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Women with MDD During the Childbearing Years
Depress Anxiety; ePub 2018 Sep 7; Freeman, et al
Women with major depressive disorder (MDD) experienced high rates of recurrent depression across the childbearing years, according to a recent study. Subjects were women with histories of MDD who had participated in prior prospective, observational studies during pregnancy. In the follow‐up, participants completed a structured interview that addressed (1) the course of MDD since their index pregnancy, (2) new psychiatric diagnoses, and (3) the course of MDD and treatment across subsequent pregnancies. Researchers found:
- Out of 129 eligible women, 48.8% participated (n=63) with an average/mean time of 12.9 years (SD=1.9, 8.8–16.7) elapsed since participation in the prior pregnancy studies.
- Although approximately one-third reported sustained remission from MDD since the pregnancy during which they had been originally followed, of the remaining two-thirds of women who reported subsequent depressive episodes, almost one-fifth (∼12% of the total sample) endorsed depression >50% of the time following their index pregnancy.
- A total of 6.3% of the women with previous validated diagnoses of MDD reported new diagnoses of bipolar disorder.
Freeman MP, Claypoole LD, Burt VK, et al. Course of major depressive disorder after pregnancy and the postpartum period. [Published online ahead of print September 7, 2018]. Depress Anxiety. doi:10.1002/da.22836.