Are autism and ADHD associated with antidepressants or maternal depression? The debate continues…

 

Amy Green summarises a retrospective observational study that finds prenatal antidepressant exposure is associated with risk for ADHD, but not autistic spectrum disorders. She considers this complex topic and works out what it all means for pregnant women with depression.

[read the full story...]

Exercise for the prevention and treatment of antenatal depression

shutterstock_59173807-150x150

Meg Fluharty summarises a recent systematic review looking at exercise for antenatal depression. The review finds preliminary evidence to suggest that exercise may be effective in reducing depression during pregnancy, but the quality of included trials is low to moderate.

[read the full story...]

Prenatal SSRI exposure and autism risk: a dilemma for mums-to-be with depression

shutterstock_pregnant-and-tablets-150x150

Amy Green summarises a population-based study of young children which looks at prenatal exposure to SSRI antidepressants and the social responsiveness symptoms of autism.

[read the full story...]

Is telephone peer support for the prevention of postnatal depression worth the cost?

shutterstock_85094719

. Peer support has been a hot topic in the woodland recently. Although there appears to be a lack of evidence to support the clinical effectiveness of peer support interventions for people with severe mental illness, such as bipolar disorder and schizophrenia, it is an approach that is highly valued by many. It might be [read the full story…]

NICE evidence update: Interventions to reduce substance misuse among vulnerable young people

shutterstock_161640014

The National Institute for Health and Care Excellence (NICE) have recently searched for any new evidence that may be relevant to a public health guideline published in 2007; ‘Interventions to reduce substance misuse among vulnerable young people’. In this blog I summarise the new evidence that has emerged and highlight whether or not it is likely [read the full story…]

The mental health of migrant mothers: focus needed on attitudes to mental health, not language barriers

shutterstock_130689305

The impact of ethnicity on treatment and engagement with mental health services is well documented. John Baker’s recent Mental Elf post highlights the damning evidence behind murmurs of institutional racism within the NHS that just won’t go away: certain ethnic groups consistently experience lower quality care and poor outcomes across a wide range of health [read the full story…]

Bereavement during childhood, but not before birth, is associated with an increased risk of psychosis

shutterstock_180517940

Psychotic disorders, such as schizophrenia, are often conceptualised as arising from a complex interplay of genetic and environmental influences (Tandon 2008). The impact of social influences on the risk of psychotic experience is undeniable. Recent reviews of this topic have called for a focus on maternal wellbeing as a means of primary prevention for mental [read the full story…]

Is ‘natural’ better? Evidence for the efficacy of complementary therapies for antenatal depression

shutterstock_112802128

Can we encourage patients to continue taking complementary and alternative (CAM) treatments for antenatal depression or should we be firmly discouraging them from doing so? We already know from surveys that 11% of primary care patients with anxiety and depression are taking complementary or alternative therapies, which is around the same proportion of people who [read the full story…]

Common antidepressants associated with increased risk of postpartum haemorrhage

shutterstock_18257986

Postpartum haemorrhages are serious birth complications that represent one of the leading causes of maternal mortality and morbidity. While incidences of postpartum haemorrhages have risen steadily in the past decades (in the US alone, numbers increased from 2.3% to 2.9% from 1994 to 2006), there is little evidence as to why. Antidepressants – especially selective [read the full story…]

Maternal depression associated with reduced breastfeeding and premature delivery

shutterstock_96680560

We often hear about postnatal depression, a well-recognised depressive episode in mothers occurring after the birth of their baby. However, 54.2% of women suffering from postnatal depression actually developed their depressive symptoms before or during pregnancy  (Burt and Quezada, 2009). Around 10% of pregnant mothers have depression and this number increases each trimester. Women are less likely [read the full story…]