scholarly journals Postpartum depression: we know the risks, can it be prevented?

2005 ◽  
Vol 27 (suppl 2) ◽  
pp. s56-s64 ◽  
Author(s):  
Dawn Zinga ◽  
Shauna Dae Phillips ◽  
Leslie Born

In the past 20 years, there has been increasing recognition that for some women, pregnancy may be burdened with mood problems, in particular depression, that may impact both mother and child. With identification of risk factors for postpartum depression and a growing knowledge about a biologic vulnerability for mood change following delivery, research has accumulated on attempts to prevent postpartum depression using various psychosocial, psychopharmacologic, and hormonal strategies. The majority of psychosocial and hormonal strategies have shown little effect on postpartum depression. Notwithstanding, results from preliminary trials of interpersonal therapy, cognitive-behavioural therapy, and antidepressants indicate that these strategies may be of benefit. Information on prevention of postpartum depression using dietary supplements is sparse and the available evidence is inconclusive. Although a few studies show promising results, more rigorous trials are required. The abounding negative evidence in the literature indicates that postpartum depression cannot be easily prevented, yet.

2019 ◽  
pp. 74-84
Author(s):  
Navneet Kapur ◽  
Robert Goldney

This chapter discusses psychological and non-pharmacological interventions for suicidal behaviour in more detail. All people who present with suicidal thoughts and behaviour warrant some treatment, but the nature and intensity of this will depend on individual needs. Psychological treatments may include cognitive behavioural therapy, interpersonal therapy, problem-solving therapy, and mindfulness-based cognitive behavioural therapy. Dialectical behaviour therapy is specifically designed for those with a diagnosis of borderline personality disorder. Broader non-pharmacological approaches such as crisis centres, volunteer organizations, brief-contact interventions, and safety plans may be promising but require further research. Common therapeutic elements include a non-judgemental approach, empathy, respect, warmth, and genuineness.


2012 ◽  
Vol 40 (4) ◽  
pp. 412-424 ◽  
Author(s):  
Peter Totterdell ◽  
Stephen Kellett ◽  
Warren Mansell

Background: Regulatory control of cognition is implicated in the amplification of mood variability in cyclothymia. Aims: This study examined whether cognitive behavioural therapy (CBT) directed at enhanced awareness and mood change could change global functioning, mood variability and regulatory control. Method: Using a prospective single case experimental design, mood and cognitive control ratings were recorded every 4 hours for 51 weeks by a patient diagnosed with cyclothymia, including a 5-week baseline, a 35-week (19 session) CBT intervention period and an 11-week follow-up period. Results: Findings indicated that the patient experienced reduced mood variability and greater regulatory control, became happier and less anxious but felt less energetic. Following CBT, high energy became negatively associated with positive mood, and this change was mediated by an increase in control over thoughts. Conclusions: The results suggest that CBT directed at cognitive control and mindfulness skills may help in the treatment of cyclothymia.


2019 ◽  
Vol 41 (5) ◽  
pp. 591-592
Author(s):  
Ryan J. Van Lieshout ◽  
Haley Layton ◽  
Meena Rangan ◽  
Mark A. Ferro ◽  
June S.L. Brown ◽  
...  

1999 ◽  
Vol 5 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Elspeth Guthrie

The dramatic development of cognitive–behavioural therapy (CBT) over the past 30 years, with associated high-quality research into the evaluation of its treatment effects, is to be welcomed and applauded. This form of therapy is now a recognised psychological treatment of choice for a wide variety of psychological disorders. The role of cognitive processes in the development and prolongation of psychological symptoms has been studied, and resulted in the development of coherent and effective treatment models.


2003 ◽  
Vol 183 (4) ◽  
pp. 285-286 ◽  
Author(s):  
Hugh Jones ◽  
Philippe Delespaul ◽  
Jim van Os

Jaspers' textbook General Psychopathology has in the past been described as the ‘most important single book on the aims and logic of psychological medicine’ (Shepherd, 1990). In recent years it seems to have rather fallen off the psychiatric syllabus. Its diminished importance is exemplified by changing opinions about delusions. Nowadays, delusions are considered by many to lie on a continuum with normal beliefs, and this model underpins modern cognitive therapy for psychosis (Kingdon & Turkington, 1994). Jaspers, in contrast, considered that delusions were distinct from normal beliefs. This required him to formulate a distinct mechanism of delusions that resembles, to large extent, the concepts of ‘modularity’ proposed by Fodor (Fodor, 1983) (who has not yet entered the psychiatric syllabus!). The continuum model suggests that delusions ought to be treatable. However, trials of cognitive-behavioural therapy for psychosis suggest significant benefit in only about half of patients treated (see Turkington & McKenna, 2003). What prevents therapeutic change along the dimensions of belief in non-responsive patients? One possibility is that Jaspers was right after all. In this month's debate the modular view of delusions is taken by Dr Hugh Jones and the case for a continuum model is argued by Professors Philippe Delespaul and Jim van Os.


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