Abstract
Objectives Perinatal depression (PND) has been widely studied in the general population, but has been under studied in military populations. This literature review evaluates studies of PND in military service women and spouses of military servicemen. Methods Articles from peer-reviewed journals published from January 2005 to September 2015 were included if they reported on US military women and/or spouses of military servicemen who were screened for PND symptoms during the prenatal and/or postpartum periods; and were available in English. Qualitative studies were excluded. Studies were compared and contrasted by screening instrument, screening time-period, study population, deployment status as a unique risk factor, and results. Results Ten articles were included. Studies varied greatly in methodology and use of screening instruments and screening time-period, but collectively indicate a wide prevalence range of PND symptoms in military populations. Studies also indicate deployment status as a unique risk factor associated with PND symptoms. Common methodological issues include excluding women at high risk for PND, and not reporting if adequate clinical resources were readily available to ensure appropriate diagnostic and therapeutic services treatment for women who screened positive for PND. Conclusions for Practice PND is receiving increasing attention and military populations should be studied more closely to identify this condition, and understand the complex interactions of unique risk factors associated with a military way of life in order to implement more rigorous screening and early, appropriate intervention strategies.
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References
ACOG. (2015). Screening for perinatal depression. Committee Opinion No. 630. Retrieved June 6, 2016, from http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Screening-for-Perinatal-Depression.
APA. (2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). Washington, DC: American Psychiatric Publishing.
Appolonio, K. K., & Fingerhut, R. (2008). Postpartum depression in a military sample. Military Medicine, 173(11), 1085–1091.
Boyd, R. C., Le, H. N., & Somberg, R. (2005). Review of screening instruments for postpartum depression. Archives of Women’s Mental Health, 8(3), 141–153. doi:10.1007/s00737-005-0096-6.
BSF. (2014). 2014 military lifestyle survey: Findings and analysis. Washington, DC.
CDC. (2008). Prevalence of self-reported postpartum depressive symptoms–17 states, 2004–2005. Morbidity and Mortality Weekly Report, 57(14), 361–366.
DASD. (2013). 2013 demographics: Profile of the military community. Retrieved September 5, 2015, from http://download.militaryonesource.mil/12038/MOS/Reports/2013-Demographics-Report.pdf.
DMDC. (2015). Active duty military personnel by service by rank/grade. Retrieved September 5, 2015, from https://www.dmdc.osd.mil/appj/dwp/dwp_reports.jsp.
Drummet, A. R., Coleman, M., & Cable, S. (2003). Military families under stress: Implications for family life education. Family Relations, 52(3), 279–287. (Published by National Council on Family Relations).
Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics & Gynecology, 106(5 Pt 1), 1071–1083. doi:10.1097/01.AOG.0000183597.31630.db.
Haas, D. M., & Pazdernik, L. A. (2006). A cross-sectional survey of stressors for postpartum women during wartime in a military medical facility. Military Medicine, 171(10), 1020–1023.
Kennedy, H. P., Farrell, T., Paden, R., Hill, S., Jolivet, R., Willetts, J., & Rising, S. S. (2009). “I wasn’t alone”–a study of group prenatal care in the military. Journal of Midwifery & Women’s Health, 54(3), 176–183. doi:10.1016/j.jmwh.2008.11.004.
Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2010). The Patient health questionnaire somatic, anxiety, and depressive symptom scales: A systematic review. General Hospital Psychiatry, 32(4), 345–359. doi:10.1016/j.genhosppsych.2010.03.006.
Lancaster, C. A., Gold, K. J., Flynn, H. A., Yoo, H., Marcus, S. M., & Davis, M. M. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202(1), 5–14. doi:10.1016/j.ajog.2009.09.007.
Lehavot, K., Hoerster, K. D., Nelson, K. M., Jakupcak, M., & Simpson, T. L. (2012). Health indicators for military, veteran, and civilian women. American Journal of Preventive Medicine, 42(5), 473–480. doi:10.1016/j.amepre.2012.01.006.
Letourneau, N. L., Dennis, C. L., Benzies, K., Duffett-Leger, L., Stewart, M., Tryphonopoulos, P. D., …, Watson, W. (2012). Postpartum depression is a family affair: Addressing the impact on mothers, fathers, and children. Issues in Mental Health Nursing, 33(7), 445–457. doi:10.3109/01612840.2012.673054.
Levine, J. A., Bukowinski, A. T., Sevick, C. J., Mehlhaff, K. M., & Conlin, A. M. (2015). Postpartum depression and timing of spousal military deployment relative to pregnancy and delivery. Archives of Gynecology and Obstetrics, 292(3), 549–558. doi:10.1007/s00404-015-3672-7.
Meltzer-Brody, S. (2011). New insights into perinatal depression: pathogenesis and treatment during pregnancy and postpartum. Dialogues in Clinical Neuroscience, 13(1), 89–100.
Myers, E. R., Aubuchon-Endsley, N., & Bastian, L. A. (2013). Efficacy and safety for screening for postpartum depression. Rockville, MD: Agency for Healthcare Research and Quality.
Nguyen, S., Leardmann, C. A., Smith, B., Conlin, A. M., Slymen, D. J., Hooper, T. I., …, Millennium Cohort Study Team (2013). Is military deployment a risk factor for maternal depression? Journal of Womens Health (Larchmt), 22(1), 9–18. doi:10.1089/jwh.2012.3606.
O’Boyle, A. L., Magann, E. F., Ricks, R. E., Doyle, M., & Morrison, J. C. (2005). Depression screening in the pregnant soldier wellness program. Southern Medical Journal, 98(4), 416–418. doi:10.1097/01.0000152759.37358.81.
O’hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression-a meta-analysis. International Review of Psychiatry, 8(1), 37–54.
Palmer, C. (2008). A theory of risk and resilience factors in military families. Military Psychology, 20, 205–217.
Righetti-Veltema, M., Bousquet, A., & Manzano, J. (2003). Impact of postpartum depressive symptoms on mother and her 18-month-old infant. European Child and Adolescent Psychiatry, 12(2), 75–83. doi:10.1007/s00787-003-0311-9.
Robrecht, D. T., Millegan, J., Leventis, L. L., Crescitelli, J. B., & McLay, R. N. (2008). Spousal military deployment as a risk factor for postpartum depression. The Journal of Reproductive Medicine, 53(11), 860–864.
Rona, R. J., Fear, N. T., Hull, L., & Wessely, S. (2007). Women in novel occupational roles: Mental health trends in the UK Armed Forces. International Journal of Epidemiology, 36(2), 319–326. doi:10.1093/ije/dyl273.
Rychnovsky, J., & Beck, C. T. (2006). Screening for postpartum depression in military women with the postpartum depression screening scale. Military Medicine, 171(11), 1100–1104.
Schachman, K., & Lindsey, L. (2013). A resilience perspective of postpartum depressive symptomatology in military wives. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(2), 157–167. doi:10.1111/1552-6909.12007.
Smith, D. C., Munroe, M. L., Foglia, L. M., Nielsen, P. E., & Deering, S. H. (2010). Effects of deployment on depression screening scores in pregnancy at an army military treatment facility. Obstetrics and Gynecology, 116(3), 679–684. doi:10.1097/AOG.0b013e3181eb6c84.
Spooner, S., Rastle, M., & Elmore, K. (2012). Maternal depression screening during prenatal and postpartum care at a Navy and Marine Corps military treatment facility. Military Medicine, 177(10), 1208–1211.
Street, A. E., Stafford, J., Mahan, C. M., & Hendricks, A. (2008). Sexual harassment and assault experienced by reservists during military service: Prevalence and health correlates. Journal of Rehabilitation Research and Development, 45(3), 409–419.
Tarney, C. M., Berry-Caban, C., Jain, R. B., Kelly, M., Sewell, M. F., & Wilson, K. L. (2015). Association of spouse deployment on pregnancy outcomes in a US military population. Obstetrics and Gynecology, 126(3), 569–574. doi:10.1097/AOG.0000000000001003.
Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132(6), 959–992. doi:10.1037/0033-2909.132.6.959.
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Klaman, S.L., Turner, K. Prevalence of Perinatal Depression in the Military: A Systematic Review of the Literature. Matern Child Health J 20 (Suppl 1), 52–65 (2016). https://doi.org/10.1007/s10995-016-2172-0
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DOI: https://doi.org/10.1007/s10995-016-2172-0