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Depression and Postpartum Disorders

  • Heather A. Flynn
Chapter

Abstract

In the first part of this chapter, an overview of prevalence and burden of depression in women across the lifespan will be presented, as well as biopsychosocial etiological theories and a brief review of service use and treatment issues. The second part of the chapter will focus specifically on prevalence, clinical, and health care use issues related to depression occurring around the time of childbearing. Pregnant and postpartum women with depression represent an underserved group that, because of the healthcare service use issues, holds promise for improved detection, prevention, and treatment efforts that may improve health and functioning outcomes for women and their families.

Keywords

Major Depressive Disorder Maternal Depression Edinburgh Postnatal Depression Scale Postpartum Woman Depression Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Battle, C. L., & Zlotnick, C. (2005). Prevention of postpartum depression. Psychiatric Annals, 35(7), 590–598.Google Scholar
  2. Beck, C. T., & Gable, R. K. (2001). Comparative analysis of the performance of the Postpartum Depression Screening Scale with two other depression instruments. Nursing Research, 50(4), 242–250.CrossRefPubMedGoogle Scholar
  3. Bradbury, T. N., Beach, S. R., Fincham, F. D., & Nelson, G. M. (1996). Attributions and behavior in functional and dysfunctional marriages. Journal of Consulting and Clinical Psychology, 64(3), 569–576.CrossRefPubMedGoogle Scholar
  4. Bromet, E., Sonnega, A., & Kessler, R.C. (1998). Risk factors for DSM-III-R Posttraumatic stress disorder: Findings from the National Comorbidity Study, American Journal of Epidemiology, 147(4), 353–361.PubMedGoogle Scholar
  5. Broth, M. R., Goodman, S. H., Hall, C., & Raynor, L. C. (2004). Depressed and well mothers’ emotional interpretation accuracy and the quality of mother-infant interaction. Infancy, 6(1), 37–55.CrossRefGoogle Scholar
  6. Buist, A. (2003). Promoting positive parenthood: Emotional health in pregnancy. Australian Journal of Midwifery, 16(1), 10–14.CrossRefPubMedGoogle Scholar
  7. Butler, S. S., Turner, W., Kaye, L. W., Ruffin, L., & Downey, R. (2005). Depression and caregiver burden among rural elder caregivers. Journal of Gerontological Social Work, 46(1), 47–63.CrossRefPubMedGoogle Scholar
  8. Carter, F. A., Carter, J. D., Luty, S. E., Wilson, D. A., Frampton, C. M., & Joyce, P. R. (2005). Screening and treatment for depression during pregnancy: A cautionary note. The Australian and New Zealand Journal of Psychiatry, 39(4), 255–261.PubMedGoogle Scholar
  9. Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., et al. (2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301(5631), 386–389.CrossRefPubMedGoogle Scholar
  10. Cohen, L. S., Nonacs, R. M., Bailey, J. W., Viguera, A. C., Reminick, A. M., Altshuler, L. L., et al. (2004). Relapse of depression during pregnancy following antidepressant discontinuation: A preliminary prospective study. Archives of Women’s Mental Health, 7(4), 217–221.CrossRefPubMedGoogle Scholar
  11. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782–786.CrossRefPubMedGoogle Scholar
  12. Dickinson, L. M., Rost, K., Nutting, P. A., Elliott, C. E., Keeley, R. D., & Pincus, H. (2005). RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaints. Annals of Family Medicine, 3(1), 15–22.CrossRefPubMedGoogle Scholar
  13. Dieter, J. N., Field, T., Hernandez-Reif, M., Jones, N. A., Lecanuet, J. P., Salman, F. A., et al. (2001). Maternal depression and increased fetal activity. Journal of Obstetrics and Gynaecology, 21(5), 468–473.CrossRefPubMedGoogle Scholar
  14. Evins, G. G., Theofrastous, J. P., & Galvin, S. L. (2000). Postpartum depression: A comparison of screening and routine clinical evaluation. American Journal of Obstetrics and Gynecology, 182(5), 1080–1082.CrossRefPubMedGoogle Scholar
  15. Field, T., Diego, M., & Hernandez-Reif, M. (2006). Prenatal depression effects on the fetus and newborn: A review. Infant Behavior and Development, 29, 445–455.CrossRefPubMedGoogle Scholar
  16. Field, T., Diego, M., Hernandez-Reif, M., Vera, Y., Gil, K., Schanberg, S., et al. (2004). Prenatal maternal biochemistry predicts neonatal biochemistry. The International Journal of Neuroscience, 114(8), 933–945.CrossRefPubMedGoogle Scholar
  17. Field, T., Hernandez-Reif, M., & Larissa, F. (2002). Breastfeeding in depressed mother-infant dyads. Early Child Development and Care, 172(6), 539–545.CrossRefGoogle Scholar
  18. Flynn, H. A., Blow, F. C., & Marcus, S. M. (2006a). Rates and predictors of depression treatment among pregnant women in hospital-affiliated obstetrics practices. General Hospital Psychiatry, 28(4), 289–295.CrossRefGoogle Scholar
  19. Flynn, H. A., Davis, M., Marcus, S. M., Cunningham, R., & Blow, F. C. (2004). Rates of maternal depression in pediatric emergency department and relationship to child service utilization. General Hospital Psychiatry, 26(4), 316–322.CrossRefPubMedGoogle Scholar
  20. Flynn, H. A., O’Mahen, H. A., Massey, L., & Marcus, S. (2006b). The impact of a brief obstetrics clinic-based intervention on treatment use for perinatal depression. Journal of Women’s Health, 15(10), 1195–1204.CrossRefGoogle Scholar
  21. Forman, D. R., O’Hara, M. W., Stuart, S., Gorman, L. L., Larsen, K. E., & Coy, K. C. (2007, Spring). Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Development and Psychopathology, 19(2), 585–602.CrossRefPubMedGoogle Scholar
  22. Frank, E., Grochocinski, V. J., Spanier, C. A., Buysse, D. J., Cherry, C. R., Houck, P. R., et al. (2000). Interpersonal psychotherapy and antidepressant medication: Evaluation of a sequential treatment strategy in women with recurrent major depression. The Journal of Clinical Psychiatry, 61(1), 51–57.CrossRefPubMedGoogle Scholar
  23. Frank, E., Kupfer, D. J., Perel, J. M., Cornes, C., Jarrett, D. B., Mallinger, A. G., et al. (1990). Three-year outcomes for maintenance therapies in recurrent depression. Archives of General Psychiatry, 47(12), 1093–1099.PubMedGoogle Scholar
  24. Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G., et al. (2005). Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment (Summary), 119, 1–8.PubMedGoogle Scholar
  25. Givens, J. L., Houston, T. K., Van Voorhees, B. W., Ford, D. E., & Cooper, L. A. (2007, May–June). Ethnicity and preferences for depression treatment. General Hospital Psychiatry, 29(3), 182–191.CrossRefPubMedGoogle Scholar
  26. Haley, W. E., Turner, J. A., & Romano, J. M. (1985). Depression in chronic pain patients: Relation to pain, activity, and sex differences. Pain, 23(4), 337–343.CrossRefPubMedGoogle Scholar
  27. Hoffman, S., & Hatch, M. C. (2000). Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychology, 19(6), 535–543.CrossRefPubMedGoogle Scholar
  28. Hollon, S. D., Jarrett, R. B., Nierenberg, A. A., Thase, M. E., Trivedi, M., & Rush, A. J. (2005). Psychotherapy and medication in the treatment of adult and geriatric depression: Which monotherapy or combined treatment? The Journal of Clinical Psychiatry, 66(4), 455–468.CrossRefPubMedGoogle Scholar
  29. Hollon, S., Thase, M. E., & Markowtiz, J. C. (2002). Treatment and prevention of depression. Psychological Science in the Public Interest, 3(2), 39–77.CrossRefGoogle Scholar
  30. Janssen, P. A., Holt, V. L., Sugg, N. K., Emanuel, I., Critchlow, C. M., & Henderson, A. D. (2003). Intimate partner violence and adverse pregnancy outcomes: A population-based study. American Journal of Obstetrics and Gynecology, 188(5), 1341–1347.CrossRefPubMedGoogle Scholar
  31. Kahn, R. S., Wise, P. H., Finkelstein, J. A., Bernstein, H. H., Lowe, J. A., & Homer, C. J. (1999). The scope of unmet maternal health needs in pediatric settings. Pediatrics, 103(3), 576–581.CrossRefPubMedGoogle Scholar
  32. Kelly, R. H., Russo, J., Holt, V. L., Danielsen, B. H., Zatzick, D. F., Walker, E., et al. (2002). Psychiatric and substance use disorders as risk factors for low birth weight and preterm delivery. Obstetrics and Gynecology, 100(2), 297–304.CrossRefPubMedGoogle Scholar
  33. Kelly, R., Zatzick, D., & Anders, T. (2001). The detection and treatment of psychiatric disorders and substance use among pregnant women cared for in obstetrics. The American Journal of Psychiatry, 158(2), 213–219.Google Scholar
  34. Kendler, K. S., Kuhn, J.W., Vittum, J., Prescott, C. A., & Riley, B. (2005). The interaction of stressful life events and a serotonin transporter polymorphism in the prediction of episodes of major depression: A replication. Archives of General Psychiatry. 62(5), 529–535.CrossRefPubMedGoogle Scholar
  35. Kessler, R. C., Sonnega, A., Bromet, E., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey, Archives of General Psychiatry, 52(12), 1048–1060.PubMedGoogle Scholar
  36. Kessler, R. C., Stang, P. E., Wittchen, H. U., Ustun, T. B., Roy-Burne, P. P., & Walters, E. E. (1998). Lifetime manic-depression comorbidity in the National Comorbidity Survey. Archives of General Psychiatry, 55(9), 801–808.CrossRefPubMedGoogle Scholar
  37. Kornstein, S. G., Schatzberg, A. F., Thase, M. E., Yonkers, K. A., McCullough, J. P., Keitner, G. I., et al. (2000). Gender differences in chronic major and double depression. Journal of Affective Disorders, 60(1), 1–11.CrossRefPubMedGoogle Scholar
  38. Kroenke, K. (2001). Depression screening is not enough. Annals of Internal Medicine, 134(5), 418–420.PubMedGoogle Scholar
  39. LaRocco-Cockburn, A., Melville, J., Bell, M., & Katon, W. (2003). Depression screening attitudes and practices among obstetrician-gynecologists. Obstetrics and Gynecology, 101(5 Pt 1), 892–898.Google Scholar
  40. Le, H., Munoz, R. F., Ippen, C. G., & Stoddard, J. L. (2003). Treatment is not enough: We must prevent major depression in women. Prevention & Treatment, 6(10).Google Scholar
  41. Logsdon, M. C., Wisner, K., Hanusa, B. H., & Phillips, A. (2003). Role functioning and symptom remission in women with postpartum depression after antidepressant treatment. Archives of Psychiatric Nursing, 17(6), 276–283.CrossRefPubMedGoogle Scholar
  42. Lundy, B. L., Jones, N. A., Field, T., Nearing, G., Davalos, M., Pietro, P., et al. (1999). Prenatal depression effects on neonates. Infant Behavior & Development, 22, 119–129.CrossRefGoogle Scholar
  43. Marcus, S. M., Flynn, H. A., Blow, F. C., & Barry, K. L. (2003). Depressive symptoms among pregnant women screened in obstetrics settings. Journal of Women’s Health, 12(4), 373–380.CrossRefPubMedGoogle Scholar
  44. Marcus, S. M., Flynn, H. A., Blow, F., & Barry, K. (2005). A screening study of antidepressant treatment rates and mood symptoms in pregnancy. Archives of Women’s Mental Health, 8(1), 25.CrossRefPubMedGoogle Scholar
  45. Miller, L. J. (2002). Postpartum depression. Journal of the American Medical Association, 287(6), 762–765.CrossRefPubMedGoogle Scholar
  46. Moses-Kolko, E. L., & Roth, E. K. (2004). Antepartum and postpartum depression: Healthy mom, healthy baby. Journal of the American Medical Women’s Association, 59(3), 181–191.PubMedGoogle Scholar
  47. Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. Lancet, 370(9590), 851–858.CrossRefPubMedGoogle Scholar
  48. Murray, L., Woolgar, M., Murray, J., & Cooper, P. (2003). Self-exclusion from health care in women at high risk for postpartum depression. Journal of Public Health Medicine, 25(2), 131–137.CrossRefPubMedGoogle Scholar
  49. National Institute for Health and Clinical Excellence (NICE). (2004). Depression: Management of depression in primary and secondary care. Clinical guideline 23. London: NICE.Google Scholar
  50. Nishizawa, S., Benkelfat, C., Young, S. N., Leyton, M., Mzengeza, S., de Montigny, C., et al. (1997). Differences between males and females in rates of serotonin synthesis in human brain. Proceedings of the National Academy of Sciences of the United States of America, 94(10), 5308–5313.Google Scholar
  51. Nolen-Hoeksema, S. (1995). Epidemiology and theories of gender differences in depression. In M. V. Seeman (Ed.), Gender and pychopathology. Washington, DC: American Psychiatric Press.Google Scholar
  52. Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115(3), 424–443.CrossRefPubMedGoogle Scholar
  53. Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender differences in depressive symptoms. Journal of Personality and Social Psychology, 77(5), 1061–1072.CrossRefPubMedGoogle Scholar
  54. O’Hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression: A meta-analysis. International Review of Psychiatry, 8, 37–54.CrossRefGoogle Scholar
  55. Paykel, E. S., Scott, J., Cornwall, P. L., Abbott, R., Crane, C., Pope, M., et al. (2005). Duration of relapse prevention after cognitive therapy in residual depression: Follow-up of controlled trial. Psychological Medicine, 35(1), 59–68.CrossRefPubMedGoogle Scholar
  56. Righetti-Veltema, M., Conne-Perreard, E., Bousquet, A., & Manzano, J. (2002). Postpartum depression and mother-infant relationship at 3 months old. Journal of Affective Disorders, 70(3), 291–306.CrossRefPubMedGoogle Scholar
  57. Rost, K., Nutting, P., Smith, J., Werner, J., & Duan, N. (2001). Improving depression outcomes in community primary care practice: A randomized trial of the quEST intervention. Quality enhancement by strategic teaming. Journal of General Internal Medicine, 16(3), 143–149.CrossRefPubMedGoogle Scholar
  58. Rudolph, K. D., Hammen, C., Burge, D., Lindberg, N., Herzberg, D., & Daley, S. E. (2000). Toward an interpersonal life-stress model of depression: The developmental context of stress generation. Development and Psychopathology, 12, 215–234.CrossRefPubMedGoogle Scholar
  59. Scholle, S. H., Haskett, R. F., Hanusa, B. H., Pincus, H. A., & Kupfer, D. J. (2003). Addressing depression in obstetrics/gynecology practice. General Hospital Psychiatry, 25(2), 83–90.CrossRefPubMedGoogle Scholar
  60. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York, NY: Guilford Press.Google Scholar
  61. Silverstein, B. (1994). Gender difference in the prevalence of clinical depression: The role played by depression associated with somatic symptoms. American Journal of Psychiatry, 156, 480–482.Google Scholar
  62. Smith, M. V., Rosenheck, R. A., Cavaleri, M. A., Howell, H. B., Poschman, K., & Yonkers, K. A. (2004). Screening for and detection of depression, panic disorder, and PTSD in public-sector obstetric clinics. Psychiatric Services, 55(4), 407–414.CrossRefPubMedGoogle Scholar
  63. Spitzer, R. L., Williams, J. B., Kroenke, K., Hornyak, R., & McMurray, J. (2000). Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD patient health questionnaire obstetrics-gynecology study. American Journal of Obstetrics and Gynecology, 183(3), 759–769.CrossRefPubMedGoogle Scholar
  64. Steer, R. A., Scholl, T. O., Hediger, M. L., & Fischer, R. L. (1992). Self-reported depression and negative pregnancy outcomes. Journal of Clinical Epidemiology, 45(10), 1093–1099.CrossRefPubMedGoogle Scholar
  65. Teti, D. M., & Gelfand, D. M. (1991). Behavioral competence among mothers of infants in the first year: The mediational role of maternal self-efficacy. Child Development, 62(5), 918–929.CrossRefPubMedGoogle Scholar
  66. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. (2004). Child health USA 2004. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
  67. Van Schaik, D. J., Klijn, A. F., van Hout, H. P., van Marwijk, H. W., Beekman, A. T., de Haan, M., et al. (2004). Patients’ preferences in the treatment of depressive disorder in primary care. General Hospital Psychiatry, 26(3), 184–189.CrossRefPubMedGoogle Scholar
  68. Verduyn, C., Barrowclough, C., Roberts, J., Tarrier, T., & Harrington, R. (2003). Maternal depression and child behaviour problems. Randomised placebo-controlled trial of a cognitive-behavioural group intervention. The British Journal of Psychiatry, 183, 342–348.CrossRefPubMedGoogle Scholar
  69. Weissman, M. M., Bland, R. C., Canino, G. J., Faravelli, C., Greenwald, S., Hwu, H. G., et al. (1996). Cross-national epidemiology of major depression and bipolar disorder. Journal of the American Medical Association, 276(4), 293–299.CrossRefPubMedGoogle Scholar
  70. Weissman, M. M., Markowitz, J. C., & Klerman, G. I. (2000). Comprehensive guide to interpersonal psychotherapy. New York, NY: Basic Books.Google Scholar
  71. Weissman, M. M., Pilowsky, D. J., Wickramaratne, P. J., Talati, A., Wisniewski, S. R., Fava, M., et al. (2006). Remissions in maternal depression and child psychopathology: A STAR*D-child report. Journal of the American Medical Association, 295(12), 1389–1398.CrossRefPubMedGoogle Scholar
  72. Wells, K. B., Miranda, J., Bauer, M. S., Bruce, M. L., Durham, M., Escobar, J., et al. (2002a). Overcoming barriers to reducing the burden of affective disorders. Biological Psychiatry, 52(6), 655–675.CrossRefGoogle Scholar
  73. Wells, K. B., Sherbourne, C. D., Schoenbaum, M., Duan, N., Meredith, L., Unutzer, J., et al. (2000). Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial. Journal of the American Medical Association, 283(2), 212–220.CrossRefPubMedGoogle Scholar
  74. Wells, K. B., Sherbourne, C. D., Sturm, R., Young, A. S., & Burnam, M. A. (2002b). Alcohol, drug abuse, and mental health care for uninsured and insured adults. Health Services Research, 37(4), 1055–1066.CrossRefGoogle Scholar
  75. Williamson, V., & McCutcheon, H. (2004). Postnatal depression: A review of current literature. Australian Journal of Midwifery, 17(4), 11–16.CrossRefPubMedGoogle Scholar
  76. Wisner, K. L., Chambers, C., & Sit, D. K. (2006, December 6). Postpartum depression: A major public health problem. Journal of the American Medical Association, 296(21), 2616–2618.CrossRefPubMedGoogle Scholar
  77. Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001). The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry, 58(1), 55–61.CrossRefPubMedGoogle Scholar
  78. Zuckerman, B., Bauchner, H., Parker, S., & Cabral, H. (1990). Maternal depressive symptoms during pregnancy, and newborn irritability. Journal of Developmental and Behavioral Pediatrics, 11(4), 190–194.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Heather A. Flynn
    • 1
  1. 1.Department of PsychiatryUniversity of Michigan Medical SchoolAnn ArborUSA

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