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Terms in this set (165)
Sensitives to Hormone changes (increases of
Theories of PMAD
estrogen, progesterone, onset of oxytocin and
Etiology: Biology
prolactin at birth)
-Endocrine Dysfunction (diabetes, hx of thyroid
imbalance, fertility challenges, PMDD, PCOS)
-Significant mood reactions to hormonal changes
Evidence Based Risk
(puberty, PMS, hormonal birth control; abrupt
Factors - Biological
discontinuation of breast feeding; physical pain or
inflammation)
-Lack of sleep
-Vulnerability (sleep, genetic predisposition)
-Psychological (relationship with own mother-
Theories of PMAD estranged, death; ambivalence to parenthood, self-
Etiology: Psychosocial image/perfectionism)
-Social/environmental (hx of trauma, poor social
support, institutional/structural racism)
Psychiatric Hx
-Family or personal hx of previous PMADs
Evidence Based Risk
-Family or personal hx of depression, anxiety, OCD,
Factors - Psychosocial
eating disorder, bipolar disorder, etc
-Hx of childhood sexual abuse
, -Inadequate partner/social support
-Interpersonal violence
-Other relationship stress
-Financial stressors/poverty
-Childcare stressors
Psychosocial: -Recent loss or move
Exacerbating Risk Factors -Barriers to care; institutional racism
for PMADs -Climate stressors: seasonal depression or mania
-Complications in pregnancy, birth, or breastfeeding
-Health challenges in baby or parents
-Temperament of baby
-Returning to work
-Unresolved grief and/or loss
-Mood is labile, teary
-Self esteem is normal
-Sleep: bladder or heartburn may awaken. Can fall
Normal Pregnancy asleep
symptoms -No suicidal ideology
-Energy: may tire, rest restores
-Pleasure: joy and anticipation (appropriate worry)
-Appetite: increases
-Mood: gloom, irritable, agitation, rage
-Low self-esteem, guilt
-Sleep: difficulty initiating and/or sustaining sleep
Abnormal Pregnancy
-Suicidal thoughts, plans, or intentions
Symptoms (Depression)
-Energy: rest does not restore; fatigue
-Anhedonia: no joy from things previously enjoyed
-Dysregulated appetite
, -Symptoms: tearfulness, lability, reactivity, and
exhaustion
-Predominantly happy; self-esteem remains
unchanged
Baby Blues -Lasts between 2 to 14 days after birth; usually peaks
3-5 days after delivery
-Due to the hormone fluctuation at the time of the
birth and acute sleep deprivation
-Resolves on it's own
Prevalence of Baby Blues Affects 60-80% of new moms universally
-Severity/Intensity
-Timing/Onset
Determination of Baby -Duration/Chronicity
Blues or Depression
Not Baby Blues if persists after than 2 weeks
postpartum
Prevalence of Prenatal 15.8%
Anxiety
Prevalence of Postpartum 8-20%
Anxiety
Prevalence of Anxiety for -4.1 - 16% during prenatal period
New Dads -2.4 - 18% during the postnatal period