Publicación: Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD
Cargando...
Fecha
2024-02-01
Autores
Nakić Radoš, Sandra
Kömürcü Akik, Burcu
Žutić, Maja
Uriko, Kristiina
Motrico, Emma
Moreno Peral, Patricia
Apter, Gisèle
Lambregtse van den Berg, Mijke
Editor/a
Director/a
Tutor/a
Coordinador/a
Prologuista
Revisor/a
Ilustrador/a
Derechos de acceso
info:eu-repo/semantics/openAccess
Título de la revista
ISSN de la revista
Título del volumen
Editor
Elsevier
Resumen
Background
Peripartum depression (PPD) is a major depression disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be a distinct diagnosis. The goal of this study was to summarize the similarities and differences between PPD and MDD by synthesizing the current research on PPD diagnosis concerning different clinical features and give directions for improving diagnosis of PPD in clinical practice.
Methods
To lay the groundwork for this narrative review, several databases were searched using general search phrases on PPD and its components of clinical diagnosis.
Results
When compared to MDD, peripartum depression exhibits several distinct characteristics. PPD manifests with a variety of symptoms, i.e., more anxiety, psychomotor symptoms, obsessive thoughts, impaired concentration, fatigue and loss of energy, but less sad mood and suicidal ideation, compared to MDD. Although PPD and MDD prevalence rates are comparable, there are greater cross-cultural variances for PPD. Additionally, PPD has some distinct risk factors and mechanisms such as distinct ovarian tissue expression, premenstrual syndrome, unintended pregnancy, and obstetric complications.
Conclusion
There is a need for more in-depth research comparing MDD with depression during pregnancy and the entire postpartum year. The diagnostic criteria should be modified, particularly with (i) addition of specific symptoms (i.e., anxiety), (ii) onset specifier extending to the first year following childbirth, (iii) and change the peripartum onset specifier to either “pregnancy onset” or “postpartum onset”. Diagnostic criteria for PPD are further discussed.
Descripción
The registered version of this article, first published in Comprehensive psychiatry, is available online at the publisher's website: Elsevier, https://doi.org/10.1016/j.comppsych.2024.152456
La versión registrada de este artículo, publicado por primera vez en Comprehensive psychiatry, está disponible en línea en el sitio web del editor: Elsevier, https://doi.org/10.1016/j.comppsych.2024.152456
La versión registrada de este artículo, publicado por primera vez en Comprehensive psychiatry, está disponible en línea en el sitio web del editor: Elsevier, https://doi.org/10.1016/j.comppsych.2024.152456
Categorías UNESCO
Palabras clave
peripartum depression, postpartum depression, pregnancy, clinical diagnosis, criteria
Citación
Radoš, S. N., Akik, B. K., Žutić, M., Rodriguez-Muñoz, M. F., Uriko, K., Motrico, E., Moreno-Peral, P., Apter, G., & den Berg, M. L. (2024). Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD. Comprehensive psychiatry, 130, 152456. https://doi.org/10.1016/j.comppsych.2024.152456
Centro
Facultades y escuelas::Facultad de Psicología
Departamento
Psicología de la Personalidad, Evaluación y Tratamiento Psicológico