Women Whose Mental Illnesses Recur after Childbirth and Partners' Levels of Expressed Emotion During Late Pregnancy

1992 ◽  
Vol 161 (2) ◽  
pp. 211-216 ◽  
Author(s):  
M. N. Marks ◽  
A. Wieck ◽  
A. Seymour ◽  
S. A. Checkley ◽  
R. Kumar
Keyword(s):  
Psychiatric Disorder ◽  
Pregnant Women ◽  
Social Adjustment ◽  
Expressed Emotion ◽  
Severe Depression ◽  
Late Pregnancy ◽  
Mental Illnesses ◽  
Control Subjects ◽  
History Of

Expressed emotion (EE) in the partners of 25 pregnant women with a history of psychosis or severe depression and in 13 pregnant control subjects without any previous psychiatric disorder was assessed in the ninth month of pregnancy. At this time, no patient presented as a case according to RDC. Eleven subjects with a history of psychiatric disorder experienced a further episode of illness in the six months following delivery. Partners of women who became ill had made fewer critical and positive comments about their wives during the pregnancy than the partners of women who remained well. Poor self-rated social adjustment in the partners was also predictive of recurrence of illness after delivery.

Women with Serious Mental Illness

2020 ◽  
Author(s):  
Lauren Mizock ◽  
Erika Carr
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Severe Depression ◽  
Mental Illnesses ◽  
Post Traumatic Stress ◽  
Class Culture ◽  
History Of ◽  
Serious Mental Illnesses ◽  
Work Class

Women with Serious Mental Illness: Gender-Sensitive and Recovery-Oriented Care calls attention to a topic and a population that have been overlooked in research and psychotherapy—women with serious mental illnesses (schizophrenia, severe depression, bipolar disorder, and complex post-traumatic stress disorder). The book focuses on the history of mistreatment, marginalization, and oppression women with serious mental illness have encountered, not only from the general public but within the mental health system as well. This book provides an overview of recovery-oriented care for women with serious mental illness—a process of seeking hope, empowerment, and self-determination beyond the effects of mental illness. The authors provide a historical overview of the treatment of women with mental illness, their resilience and recovery experiences, and issues pertaining to relationships, work, class, culture, trauma, and sexuality. This book also offers the new model, the Women’s Empowerment and Recovery-Oriented Care intervention, for working with this population from a gender-sensitive framework. The book is a useful tool for mental health educators and providers and provides case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.

Social Network Characteristics of Hospitalized Depressed Patients

1982 ◽  
Vol 50 (2) ◽  
pp. 423-433 ◽  
Author(s):  
John Brim ◽  
Connie Witcoff ◽  
Richard D. Wetzel
Keyword(s):  
Social Network ◽  
Psychiatric Disorder ◽  
Affective Disorder ◽  
Shared Values ◽  
Control Group ◽  
Behavioral Models ◽  
Network Characteristics ◽  
Control Subjects ◽  
Depressed Patients ◽  
History Of

22 patients with primary or secondary affective disorder and 22 hospitalized control patients with no history of psychiatric disorder completed questionnaires about their relationships with other people. Similar questionnaires were completed by one friend or relative of 20 patients and 20 control subjects about the subjects' social network. Depressed patients reported that significantly fewer people were available who would offer them help or who had similar interests. They reported less contact with members of their social network. The friends or relatives of depressed patients reported the patients had fewer friends who shared values or were concerned than did those of the control group. The data were interpreted as consistent with both the helplessness and behavioral models of depression.

scholarly journals SUICIDE AND DEPRESSION

2018 ◽  
Vol 25 (11) ◽  
pp. 1730-1734
Author(s):  
Jeando Khan Daidano ◽  
Nazia Azam Yusfani ◽  
Bilqees Daidano
Keyword(s):  
Risk Factor ◽  
Psychiatric Disorder ◽  
Attempted Suicide ◽  
Severe Depression ◽  
Exclusion Criteria ◽  
Detailed History ◽  
Moderate Depression ◽  
History Of ◽  
Depression Level ◽  
Age Range

Objectives: In this study we will assess the risk factor of suicide in thosepatients who have attempted suicide with OPP. Design: Descriptive and Retrospective. Setting:Department of Medicine PUMHS Nawabshah. Period: June 2016 to November 2017. Methods:Study was done using questionnaire on Performa. Patients admitted with history of suicidal OPPpoisoning. Exclusion criteria were poisoning by other methods, not interested to participate forthe study. Psychiatric assessment was made by using BDI Scale criteria. Statical analysis wasanalysed by software SPSS 15 version. Results: 116 patients were enrolled for this study. Malewere 43 and females were73. Age range 14 years to 45 years mean age=22-+4. Educationlevel. Depression Level: 94 patients were in severe depression, 7 patients were in extremedepression and 15 patients were in moderate depression. Conclusion: Patient of Suicide withopp should be screened for psychiatric disorder. Majority of the patients and their relatives aftertreatment think that now patient is normal. Education about risk of suicide shoud be explainedto patient and relatives. Psychiatric detailed history and treatment is compulsory to preventreattempt.

Maternity Blues

1989 ◽  
Vol 155 (3) ◽  
pp. 367-373 ◽  
Author(s):  
Helen Kennerley ◽  
Dennis Gath ◽  
Susan Iles
Keyword(s):  
Psychiatric Disorder ◽  
Social Adjustment ◽  
Depressed Mood ◽  
Previous History ◽  
History Of ◽  
Case Status ◽  
Obstetric Factors ◽  
In Pregnancy

One hundred and six women were assessed psychiatrically in the 14–16th and 36–38th weeks of pregnancy and the 12th week after childbirth. They also completed a maternity blues questionnaire daily in the ten days after delivery. Blues scores were significantly associated with: neuroticism; anxiety and depressed mood during pregnancy; fear of labour; poor social adjustment; and retrospective severity of pre-menstrual tension. Blues scores were not associated with obstetric factors, with previous history of psychiatric disorder, or with case status on the PSE in pregnancy or 12 weeks after delivery.

scholarly journals Depression In Pregnancy: Prevalence And Clinical Correlates

2019 ◽  
Vol 8 (2) ◽  
pp. 30-35
Author(s):  
R. Sharma ◽  
P. Thapa ◽  
P.K. Chakrabortty ◽  
J.B. Khattri ◽  
K. Ramesh
Keyword(s):  
Domestic Violence ◽  
Pregnant Women ◽  
Stressful Life Events ◽  
Antenatal Clinic ◽  
Mental Illnesses ◽  
Prior History ◽  
Cross Sectional ◽  
History Of ◽  
Depression In Pregnancy ◽  
In Pregnancy

Introduction: Pregnancy increases the risk of various psychiatric illness including depression. Such illness can result in prematurity, low birth weight and mother-child bonding. Depression is more common in women who have had negative experiences in previous pregnancies, have prior history of psychiatric disorder or are experiencing stressful life events. Unfortunately, psychiatric disorders among pregnant women are still undiagnosed and untreated, especially in developing country like Nepal. The aim of this study was to find out the prevalence and correlates of depression in pregnancy. Material and Method: A cross-sectional, hospital based, descriptive study was conducted among 135 pregnant women attending Manipal Teaching Hospital’s antenatal clinic. Sociodemographic data and relevant clinical variables were collected using a predesigned proforma after obtaining informed written consent. The subjects were interviewed with Beck’s Depression Inventory (BDI). For the assessment of correlates, regression analysis was carried out. All statistical analyses were done using SPSS v 20.0. P values < 0.05 were considered significant. Results: The prevalence of depression was 13.3 % according to BDI with additional 19% fulfilling criteria of mild mood disturbance. Factors such as history of sub fertility, pregnancy-induced illness and presence of domestic violence were found to be statistically significant predictors of depression during pregnancy. Conclusion: Depression can occur frequently among pregnant women. Certain factors can be identified, which further increase the risk of such mental illnesses. Thus, pregnant women who are at high risk such as with pregnancy induced illness, have history of sub fertility, exposed to domestic violence etc., must be identified and diagnosed so that they can be treated timely.

scholarly journals Maternal and neonatal outcomes of repeated antepartum bleeding in 493 placenta previa cases: a retrospective study

2020 ◽  
Author(s):  
Jiang ziyan ◽  
shiyun huang ◽  
qing zuo ◽  
zhiping ge ◽  
hongmei lu ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Elective Surgery ◽  
Placenta Previa ◽  
Late Pregnancy ◽  
Neonatal Outcomes ◽  
Maternal Characteristics ◽  
Increased Risk ◽  
History Of ◽  
Nicu Admission

Abstract Background Placenta previa (PP) is a serious complication of late pregnancy. Exploring the effect of antepartum bleeding caused by PP on pregnancy outcomes is very important.Methods We retrospectively analyzed 493 women complicated with PP. Patients were divided into antepartum repeated bleeding and non-bleeding groups. Maternal characteristics and pregnancy outcomes were compared.Results The risk of antepartum hemorrhage was 2.038 times higher when gravidity was 5 (95% CI 1.104 ~ 3.760, P = 0.023). Pregnant women with a history of more than three intrauterine procedures had a 1.968 times higher risk of antepartum hemorrhage (95% CI 1.135 ~ 3,412, P = 0.016) compared to pregnant women without any intrauterine procedures. The risk of antepartum bleeding was found to be decreasing with the pregnancy advancing; When the placenta edge was noted to be over cervival os, the risk of antepartum bleeding was 4.385-fold than the low-lying plcaenta cases (95%CI2.454ཞ8.372,P = 0.000). In the respect of maternal outcomes, the repeated bleeding group, the risk of emergency surgery was 7.213 times higher than elective surgery (95% CI 4.402ཞ11.817, P = 0.000). As for the neonatal outcomes, the risk of asphyxia was 2.970 times and the risk of NICU admission was 2.542-fold higher in repeated bleeding group compared to non-bleeding group, respectively.Conclusions Obstetricians should be aware of the increased risk of antepartum bleeding especially for ≤ 34 weeks and placenta edge over cervical os PP patients, they have a higher risk of antepartum bleeding. These women have higher possibility of emergency c-section and need preterm newborn resuscitation.

759 Sleep and Mental Health in New Mothers with a History of Depression: Preliminary Data from Late Pregnancy to 1-month Postpartum

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A296-A296
Author(s):  
Michele Okun ◽  
Leilani Feliciano ◽  
Harvey Karp ◽  
Keston Lindsay
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Pregnant Women ◽  
Preliminary Data ◽  
Significant Risk ◽  
Late Pregnancy ◽  
Generalized Anxiety ◽  
New Mothers ◽  
History Of ◽  
History Of Depression

Abstract Introduction Perinatal women report more sleep disruptions than non-pregnant women. This phenomenon is exaggerated among women with a history of depression, as sleep complaints are one of the most frequent symptoms of depression. Understanding the change in sleep and mental health from late pregnancy to postpartum may provide insights into prevention and intervention. Presented here are preliminary data from new mothers regarding sleep and mental health. Methods Preliminary examination of sleep and psychological data from 22 women enrolled in a study to assess the efficacy of the SNOO on infant and maternal sleep during the first 6 months of life. Participants were eligible if they had a history of, but no active depression as assessed by the Edinburgh Postnatal Depression Scale (EPDS). Data are from late pregnancy and at 1-month postpartum. Questionnaires included the Pittsburgh Sleep Quality Index (PSQI), Insomnia Symptom Questionnaire (ISQ), Epworth Sleepiness Scale (ESS), Flinders Fatigue Scale (FFS), and the Generalized Anxiety Disorder scale (GAD). Paired t-tests or chi-square tests were used to assess change over the first month postpartum. Linear regressions were done to determine whether sleep in late pregnancy was associated with depression and anxiety scores. Results Participants were 30 ± 2.2 years of age and 72.7% were White. In the first month postpartum, sleep was negatively impacted. Clinical insomnia increased (4 (18.2%) vs 5 (22.7%); X2 = 7.61, p = .006), sleep quality (PSQI) worsened (6.13 ± 3.54 vs 8.89 ± 3.54; t = -3.03, p =n .006), daytime sleepiness was higher (4.77 ± 2.51 vs 6.64 ±3.44; t = -3.31, p = .003), and fatigue was greater (9.55 ± 4.73 vs 13.36 ± 5.86; t = -3.21, p = .004). Likewise, depression and generalized anxiety increased (p’s &lt; .01). Insomnia in late pregnancy was associated with more depression (β = .542, p = .009) and more anxiety (β = .510, p = .015). Conclusion Pregnant women with a history of depression are at risk for more sleep disturbances, and therefore more likely to be at significant risk for a recurrent depressive episode. Improving sleep in the perinatal period could have a positive impact. Support (if any) Happiest Baby Inc.

Life Stress and Post-Partum Psychosis: a Preliminary Report

1991 ◽  
Vol 158 (S10) ◽  
pp. 45-49 ◽  
Author(s):  
M. N. Marks ◽  
A. Wieck ◽  
S. A. Checkley ◽  
R. Kumar
Keyword(s):  
Psychiatric Disorder ◽  
Life Stress ◽  
Preliminary Report ◽  
Post Partum ◽  
Previous History ◽  
Severe Depression ◽  
Psychosocial Stressors ◽  
Illness Onset ◽  
History Of ◽  
A Prospective Study

This is a preliminary report from a prospective study of the influence of psychosocial stressors on post-natal relapse in women at high risk of psychiatric disorder after childbirth. Forty-three index subjects with a previous history of psychosis or severe depression were compared with 45 pregnant control subjects without any previous psychiatric disorder. After delivery 51% of index subjects relapsed (RDC diagnoses): 28% were categorised as psychotic and 23% non-psychotic. All psychotic relapses were in women with a previous history of bipolar or schizoaffective disorder (46% of this subgroup). Only the non-psychotic post-partum relapses (mostly depressions) were associated with an increased likelihood of a severe life event in the 12 months preceding illness onset.

Anxiety, depression and social support in Chinese pregnant women with a history of recurrent miscarriage: a prospective study

2020 ◽  
Author(s):  
Jia Qu ◽  
Xueling Weng ◽  
Ling-ling Gao
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Recurrent Miscarriage ◽  
Late Pregnancy ◽  
Anxiety And Depression ◽  
Convenience Sample ◽  
History Of ◽  
Anxiety Depression ◽  
Prospective Longitudinal

Abstract Background: Women with a history of recurrent miscarriage(RM) are a more vulnerable population, caring for the pregnant women with a history of RM is quite needed. Although evidence suggests an association among anxiety, depression and social support. Yet, it is unclear about changes in and relationships between anxiety, depression and social support among the pregnant women with a history of RM throughout the pregnancy period. The aim of this study was to examine the changes in and relationships among anxiety, depression and social support across three trimesters of pregnancy in Chinese women with a history of RM. Methods: A prospective, longitudinal study was employed. The study was carried out between September 2016 and October 2017 in a teaching hospital in Guangzhou, China. A convenience sample of 166 pregnant women with a history of RM completed the measures at their 6-12, 20-24 and 32-36 gestational weeks. data were collected by a master student with Zung Self-Rating Anxiety Scale, the Edinburgh Postnatal Depression Scale, and the Perceived Social Support Scale. Results: Anxiety decreased from the early pregnancy to late pregnancy while depression first declined from early pregnancy to mid-pregnancy then remained to late pregnancy. Social support increased from early pregnancy to mid-pregnancy and then remained to late pregnancy. There were correlations in anxiety, depression and social support across the three trimesters of pregnancy. Conclusions: Anxiety and depression are highly prevalent in pregnant women with a history of RM, especially in early pregnancy, which merits clinical attention. Social support was an important buffer against anxiety and depression across the pregnancy. Interventions targeting women with RM may improve the health outcomes of women and their children.

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