Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD.

Autor: Radoš SN; Department of Psychology, Catholic University of Croatia, Zagreb, Croatia., Akik BK; Department of Psychology, Ankara University, Ankara, Turkey., Žutić M; Department of Psychology, Catholic University of Croatia, Zagreb, Croatia., Rodriguez-Muñoz MF; Department of Psychology, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain., Uriko K; Department of Psychology and Behavioural Sciences, Tallinn University, Tallinn, Estonia., Motrico E; Department of Psychology, Universidad Loyola Andalucia, Seville, Spain., Moreno-Peral P; Department of Personality, Evaluation and Psychological Treatment, University of Málaga (UMA), Málaga, Spain., Apter G; Child and Perinatal Psychiatric Department, Le Havre University Hospital, University Rouen Normandie, Le Havre, France., den Berg ML; Departments of Psychiatry and Child & Adolescent Psychiatry, Erasmus University Medical Center, Rotterdam, the Netherlands. Electronic address: mijke.vandenberg@erasmusmc.nl.
Jazyk: angličtina
Zdroj: Comprehensive psychiatry [Compr Psychiatry] 2024 Apr; Vol. 130, pp. 152456. Date of Electronic Publication: 2024 Jan 29.
DOI: 10.1016/j.comppsych.2024.152456
Abstrakt: 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.
Competing Interests: Declaration of competing interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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