Friday, June 17, 2011

Pregnancy-Related Depression Linked To Eating Disorders And Abuse Histories

Pregnancy-Related Depression Linked To Eating Disorders And Abuse Histories

One in 10 women actual presentation depression during pregnancy or shortly in the pattern of giving birth. Although the problem has accepted increased attention in recent years, small is known about the causes or premature-warning signs of pregnancy-related lowness of spirits. In a study published in the June 2011 impression of Journal of Women's Health, researchers at the University of North Carolina at Chapel Hill School of Medicine furnish new clues to help doctors become identical at-risk patients and refer them to management early on.

The researchers surveyed 158 gravid and postpartum women undergoing treatment by reason of depression at UNC's Perinatal Psychiatry Clinic. One-third part of the patients reported a narrative of eating disorders; in addition, divers had a history of physical or sexual reproach. The findings suggest these psychiatric factors may enlarge a woman's likelihood of developing hollow during pregnancy or postpartum.

Mental freedom from disease screening tools that include questions respecting eating disorders, abuse and other factors should subsist incorporated into routine prenatal care, reported Samantha Meltzer-Brody, MD, the direct author of the study and boss of UNC's Perinatal Psychiatry Program. "Screening ~ means of obstetrical providers is really important for they can refer patients for appropriate handling," she said. "And that can intercept long-lasting problems for mom and baby."

Undiagnosed and treated postpartum depression "causes nefarious distress to the family, and it be possible to have long-lasting consequences for the child," said Meltzer-Brody. Children of depressed mothers are in greater numbers likely to develop mental health problems, and children of mothers through an active eating disorder may too be more likely to develop some eating disorder themselves. Making sure mothers struggling by mental health issues receive adequate valuation and treatment is critical to breaking that cycle, said Meltzer-Brody.

"The word we need to get out is that these things are incredibly common and routine screenings need to occur," afore~ Meltzer-Brody. "The prevalence of hurt and eating disorder histories may have ~ing much higher than people appreciate."

Up to 25 percent of women experience physical or sexual abuse during their lifetime, a scold the UNC associate professor of psychiatry called "staggering." An estimated 6-8 percent of women are at more point affected by an eating put out of place, with binge eating and bulimia nervosa conscious the most common, followed by anorexia and other disorders.

"Pregnancy and the postpartum cycle is a very vulnerable time because of women," said Meltzer-Brody. Rapid changes in carcass shape, weight and hormone levels, combined with major lifestyle changes during the shifting to motherhood, can take a draw on women-especially those with a annals of previous psychiatric issues.

Despite these challenges, Meltzer-Brody said pregnancy represents an ideal time concerning doctors to intervene and help women memorize mental health treatment if they want it. "[Pregnancy] is a time when people are really motivated to reach changes and get treatment, because that be able to have serious consequences for how you make and for how your children carry on," she said, adding that by conducting ideal health screens during prenatal care, doctors can help curb pregnancy-related depression.

The study's co-authors included Stephanie Zerwas, PhD, Jane Leserman, PhD, Ann Von Holle, Taylor Regis, and Cynthia Bulik, PhD, every one of from the Department of Psychiatry at the UNC School of Medicine, UNC Center against Women's Mood Disorders and UNC Eating Disorders Program.

Support because of the research came from the NIH Building Interdisciplinary Careers in Women's Health (BIRCWH) Award to Dr. Meltzer-Brody.

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