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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.

Citation:

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.