Perinatal and Postpartum Mood Disorders: Perspectives and Treatment Guide for the Health Care Practitioner / Edition 1

by Susan Dowd Stone MSW, LCSW, Alexis E. Menken PhD

Overview

As a psychotherapist and educator of future mental health practitioners, I believe this work fills an important gap in reference books for professionals who care for childbearing women. Since the volume provides invaluable neurobiological research on depression and anxiety, I recommend this work to all health and mental health professionals."--Illness, Crisis and Loss

Over the past three years, pregnancy related mood disorders have become the focus of health care advocates and legislators alike with subsequent reflection in nationwide media. Statistics on the prevalence of perinatal mood disorders suggest that up to 20% of women experience diagnosable pregnancy related mood disorders. The growing recognition of these common disorders, coupled with an increasing knowledge base about the dire consequences of untreated maternal depression, has propelled this issue to the fore of national public health priorities.

This increasing awareness has also resulted in recent legislative and healthcare initiatives to screen, assess, and treat such disorders. On April 13, 2006, Governor Jon S. Corzine (D -NJ) signed a law requiring all new mothers to be educated and screened for postpartum depression. This law is the first of its kind in the country, but many states and federal advocates are proposing similar laws. The motivation for states and the federal government to adopt education and screening program is high and may soon be a federal mandate. But a major barrier to successful implementation of such programs is the lack of available resources to train healthcare professionals in this specialty.

This book offers a major resource for healthcare professionals, mental health professionals, and medical, nursing, psychology, and social work students who will be confronting this problem in their practices. The contributions, by renowned experts, fill a glaring gap in the knowledge professionals need in order to successfully manage maternal mental health.

Product Details

ISBN-13:	9780826101167
Publisher:	Springer Publishing Company
Publication date:	05/12/2008
Edition description:	New Edition
Pages:	400
Product dimensions:	6.20(w) x 9.10(h) x 1.00(d)

About the Author

Susan Dowd Stone, MSW, LCSW, is president of Postpartum Support International. She is a NJHSS Certified Perinatal Mood Disorders Instructor and Adjunct Lecturer at New York University's Silver Graduate School of Social Work.

Alexis E. Menken, PhD, is a Clinical Psychologist licensed in New York, New Jersey, and Connecticut. Dr. Menken developed a specialty in Maternal Mental Health and is the co-founder of The Pregnancy and Postpartum Resource Center at Columbia Presbyterian Medical Center in the department of Behavioral Medicine. She is an instructor in Clinical Psychology in the department of Psychiatry at Columbia University and an Assistant Professional Psychologist at Columbia Presbyterian Medical Center. Dr. Menken serves Postpartum Support International as a current board member, the public relations chair, and she is their coordinator for New Jersey. Dr. Menken has a private practice in Montclair, New Jersey, where she treats women with disorders related to reproductive mental health.

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Table of Contents

Contributors     xiii
Foreword     xix
Acknowledgments     xxiii
Introduction     xxvii
The Importance of Maternal Mental Health     1
The Effects of Maternal Stress, Anxiety, and Depression During Pregnancy on the Neurodevelopment of the Child   Vivette Glover   Kristin Bergman   Thomas G. O'Connor     3
Studies Showing a Link Between Antenatal Stress and Anxiety and the Neurodevelopment of the Child     4
Clinical Implications and Opportunity for Interventions     10
Conclusion     12
Maternal Attachment and Bonding Disorders   Ian Brockington     17
Review of the Literature     19
Illustrative Cases     33
Summary     36
Effects of Maternal Postpartum Depression on the Infant and Older Siblings   Julia Chase-Brand     41
Effects of Maternal Depression on the Infant     42
Effects of Postpartum Depression on the Older Children     47
Caveat: Interpretation of Statistical Correlations     50
Intervention: Helping Mother and Child     51
Summary     59
Perinatal Mood Disorders: An Introduction   Shaila Misri   Karen Joe     65
Prevalence     66
Risk Factors     67
Diagnosis     70
Screening     73
Consequences     75
Perspectives on Risk Factors, Screening, and Diagnosis     85
Diagnosis and Screening of Perinatal Mood Disorders   Linda G. Klempner     87
History     89
Prevalence and Risk Factors     91
Assessments     96
Conclusion     102
Omega-3s, Exercise, and St. John's Wort: Three Complementary and Alternative Treatments for Postpartum Depression   Kathleen Kendall-Tackett     107
Why Patients Use Alternative and Complementary Treatments     107
Inflammation and Depression     109
Omega-3 Fatty Acids     110
Exercise     117
St. John's Wort     120
Conclusion     127
Stress System Dysregulation in Perinatal Mood Disorders   Sandra N. Jolley   Tricia Spach     133
Hypothalamic-Pituitary-Adrenal Axis     134
HPA in Perinatal Mood Disorders     142
Case Study Illustrating Postpartum Depression and HPA Dysregulation     145
Summary     148
Infertility: Challenges and Complications in Pregnancy and Postpartum    Andrea Mechanick Braverman     153
Review of the Literature     153
Issues of Pregnancy and Postpartum     156
Summary     164
Professional Perspectives     167
Perinatal Mood Disorders: An Obstetrician's Perspective   Alexandra C. Spadola     169
Case Reports     170
Routine Obstetrical Care and Screening     171
Care for Women With a History of Mood Disorders     173
Symptomatic Illness in Pregnancy and Postpartum     174
Breastfeeding     175
Obstacles for the Patient     176
Obstacles for the Obstetrician     177
Summary     179
The Pediatrician's Role in Identifying Postpartum Mood Disorders   Mary Ann LoFrumento     183
Who Is Our Patient?     184
The Importance of Attachment     185
What Does a Mood Disorder Look Like?     186
Opportunities in Pediatric Practice     188
Obstacles and Challenges for the Pediatrician     192
Taking Action and Overcoming Obstacles     194
Summary     197
The Nurses' Vantage Point   Cheryl Tatano Beck     203
The NURSE Program Model of Care      204
Nurses' Caring     205
Postpartum Depression Screening     212
Posttraumatic Stress Disorder Due to Childbirth     213
Mothers Who Suffer From Postpartum Illnesses and the Pitfalls of the Criminal Justice System   George Parnham     219
Prologue     220
Mission Statement     222
Insanity Standards     222
Postpartum Illnesses and the Insanity Standard     226
Clark v. Arizona     227
Infanticide     230
The Failures     230
The Message     232
Summary     232
Treatment Options for Perinatal Mood Disorders     235
To Medicate or Not: The Dilemma of Pregnancy and Psychiatric Illness   Catherine A. Birndorf   Alexandra C. Sacks     237
Literature Review     240
Case Studies     253
Conclusion     260
Comorbid Presentations in Perinatal Mental Health: Dialectical Behavior Therapy as a Treatment Model   Susan Dowd Stone     267
Commonly Occuring Perinatal Comorbid Disorders     270
Dialectical Behavior Therapy     274
Adapting DBT for Postpartum Depression     280
Case Study: Introduction of DBT Skills in a Support Group for Postpartum Depression     280
Summary     282
Treating Antepartum Depression: Interpersonal Psychotherapy   Margaret Spinelli     289
Antepartum Depression     289
Interpersonal Psychotherapy (IPT)     290
Pregnancy     292
Depression During Pregnancy     292
Guidelines for Interpersonal Psychotherapy     293
Problem Areas for Treatment     295
The Efficacy of IPT-P     296
Discussion     301
A Psychodynamic Approach to Treatment for Postpartum Depression   Alexis E. Menken     309
Maternal Identity     310
Conclusion     319
Health Literacy and Maternal Empowerment   Lisa Bernstein   Eve Weiss     321
Prenatal Care and Public Health Experiences     322
What Is Health Literacy?     325
Health Literacy and the Perinatal Experience     327
The Baby Basics Program     329
The Role of Social Support in the Prevention, Intervention, and Treatment of Perinatal Mood Disorders   Jane Israel Honikman     339
The History of Social Support: A Convergence of Science and Self-Help for Perinatal Families     340
The Self-Help Movement      343
The Emergence of the Perinatal Social Support Movement     345
The Principles of Social Support     346
The Types of Social Support     347
Summary     352
Resource List     357
Index     359

What People are Saying About This

From the Publisher

Susan Dowd Stone and Alexis Menken have assembled an impressive team of experts in perinatal mental health who are committed to educating their colleagues about the diagnosis and treatment of perinatal depression. Topics include the consequences of untreated anxiety and depression for the baby, the mother, and the family, guidelines for screening, how to determine the best treatment options for individual patients (including psychotherapy and medications), and the role of the peer-support movement in fostering recovery. This book provides a wealth of clinically useful information that will serve as an excellent foundation for Psychiatrists, Obstetricians, Family Physicians, Nurses, Psychologists, Social Workers, and educated consumers.

—Shari I. Lusskin, MD, Director of Reproductive Psychiatry, NYU Langone Medical Center Clinical Associate Professor of
Psychiatry and Obstetrics and Gynecology, New York University School of Medicine

With the publication of Perinatal and Postpartum Mood Disorders: Perspective and Treatment Guide for the Healthcare Professional, Stone & Menken offer professionals and students pursuing this specialty a uniquely comprehensive overview of the issue from the perspective of many renown leaders in women’s reproductive mental health. Experts from research, medicine, treatment and advocacy offer their experienced views on evaluation, treatment and interventive approaches when confronting affective disorders in pregnancy and the postpartum. Inclusion of this text provides a substantial and much needed addition to professional educational curriculums in medicine, psychiatry, social work, psychology and advocacy. Health care professionals currently working with women during their reproductive years will find the breadth and depth of its contents to be a valuable reference and resource tool when considering options for their clients and families.

—Manuel Alvarez, M.D., Chairman, Dept. of Obstetrics, Gynecology & Reproductive Science, Hackensack University Medical Center

Perspectives on Perinatal Mood Disorders is an excellent, welcomed addition to this important field of maternal mental health. Written by some of the field's most renowned experts, each piece of the book lends a unique view, resulting in a well-rounded picture of these disorders and the approaches which heal them.

—Shoshana Bennet, PhD, former president of Postpartum Support International