered to continual maternal despair starting in utero confirmed essentially the most impairments in inhibitory management whereas accounting for youngster intercourse, verbal IQ, dad and mom’ highest training stage, and common household revenue in childhood.
Kumpulainen V, Copeland A, Pulli EP, Silver E, Kataja EL, Saukko E, Merisaari H, Lewis JD, Karlsson L, Karlsson H, Tuulari JJ.
Biol Psychiatry. 2023 Might 21:S0006-3223(23)01301-X.
EPDS scores in the course of the second trimester had been positively related to fractional anisotropy in boys after controlling for EPDS scores at 3 months postpartum. In distinction, postpartum EPDS scores at 3 months correlated negatively with fractional anisotropy in widespread areas solely in ladies after controlling for prenatal second-trimester EPDS scores. Perinatal anxiousness was not related to white matter construction.
MENOPAUSE AND MENTAL HEALTH
OTHER TOPICS IN WOMEN’S MENTAL HEALTH
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