Postpartum depression: risk factors, predispositions, and approaches to intervention and treatment

Authors

DOI:

https://doi.org/10.5281/zenodo.13357352

Keywords:

Postpartum Depression, Diagnosis, Risk Factors, Intervention, Treatment

Abstract

Postpartum Depression (PPD) is a complex emotional condition that can arise in women after childbirth, influenced by a combination of risk factors and individual predispositions. In this article, we comprehensively explore the epidemiology, risk factors, and the most recent approaches to the intervention and treatment of PPD, adopting an accessible and humanized language. Initially, it is essential to understand the distribution of PPD among new mothers, with particular attention to its prevalence in women facing emotional or physical challenges during pregnancy, or those with a history of depression or other mental health conditions. PPD manifests in various ways, often characterized by intense feelings of sadness, anxiety, and exhaustion, which can hinder the mother’s ability to care for herself and the baby. Risk factors include, among others, abrupt hormonal changes after childbirth, lack of social support, personal or family history of depression, and chronic stress situations, such as financial or relational problems. These factors contribute to a woman’s vulnerability to PPD, making early recognition of the signs and symptoms indispensable. Intervention and treatment approaches for PPD have significantly evolved, with an emphasis on personalized therapies that meet the individual needs of each woman. Treatment may include psychosocial interventions, such as cognitive-behavioral therapy (CBT), as well as the use of antidepressant medications, always considering safety during breastfeeding. Social support, including support groups and family involvement, also plays a crucial role in recovery. We conclude that, although awareness of PPD is growing, there is a continuous need to improve diagnostic and treatment methods to provide more effective and personalized care. Ongoing research is vital to enhance maternal well-being, reducing the impact of Postpartum Depression on the lives of women and their families, and promoting an environment of support and understanding for those facing this challenging condition..

References

BABBAR, S.; OYARZABAL, A. J.; OYARZABAL, E. A. Meditation and mindfulness in pregnancy and postpartum: a review of the evidence. Clinical obstetrics and gynecology, v. 64, n. 3, p. 661-682, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34162788/. Acesso em 15 jul. 2024.

BETCHER, H. K.; WISNER, K. L. Psychotropic treatment during pregnancy: research synthesis and clinical care principles. Journal of Women's Health, v. 29, n. 3, p. 310-318, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7207058/. Acesso em 22 jul. 2024.

CERNADAS, J. M. C. Postpartum depression: Risks and early detection. Archivos argentinos de pediatria, v. 118, n. 3, p. 154-155, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32470247/. Acesso em 27 jul. 2024.

DAVIS, E. P.; NARAYAN, A. J. Pregnancy as a period of risk, adaptation, and resilience for mothers and infants. Development and psychopathology, v. 32, n. 5, p. 1625-1639, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863987/. Acesso em 22 jul. 2024.

DING, X. et al. Prenatal stressful life events increase the prevalence of postpartum depression: Evidence from prospective cohort studies. Journal of psychiatric research, v. 160, p. 263-271, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36889197/. Acesso em 21 jul. 2024.

DIXON, S.; DANTAS, J. A. R. Best practice for community-based management of postnatal depression in developing countries: A systematic review. Health Care for Women International, v. 38, n. 2, p. 118-143, 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27918855/. Acesso em 16 jul. 2024.

DOMINIAK, M. et al. Recommendations for the prevention and treatment of postpartum depression. Ginekologia polska, v. 92, n. 2, p. 153-164, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33448014/. Acesso em 19 jul. 2024.

DUBEY, A. et al. Risk factors of postpartum depression. Industrial psychiatry journal, v. 30, n. Suppl 1, p. S127-S131, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34908678/. Acesso em 19 jul. 2024.

HOROWITZ, J. A. et al. Introducing mother-baby interaction therapy for mothers with postpartum depression and their infants. Archives of psychiatric nursing, v. 33, n. 3, p. 225-231, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31227074/. Acesso em 26 jul. 2024.

JANNATI, N. et al. Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial. International Journal of Medical Informatics, v. 141, p. 104145, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32480319/. Acesso em 22 jul. 2024.

JULIAN, M. et al. The moderating role of resilience resources in the association between stressful life events and symptoms of postpartum depression. Journal of Affective Disorders, v. 293, p. 261-267, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34217964/. Acesso em 21 jul. 2024.

LIU, Y. et al. Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors. BMC psychiatry, v. 21, p. 1-11, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491367/. Acesso em 19 jul. 2024.

MARTIN, C. E.; PARLIER-AHMAD, A. B. Addiction treatment in the postpartum period: an opportunity for evidence-based personalized medicine. International Review of Psychiatry, v. 33, n. 6, p. 579-590, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34238101/. Acesso em 15 jul. 2024.

MARTUCCI, M. et al. The mother-baby bond: a systematic review about perinatal depression and child developmental disorders. Rivista di psichiatria, v. 56, n. 5, p. 223-236, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34663989/. Acesso em 22 jul. 2024.

MATRISCIANO, F.; PINNA, G. PPAR and functional foods: Rationale for natural neurosteroid-based interventions for postpartum depression. Neurobiology of Stress, v. 12, p. 100222, 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32426424/. Acesso em 17 jul. 2024.

MIN, W. et al. The effect of mindfulness-based interventions during pregnancy on postpartum mental health: a meta-analysis. Journal of Affective Disorders, v. 331, p. 452-460, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36963518/. Acesso em 11 ago. 2024.

NAIR, U. et al. The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis. Journal of telemedicine and telecare, v. 24, n. 10, p. 639-650, 2018. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30343660/. Acesso em 10 ago. 2024.

OLIVEIRA, T. A. et al. Screening of perinatal depression using the Edinburgh Postpartum Depression Scale. Revista Brasileira de Ginecologia e Obstetrícia/RBGO Gynecology and Obstetrics, v. 44, n. 05, p. 452-457, 2022. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948039/. Acesso em 11 ago. 2024.

PAYNE, J. L.; MAGUIRE, J. Pathophysiological mechanisms implicated in postpartum depression. Frontiers in neuroendocrinology, v. 52, p. 165-180, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/?term=Pathophysiological+Mechanisms+Implicated+in+Postpartum+Depression&filter=simsearch2.ffrft. Acesso em 10 ago. 2024.

POUDYAL, A. et al. Wearable digital sensors to identify risks of postpartum depression and personalize psychological treatment for adolescent mothers: protocol for a mixed methods exploratory study in rural Nepal. JMIR research protocols, v. 8, n. 9, p. e14734, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31512581/. Acesso em 07 ago. 2024.

SHIMPUKU, Y. et al. Prenatal education program decreases postpartum depression and increases maternal confidence: A longitudinal quasi-experimental study in urban Japan. Women and Birth, v. 35, n. 5, p. e456-e463, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34866021/. Acesso em 13 ago. 2024.

SOLNESS, C. L. et al. Treating postpartum depression in rural veterans using internet delivered CBT: program evaluation of MomMoodBooster. Journal of behavioral medicine, v. 44, n. 4, p. 454-466, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556583/. Acesso em 11 ago. 2024.

SURYAWANSHI IV, O.; PAJAI, S. A comprehensive review on postpartum depression. Cureus, v. 14, n. 12, 2022. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851410/. Acesso em 11 ago. 2024.

THUL, T. A. et al. Oxytocin and postpartum depression: A systematic review. Psychoneuroendocrinology, v. 120, p. 104793, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526479/. Acesso em 09 ago. 2024.

VAN LIESHOUT, R. J. et al. Effect of online 1-day cognitive behavioral therapy–based workshops plus usual care vs usual care alone for postpartum depression: a randomized clinical trial. JAMA psychiatry, v. 78, n. 11, p. 1200-1207, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427485/. Acesso em 10 ago. 2024.

WANG, X. et al. A systematic review of interpersonal psychotherapy for postpartum depression. Journal of Affective Disorders, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37459968/. Acesso em 29 jul. 2024.

WANG, Z. et al. Mapping global prevalence of depression among postpartum women. Translational psychiatry, v. 11, n. 1, p. 543, 2021. Disponível em: https://www.nature.com/articles/s41398-021-01663-6. Acesso em 11 ago. 2024.

YAHYA, N. F. S. et al. Nutrition and physical activity interventions to ameliorate postpartum depression: A scoping review. Asia Pacific Journal of Clinical Nutrition, v. 30, n. 4, p. 662-674, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34967195/. Acesso em 14 ago. 2024.

YANG, M. et al. Mindfulness-Based Interventions for Postpartum Depression: A Systematic Review and Meta-Analysis. Iranian Journal of Public Health, v. 52, n. 12, p. 2496, 2023. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903316/. Acesso em 10 ago. 2024.

YU, Y. et al. Postpartum depression: Current status and possible identification using biomarkers. Frontiers in psychiatry, v. 12, p. 620371, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34211407/. Acesso em 28 jul. 2024.

Published

2024-08-21

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How to Cite

DANTAS, Bruno Rafael Chaves et al. Postpartum depression: risk factors, predispositions, and approaches to intervention and treatment. Journal of Social Issues and Health Sciences (JSIHS), [S. l.], v. 1, n. 5, 2024. DOI: 10.5281/zenodo.13357352. Disponível em: https://ojs.thesiseditora.com.br/index.php/jsihs/article/view/116.. Acesso em: 4 feb. 2026.