PMH C EXAM ACTUAL TEST PAPER WITH
FULL SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ What year was PSI established?. Answer: 1987
◉ Louis Victor Marce. Answer: French psychiatrist who wrote first
treatise on puerperal (about six weeks after childbirth) mental illness
◉ James A. Hamilton. Answer: Father of Postpartum Psychiatric
Illness
Wrote book: Postpartum Psychiatric Problems
Founded the Marce Society
Advocate of research, treatment and social support movement
◉ DAD. Answer: Depression After Delivery (USA)
◉ APNI. Answer: Association for Post Natal Illness (England)
◉ PANDA. Answer: Post and Ante Natal Depression Association
(Australia)
,◉ Postpartum Education for Parents. Answer: Postpartum Education
for Parents (USA)
◉ Most important part of mental health for women, children, and
families. Answer: Social support
◉ How many countries does PSI have members in?. Answer: Over 40
countries
◉ What percentage of women will experience postpartum
depression?. Answer: 21%
◉ What percentage of pregnant woman will experience moderate to
severe symptoms of depression and/or anxiety?. Answer: 20%
◉ What percentage of pregnant women with psychiatric diagnosis
were treated?. Answer: Less than 86%
◉ What percentage of women on antidepressants were symptomatic
due to suboptimal treatment?. Answer: Over 50%
◉ The perinatal period. Answer: The entire time frame from
pregnancy through the first year after giving birth
◉ PMAD. Answer: Perinatal Mood (depression and bipolar) Anxiety
(GAD, panic, OCD, PTSD) Disorders
,◉ What percentage of pregnancies are unplanned?. Answer: 50%
◉ PMDD. Answer: Premenstrual dysphoric disorder
Sensitive to hormonal changes
Risk factor for PMAD
◉ What disorders classify as a PMAD?. Answer: Depression
Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
◉ Perinatal depression. Answer: Most under diagnosed obstetric
complication in America
Increased costs of medical care
Inappropriate medical care
Child abuse and neglect
Discontinuation of breastfeeding
Family dysfunction
Adversely affects early brain development
, 40% of cases are detected and diagnosed
60% receive treatment
◉ Prevalence for Prenatal anxiety. Answer: 15.8%
◉ Prevalence for postpartum anxiety. Answer: 8% - 20%
◉ PMADs in Fathers. Answer: 1 in 10 men will get
anxiety/depression
Fathers with higher ACE scores reported more pregnancy-related
anxiety than did fathers with lower scores at all time points
Reported more depressive feelings during pregnancy
9.2% had depression prenatally
Maternal depression increased the risk of paternal depression
- Initial high after birth may give way to depression
- Masked male depression (substance use, irritable, aggressive)
- Distancing
- Distractions and habits
FULL SOLVED QUESTIONS AND CORRECT
ANSWERS GRADED A PLUS
◉ What year was PSI established?. Answer: 1987
◉ Louis Victor Marce. Answer: French psychiatrist who wrote first
treatise on puerperal (about six weeks after childbirth) mental illness
◉ James A. Hamilton. Answer: Father of Postpartum Psychiatric
Illness
Wrote book: Postpartum Psychiatric Problems
Founded the Marce Society
Advocate of research, treatment and social support movement
◉ DAD. Answer: Depression After Delivery (USA)
◉ APNI. Answer: Association for Post Natal Illness (England)
◉ PANDA. Answer: Post and Ante Natal Depression Association
(Australia)
,◉ Postpartum Education for Parents. Answer: Postpartum Education
for Parents (USA)
◉ Most important part of mental health for women, children, and
families. Answer: Social support
◉ How many countries does PSI have members in?. Answer: Over 40
countries
◉ What percentage of women will experience postpartum
depression?. Answer: 21%
◉ What percentage of pregnant woman will experience moderate to
severe symptoms of depression and/or anxiety?. Answer: 20%
◉ What percentage of pregnant women with psychiatric diagnosis
were treated?. Answer: Less than 86%
◉ What percentage of women on antidepressants were symptomatic
due to suboptimal treatment?. Answer: Over 50%
◉ The perinatal period. Answer: The entire time frame from
pregnancy through the first year after giving birth
◉ PMAD. Answer: Perinatal Mood (depression and bipolar) Anxiety
(GAD, panic, OCD, PTSD) Disorders
,◉ What percentage of pregnancies are unplanned?. Answer: 50%
◉ PMDD. Answer: Premenstrual dysphoric disorder
Sensitive to hormonal changes
Risk factor for PMAD
◉ What disorders classify as a PMAD?. Answer: Depression
Anxiety and Panic disorder
OCD
PTSD
Perinatal Bipolar
Psychosis
◉ Perinatal depression. Answer: Most under diagnosed obstetric
complication in America
Increased costs of medical care
Inappropriate medical care
Child abuse and neglect
Discontinuation of breastfeeding
Family dysfunction
Adversely affects early brain development
, 40% of cases are detected and diagnosed
60% receive treatment
◉ Prevalence for Prenatal anxiety. Answer: 15.8%
◉ Prevalence for postpartum anxiety. Answer: 8% - 20%
◉ PMADs in Fathers. Answer: 1 in 10 men will get
anxiety/depression
Fathers with higher ACE scores reported more pregnancy-related
anxiety than did fathers with lower scores at all time points
Reported more depressive feelings during pregnancy
9.2% had depression prenatally
Maternal depression increased the risk of paternal depression
- Initial high after birth may give way to depression
- Masked male depression (substance use, irritable, aggressive)
- Distancing
- Distractions and habits
