scholarly journals Various mentalizing concepts in mothers with postpartum depression, comorbid anxiety, and personality disorders

2021 ◽  
Author(s):  
Krink Stephanie ◽  
Ramsauer Brigitte
Keyword(s):  
Postpartum Depression ◽  
Personality Disorders ◽  
Comorbid Anxiety

Postpartum depression and infant-mother attachment security at one year: The impact of co-morbid maternal personality disorders

2016 ◽  
Vol 44 ◽  
pp. 148-158 ◽  
Author(s):  
Johanne Smith-Nielsen ◽  
Anne Tharner ◽  
Howard Steele ◽  
Katharina Cordes ◽  
Heike Mehlhase ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Personality Disorders ◽  
Attachment Security ◽  
Maternal Personality ◽  
Mother Attachment ◽  
One Year ◽  
The Impact

Telephone-based nurse-delivered interpersonal psychotherapy for postpartum depression: nationwide randomised controlled trial

2020 ◽  
Vol 216 (4) ◽  
pp. 189-196 ◽  
Author(s):  
Cindy-Lee Dennis ◽  
Sophie Grigoriadis ◽  
John Zupancic ◽  
Alex Kiss ◽  
Paula Ravitz
Keyword(s):  
Public Health ◽  
Postpartum Depression ◽  
Relationship Quality ◽  
Interpersonal Psychotherapy ◽  
Control Group ◽  
Depression And Anxiety ◽  
Treatment Access ◽  
Partner Relationship ◽  
Comorbid Anxiety ◽  
Clinically Depressed

BackgroundPostpartum depression and anxiety are under-addressed public health problems with numerous treatment access barriers, including insufficiently available mental health specialist providers.AimsTo examine the effectiveness of nurse-delivered telephone interpersonal psychotherapy (IPT) for postpartum depression. Trial registration ISRCTN88987377.MethodPostpartum women (n = 241) with major depression (on the Structured Clinical Interview for DSM-IV (SCID-I)) from 36 Canadian public health regions in rural and urban settings were randomly assigned to 12 weekly 60 min nurse-delivered telephone-IPT sessions or standard locally available care. The primary outcome was the proportion of women clinically depressed at 12 weeks post-randomisation, with masked intention-to-treat analysis. Secondary outcomes examined included comorbid anxiety, self-reported attachment and partner relationship quality.ResultsAt 12 weeks, 10.6% of women in the IPT group (11/104) and 35% in the control group (35/100) remained depressed (OR = 0.22, 95% CI 0.10–0.46), with the IPT group 4.5 times less likely to be clinically depressed (SCID); 21.2% in the IPT group and 51% in the control group had an Edinburgh Postnatal Depression Scale (EPDS) score >12 (OR = 0.26, 95% CI 0.14–0.48), and attachment avoidance decreased more in the IPT group than in the control group (P = 0.02). Significant differences favoured the IPT group for comorbid anxiety and partner relationship quality at all time points, with no differences in health service or antidepressant use. None of the IPT responders relapsed by 36 weeks. Between-group SCID differences were sustained at 24 weeks, but not at 36 weeks.ConclusionsNurse-delivered telephone IPT is an effective treatment for diverse urban and rural women with postpartum depression and anxiety that can improve treatment access disparities.

Relationships between major depressive disorder and comorbid anxiety and personality disorders

2005 ◽  
Vol 46 (4) ◽  
pp. 266-271 ◽  
Author(s):  
Amy Farabaugh ◽  
Maurizio Fava ◽  
David Mischoulon ◽  
Katie Sklarsky ◽  
Timothy Petersen ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Personality Disorders ◽  
Major Depressive ◽  
Comorbid Anxiety

Outcome Prediction of Cognitive Behaviour Therapy for Panic Disorder: Initial Symptom Severity is Predictive for Treatment Outcome, Comorbid Anxiety or Depressive Disorder, Cluster C Personality Disorders and Initial Motivation Are Not

2007 ◽  
Vol 36 (1) ◽  
pp. 99-112 ◽  
Author(s):  
Mirjam Kampman ◽  
Ger P. J. Keijsers ◽  
Cees A. L. Hoogduin ◽  
Gert-Jan Hendriks
Keyword(s):  
Treatment Outcome ◽  
Panic Disorder ◽  
Personality Disorders ◽  
Symptom Severity ◽  
Depressive Disorders ◽  
Outcome Prediction ◽  
Initial Symptom ◽  
Behavioural Treatment ◽  
Comorbid Anxiety ◽  
Cognitive Behaviour

AbstractFive variables were investigated with regard to their possible predictive value for cognitive behavioural treatment (CBT) outcome in a large sample of panic disorder (PD) patients. The variables were initial symptom severity, comorbid anxiety or depressive disorders, comorbid cluster C personality disorders, and initial motivation for treatment. A total number of 161 PD patients received a standardized CBT of 15 sessions. Assessments of predictive variables took place prior to treatment. Outcome measures were assessed at pre- and posttreatment. The patients had significantly improved after the treatment. None of the variables, separately or together, affected CBT outcome, save initial severity of panic disorder symptoms, which was positively associated with posttreatment symptom severity. Since research efforts failed to produce consistent predictors for CBT treatment outcome in panic disorder thus far, the usefulness of future outcome prediction research in panic disorder by pre-treatment demographic, disorder-related, psychological, or socio-psychological variables is put into question.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

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