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HomeWomen HealthWeekly Roundup for January 5, 2024: Recent Publications in Women’s Mental Health

Weekly Roundup for January 5, 2024: Recent Publications in Women’s Mental Health

PMS AND PMDD

GABAergic neuroactive steroid response to sertraline in premenstrual dysphoric disorder – PubMed



Participants included 38 controls and 32 women with PMDD. There have been no significant differences in neuroactive steroid levels between controls and participants with PMDD within the luteal phase (p > 0.05). Throughout the PMDD group, sertraline treatment significantly increased serum pregnanolone levels and the pregnanolone to progesterone ratio, and decreased 3?,5?-androsterone.

The multifactorial aetiology and management of premenstrual dysphoric disorder with leuprorelin acetate – PubMed

Management options include psychotropic agents, ovulation suppression and dietary modification. Selective serotonin reuptake inhibitors (SSRIs) are considered primary therapy for psychological symptoms. Ovulation suppression is an alternative choice with the combined oral contraceptive pill (COCP) or GnRH (gonadotropin-releasing hormone) agonists.

Suicide and the Menstrual Cycle

Editorial from David Rubinow.

MEDICATIONS AND PREGNANCY

Comparative Risk of Major Congenital Malformations With Antiseizure Medication Combos vs Valproate Monotherapy in Pregnancy – PubMed

Infants exposed to lamotrigine-levetiracetam duotherapy through the first trimester had a 60% lower risk of major congenital malformation (MCM) than infants exposed to valproate monotherapy; nonetheless, lamotrigine-topiramate carried a risk of MCM much like valproate monotherapy.

Prescription Medication Use During Pregnancy in america 2011-2020: Trends and Safety Evidence

Amongst over 3 million pregnancies, the medications mostly disbursed at any time while pregnant were analgesics, antibiotics, and antiemetics. The usage of antidiabetic and psychotropic medications has continued to extend within the U.S. through the last decade.

POSTPARTUM PSYCHIATRIC DISORDERS

The lived experiences of people with postpartum psychosis: A qualitative evaluation – PubMed

Initiated in 2018, the Massachusetts General Hospital Postpartum Psychosis Project (MGHP3) consists of a big, international sample of those that have experienced PP. This evaluation included 130 participants who reported on 133 episodes of PP.

Sleep and Postpartum Psychosis: A Narrative Review of the Existing Literature – PubMed

A few of the existing literature suggests an association between sleep problems, specifically insomnia, sleep loss and sleep disruption while pregnant and postpartum. Nevertheless, it remains to be unclear whether the previously mentioned sleep problems are a symptom of, or a trigger for PP.

A virtual mother-infant postpartum psychotherapy group for moms with a history of adversarial childhood experiences: open-label feasibility study

The intervention was a live video-based 12-week interactive psychotherapy group focused on maternal symptoms and maternal-infant relationships. There have been significant pre- to post-group reductions in maternal depressive and post-traumatic symptoms, supporting proceeding to larger-scale implementation and evaluation of the intervention.

Perinatal depression: The usage of the Edinburgh Postnatal Depression Scale to derive clinical subtypes

This study doesn’t support the usage of the Edinburgh Postnatal Depression Scale to tell apart perinatal depressive subtypes for the needs of predicting course and complications related to perinatal depression.

The efficacy of zuranolone in postpartum depression and major depressive disorder: a review & number needed to treat (NNT) evaluation

This text reviews zuranolone (SAGE217), specializing in available clinical studies in individuals with major depressive disorder, along with PPD.

Association of Postpartum Mental Illness Diagnoses with Severe Maternal Morbidity

On this cohort, 3.1% experienced severe maternal morbidity (SMM) while pregnant and/or delivery hospitalization, and 20.1% had a mental illness diagnosis inside 1 12 months postpartum. In adjusted analyses, individuals with SMM had a ten.6% increased risk of getting any mental illness diagnosis in comparison with individuals without SMM, primarily as a consequence of an increased risk of a depression or post-traumatic stress disorder.

Effect of esketamine on postpartum depression after labor analgesia and potential mechanisms: a randomized, double-blinded controlled trial

In women receiving epidural anesthesia on the time of labor and delivery, esketamine combined with ropivacaine hydrochloride, in comparison with ropivacaine alone, was related to a lower incidence of postpartum depressive symptoms at weeks 1 and 6, after delivering without increasing related unintended effects.

IMPACT OF MATERNAL DEPRESSION ON CHILD OUTCOMES

The trajectory of maternal perinatal depressive symptoms predicts executive function in early childhood

Increasing maternal depressive symptoms over the perinatal period is related to poorer executive functioning outcomes in children at age 4 – independent of prenatal smoking, drinking, or antidepressant use. Chronicity and severity of postpartum depressive symptoms may play crucial roles in determining childhood executive functioning.

OTHER ARTICLES OF INTEREST

The Relationship Between Early Term Birth and the Risk of Later Childhood Mental Disorders Inside a Pregnancy Cohort

Earlier birth predicted an increased risk for anxiety disorders. The chance for ADHD increased with lower gestational age independent of birthweight. In contrast, gestational age was not related to Oppositional Defiant Disorder, Conduct Disorder, internalizing or externalizing symptoms.

Exposure to prenatal infection and the event of internalizing and externalizing problems in children: a longitudinal population-based study

Prenatal exposure to infections was related to higher child total, internalizing, and externalizing problems, showing temporally persistent effects, even after adjusting for essential genetic and environmental confounders.

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