Title Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD.
Authors Radoš, Sandra Nakic , Akik, Burcu Kömürcü , Žutic, Maja , Rodriguez-Muñoz, Maria F , Uriko, Kristiina , MOTRICO MARTINEZ, EMMA, Moreno-Peral, Patricia , Apter, Gisèle , den Berg, Mijke Lambregtse-van
External publication No
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 1
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85184058884&doi=10.1016%2fj.comppsych.2024.152456&partnerID=40&md5=4dbb232233b187578e2d5454d03c3a80
Publication date 01/04/2024
ISI 001180862200001
Scopus Id 2-s2.0-85184058884
DOI 10.1016/j.comppsych.2024.152456
Abstract BACKGROUND: Peripartum depression (PPD) is a major depression disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be a distinct diagnosis. The goal of this study was to summarize the similarities and differences between PPD and MDD by synthesizing the current research on PPD diagnosis concerning different clinical features and give directions for improving diagnosis of PPD in clinical practice. METHODS: To lay the groundwork for this narrative review, several databases were searched using general search phrases on PPD and its components of clinical diagnosis. RESULTS: When compared to MDD, peripartum depression exhibits several distinct characteristics. PPD manifests with a variety of symptoms, i.e., more anxiety, psychomotor symptoms, obsessive thoughts, impaired concentration, fatigue and loss of energy, but less sad mood and suicidal ideation, compared to MDD. Although PPD and MDD prevalence rates are comparable, there are greater cross-cultural variances for PPD. Additionally, PPD has some distinct risk factors and mechanisms such as distinct ovarian tissue expression, premenstrual syndrome, unintended pregnancy, and obstetric complications. CONCLUSION: There is a need for more in-depth research comparing MDD with depression during pregnancy and the entire postpartum year. The diagnostic criteria should be modified, particularly with (i) addition of specific symptoms (i.e., anxiety), (ii) onset specifier extending to the first year following childbirth, (iii) and change the peripartum onset specifier to either "pregnancy onset" or "postpartum onset". Diagnostic criteria for PPD are further discussed.
Keywords Clinical diagnosis; Criteria; Peripartum depression; Postpartum depression; Pregnancy
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