Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study

Esra Yazici,1 Tulay Sati Kirkan,2 Puren Akcali Aslan,3 Nazan Aydin,4 Ahmet Bulent Yazici1 1Department of Psychiatry, Faculty of Medicine, Sakarya University, Adapazari, Turkey; 2Bolge Training and Research Hospital, Erzurum, Turkey; 3Adana Training and Research Hospital, Adana, Turkey; 4Bakirkoy N...

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Autores principales:	Yazici E, Kirkan TS, Aslan PA, Aydin N, Yazici AB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/78a577ef6a6a4000821e258560bd9b11
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spelling	oai:doaj.org-article:78a577ef6a6a4000821e258560bd9b112021-12-02T07:01:45ZUntreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study1178-2021https://doaj.org/article/78a577ef6a6a4000821e258560bd9b112015-02-01T00:00:00Zhttp://www.dovepress.com/untreated-depression-in-the-first-trimester-of-pregnancy-leads-to-post-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Esra Yazici,1 Tulay Sati Kirkan,2 Puren Akcali Aslan,3 Nazan Aydin,4 Ahmet Bulent Yazici1 1Department of Psychiatry, Faculty of Medicine, Sakarya University, Adapazari, Turkey; 2Bolge Training and Research Hospital, Erzurum, Turkey; 3Adana Training and Research Hospital, Adana, Turkey; 4Bakirkoy Nervous and Mental Disease Education and Research Hospital, Istanbul, Turkey Background: This is a natural follow-up study that presents the postpartum results of women who experienced depression during pregnancy. Methods: This study involved 78 women diagnosed with depression in the first trimester of pregnancy. All patients were diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) in the first trimester and all were referred to a psychiatric center for treatment. Of the 78, 73 were contacted postpartum and reassessed by SCID-I. Treatment anamnesis was evaluated retrospectively. Results: The women were divided into two groups at the postpartum evaluation according to anamnesis of psychiatric treatment. Twenty-one of the 73 (28.7%) had received treatment during pregnancy (treated group). Fifty-two women had not been treated (untreated group). In the treated group, no postpartum depression was determined (0%). In the untreated group, 92% (n=48) of women had a depressive disorder postpartum (P<0.01). In addition, scores regarding depression, functionality, and perceived social support were worse postpartum for the untreated group. Conclusion: Untreated depression during pregnancy is an important predictor of postpartum depression. This natural follow-up study is important because it presents very striking rates of postpartum depression. Referral of patients with depression during pregnancy to psychiatric treatment should be provided and is strongly encouraged. Keywords: untreated depression, pregnancy, postpartum, perinatal, depression, moodYazici EKirkan TSAslan PAAydin NYazici ABDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 405-411 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Yazici E Kirkan TS Aslan PA Aydin N Yazici AB Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
description	Esra Yazici,1 Tulay Sati Kirkan,2 Puren Akcali Aslan,3 Nazan Aydin,4 Ahmet Bulent Yazici1 1Department of Psychiatry, Faculty of Medicine, Sakarya University, Adapazari, Turkey; 2Bolge Training and Research Hospital, Erzurum, Turkey; 3Adana Training and Research Hospital, Adana, Turkey; 4Bakirkoy Nervous and Mental Disease Education and Research Hospital, Istanbul, Turkey Background: This is a natural follow-up study that presents the postpartum results of women who experienced depression during pregnancy. Methods: This study involved 78 women diagnosed with depression in the first trimester of pregnancy. All patients were diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) in the first trimester and all were referred to a psychiatric center for treatment. Of the 78, 73 were contacted postpartum and reassessed by SCID-I. Treatment anamnesis was evaluated retrospectively. Results: The women were divided into two groups at the postpartum evaluation according to anamnesis of psychiatric treatment. Twenty-one of the 73 (28.7%) had received treatment during pregnancy (treated group). Fifty-two women had not been treated (untreated group). In the treated group, no postpartum depression was determined (0%). In the untreated group, 92% (n=48) of women had a depressive disorder postpartum (P<0.01). In addition, scores regarding depression, functionality, and perceived social support were worse postpartum for the untreated group. Conclusion: Untreated depression during pregnancy is an important predictor of postpartum depression. This natural follow-up study is important because it presents very striking rates of postpartum depression. Referral of patients with depression during pregnancy to psychiatric treatment should be provided and is strongly encouraged. Keywords: untreated depression, pregnancy, postpartum, perinatal, depression, mood
format	article
author	Yazici E Kirkan TS Aslan PA Aydin N Yazici AB
author_facet	Yazici E Kirkan TS Aslan PA Aydin N Yazici AB
author_sort	Yazici E
title	Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
title_short	Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
title_full	Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
title_fullStr	Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
title_full_unstemmed	Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
title_sort	untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/78a577ef6a6a4000821e258560bd9b11
work_keys_str_mv	AT yazicie untreateddepressioninthefirsttrimesterofpregnancyleadstopostpartumdepressionhighratesfromanaturalfollowupstudy AT kirkants untreateddepressioninthefirsttrimesterofpregnancyleadstopostpartumdepressionhighratesfromanaturalfollowupstudy AT aslanpa untreateddepressioninthefirsttrimesterofpregnancyleadstopostpartumdepressionhighratesfromanaturalfollowupstudy AT aydinn untreateddepressioninthefirsttrimesterofpregnancyleadstopostpartumdepressionhighratesfromanaturalfollowupstudy AT yaziciab untreateddepressioninthefirsttrimesterofpregnancyleadstopostpartumdepressionhighratesfromanaturalfollowupstudy
_version_	1718399641142165504

Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study

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