Postpartum Mood Disorders / Edition 1

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Overview

A surge of clinical and research interest in postpartum mood disturbances has recently lead to a greater understanding of their phenomenology, etiologies, relationships to one another and to psychiatric disorders. Summarizing these recent advances in theory, research, and treatment, Postpartum Mood Disorders hypothesizes that the traditional categories of postpartum mood disorders -- postpartum "blues," postpartum depression and postpartum psychosis -- are not necessarily on a continuum. Though interrelated in some cases, these categories represent distinct postpartum states, with different phenomenologies, etiologies, predictive factors, and treatments.

Focusing on the biological aspects of puerperal mood disturbance, the book's first section explores how the ubiquitous, mild postpartum mood changes known as "baby blues" can be caused by the effects of sudden hormonal withdrawal. It further reviews data about how postpartum depression relates to mood changes occurring at other parts of the reproductive cycle, such as menopause; examines the pattern of mood changes across the reproductive cycle in relation to hormonal changes; and describes cultural differences in understanding, conceptualizing and reacting to postpartum mood changes.

Reviewing the clinical features and differential diagnosis of postpartum psychosis, this timely monograph investigates data about whether psychoses of postpartum onset differs from other psychoses in terms of phenomenology, family history and prognosis, and addresses the acute and long-term impact of major postpartum psychiatric disorders on children -- a central question for families and clinicians.

The book's second section covers treatment strategies for postpartum disorders, examining psychotherapeutic modalities as well as pharmacologic and psychosocial interventions, including the role of self-help groups and volunteer networks, and their relationship to professional care systems.

Authored by pioneering clinicians, researchers, and self-help volunteers who have worked with new mothers and their families in dealing with postpartum mood disturbances, Postpartum Mood Disorders provides a much-needed, thorough coverage of a highly prevalent, but often misunderstood, subject.

American Psychiatric Publishing

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: Cynthia Breaux, PhD (Rush University Medical Center)
Description: This comprehensive, timely monograph treats categories of postpartum mood disorders — "blues," depression, psychosis — as distinct postpartum states, deviating from the traditional approach of placing these disorders on a continuum. The book is notable for its broad range of contributing authors made up of clinicians, researchers, and self-help volunteers who succeed in capturing an inclusive perspective.
Purpose: The purpose is to summarize advances in theory, research, and treatment resulting from a recent surge of clinical and research interest in postpartum mood disorders. The editor provides a thorough examination of unanswered questions surrounding this group of disorders, thereby meeting this objective.
Audience: Intended for psychiatrists and women's healthcare providers, particularly those involved in postpartum mood disorders, this book is also useful for researchers and practitioners in allied areas who would benefit from information gained in this area of research. It is evident that the authors were carefully chosen to best represent their area of expertise. This care is reflected in the high caliber and multidisciplinary range of the contributors.
Features: The first four chapters of Section I focus on the biological aspects of postpartum mood disorders. The treatment of the relationship between depression in the postpartum stage and mood changes in other parts of the reproductive cycle (e.g., the premenstruum) is especially well done in Chapter 2. Chapter 5 considers the vital topic of cultural influences on postpartum mood states. The effects of postpartum mood disorders on children, another crucial aspect of this subject, is covered in Chapter 7. Finally, Section II thoroughly covers family therapy, pharmacological intervention, self-help treatment, group therapy, and volunteer networks.
Assessment: Although disturbance during the postpartum period has been recognized for centuries, scientific investigation has only recently been applied to this complex and important topic. This comprehensive text, detailing recent advances in research and treatment on postpartum mood disorders, fills a long-standing need for information on women's mental health issues in general, and postpartum mood states in particular. It is outstanding in its thorough and thoughtful treatment of the subject matter and makes a significant contribution to the study and treatment of this important group of disorders.
New England Journal of Medicine
Physicians and other health care workers should find this book immensely readable and helpful in their task of caring for women during the postpartum period.
Cynthia Breaux
This comprehensive, timely monograph treats categories of postpartum mood disorders -- "blues," depression, psychosis -- as distinct postpartum states, deviating from the traditional approach of placing these disorders on a continuum. The book is notable for its broad range of contributing authors made up of clinicians, researchers, and self-help volunteers who succeed in capturing an inclusive perspective. The purpose is to summarize advances in theory, research, and treatment resulting from a recent surge of clinical and research interest in postpartum mood disorders. The editor provides a thorough examination of unanswered questions surrounding this group of disorders, thereby meeting this objective. Intended for psychiatrists and women's healthcare providers, particularly those involved in postpartum mood disorders, this book is also useful for researchers and practitioners in allied areas who would benefit from information gained in this area of research. It is evident that the authors were carefully chosen to best represent their area of expertise. This care is reflected in the high caliber and multidisciplinary range of the contributors. The first four chapters of Section I focus on the biological aspects of postpartum mood disorders. The treatment of the relationship between depression in the postpartum stage and mood changes in other parts of the reproductive cycle (e.g., the premenstruum) is especially well done in Chapter 2. Chapter 5 considers the vital topic of cultural influences on postpartum mood states. The effects of postpartum mood disorders on children, another crucial aspect of this subject, is covered in Chapter 7. Finally, Section II thoroughly coversfamily therapy, pharmacological intervention, self-help treatment, group therapy, and volunteer networks. Although disturbance during the postpartum period has been recognized for centuries, scientific investigation has only recently been applied to this complex and important topic. This comprehensive text, detailing recent advances in research and treatment on postpartum mood disorders, fills a long-standing need for information on women's mental health issues in general, and postpartum mood states in particular. It is outstanding in its thorough and thoughtful treatment of the subject matter and makes a significant contribution to the study and treatment of this important group of disorders.
Booknews
In a dozen papers, experts from the psychosocial and legal fields discuss the "beyond the blues" nature of postpartum mood disorders (recognized by Hippocrates), treatment options, and prevention. The impacts on parenting and child development are discussed, as well as biological and sociocultural determinants of this sometimes deadly reproductive cycle-linked psychosis. Annotation c. by Book News, Inc., Portland, Or.

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780880489294
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 11/28/1998
  • Series: Clinical Practice Series
  • Edition description: 1 ED
  • Edition number: 1
  • Pages: 288
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.00 (d)

Meet the Author

Laura J. Miller, M.D., is Assistant Professor of the Department of Psychiatry at the University of Illinois, Chicago College of Medicine in Chicago, Illinois.

American Psychiatric Publishing

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Table of Contents

Introduction to the Clinical Practice Series. Introduction. Section I: The Nature of Postpartum Mood Disorders. Beyond the hypotheses about postpartum reactivity. Postpartum depression in relation to other reproductive cycle mood changes. Postpartum depression in relation to other psychiatric disorders. Biological determinants of postpartum depression. Sociocultural aspects of postpartum depression. Postpartum psychoses. Effects of postpartum disorders on parenting and on offspring. Section II: Treatment and Prevention. Interpersonal psychotherapy for postpartum depression. Couples therapy for postpartum mood disorders. Pharmacotherapy and electroconvulsive therapy for postpartum mood disorders. Role of self-help techniques for postpartum mood disorders. Prevention of postpartum mood disorders. Index.

American Psychiatric Publishing

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