Perinatal Mental Health Certification PSI Exam Questions With Correct Answers

Hippocrates - ANS father of medicine, 450 BC, postpartum fever, agitation, paralysis and sensory deficits Louis Victor Marce - ANS 1858, French psychiatrist wrote first treatise on puerperal mental illness puerperal - ANS 6 weeks after childbirth when organs return to nonpregnant state "the lost years" 20th century - ANS psychiatry drops the study and classification of postpartum mood disorders James A. Hamilton, MD, PhD - ANS 20th century's father of postpartum psychiatric illness; co-founder of the marce society; advocate of research, treatment and social support movement When did DSM include a postpartum onset specifier? - ANS 1994, DSM-IV How many infants are born to depressed mothers? - ANS 800K What is the most underdiagnosed obstetric complication in the US? - ANS perinatal mood anxiety disorders (21%) cost of untreated PMADs (10) - ANS 1) impacting medical care 2) child abuse and neglect, 3) discontinuation of breastfeeding, 4) family dysfunction/relationship problems, 5) IPV/separation/divorce, 6) loss of interpersonal and financial resources, 7) disability/unemployment, 8) adversely affects early brain development/developmental delays/behavior problems, 9) tobacco, alcohol and substance use, 10) infanticide/homicide/suicide, what percentage of women with PMADs get the treatment they need? - ANS 50% biological etiology of PMADs - ANS biological sensitivity to hormonal changes -increase in estrogen and progesterone -onset of oxytocin and prolactin at time of birth -estrogen and progesterone crash down after birth increase of estrogen in pregnancy - ANS to improve formation of blood vessels, transfer of nutrients, supply fetal development