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1
Mazure, Carolyn M., and Gwendolyn Puryear Keita, eds. Understanding depression in women: Applying empirical research to practice and policy. Washington: American Psychological Association, 2006. http://dx.doi.org/10.1037/11434-000.
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Association, Korean-Canadian Women's. Total health promotion: A research on stress, depression and self-confidence of Korean Canadian women. [Toronto]: s.n., 1996.
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1960-, Moran Patricia, ed. Wednesday's child: Research into women's experience of neglect and abuse in childhood and adult depression. London: Routledge, 1998.
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Beck, Cheryl Tatano. Postpartum mood and anxiety disorders: Case studies, research, and nursing care. 2nd ed. Washington, D.C: Association of Women's Health, Obstetric and Neonatal Nurses, 2008.
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M, Mazure Carolyn, and Keita Gwendolyn Puryear, eds. Understanding depression in women: Applying empirical research to practice and policy. Washington, DC: American Psychological Association, 2006.
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(Editor), Carolyn M. Mazure, and Gwendolyn Puryear Keita (Editor), eds. Understanding Depression in Women: Applying Empirical Research to Practice And Policy. American Psychological Association (APA), 2006.
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Trivedi, Madhukar H., and Steven M. Strakowski, eds. Depression. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190929565.001.0001.
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Major depressive disorder is a serious, debilitating, life-shortening illness that affects many persons of all ages and backgrounds. The point prevalence is high (2.3%–3.2% in men, 4.5%–9.3% in women) and the lifetime risk is 7% to 12% for men and 20% to 25% for women. Major depression is a disabling disorder that costs the United States over $200 billion per year in direct and indirect costs. Depression also has detrimental effects on all aspects of social functioning, such as self-care, social role, and family life, including household, marital, kinship, and parental roles. While there have been several treatments that are efficacious, many individuals suffering from depression experience life-long challenges due to the often chronic and episodic nature of the disease. Identifying strategies to find the right treatments for the right patients is critical. Ongoing research has explored the importance of examining physiologic biomarkers as well as clinical characteristics to gain a better understanding of subtypes of depression, which will lead to improved treatments and better outcomes. This book provides an introduction to the etiology and pathophysiology of depression, common comorbidities and differential diagnoses, pharmacotherapy strategies, psychotherapeutic and neuromodulation interventions, novel and nontraditional treatment strategies, and considerations in special populations.
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Felder, Jennifer N., Abigail Lindemann, and Sona Dimidjian. Perinatal Depression. Edited by C. Steven Richards and Michael W. O'Hara. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199797004.013.024.
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Depression is a common problem among pregnant andpostpartum women, with rates comparable to or greater than those among women of childbearing age who are not pregnant or postpartum. Perinatal depression is associated with a wide range of unique assessment and treatment complexities, risk factors, and consequences for women and offspring. In this chapter, we review current research on the prevalence of perinatal depression, etiology, risk factors, and consequences, and we discuss assessment strategies and interventions. Limitations to current research and future research directions are noted. We conclude with guidelines for practitioners for assessing and treating depression during the perinatal period.
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Misri, Shaila, Jasmin Abizadeh, and Sonya Nirwan. Depression During Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.19.
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Depression affects 9–13% of pregnant women and 12–16% of postpartum women. Rates vary depending on whether depressive symptoms or DSM diagnoses of depression are considered. Risk factors of perinatal depression include socioeconomic status, social support, personality style, personal and family history of depression, and hormonal changes. The Edinburgh Postnatal Depression Scale (EPDS) is a self-report instrument commonly used to assess for perinatal depression. The treatment of perinatal depression with antidepressant medication is controversial. Most guidelines recommend psychotherapy for mild to moderate depression and medication for moderate to severe depression. Established psychotherapies include interpersonal psychotherapy and cognitive behavioral therapy, as well as alternative therapies such as infant massage in the postpartum. Although extensive research on perinatal depression has been conducted over the past two decades, future research could include designing prospective, methodologically sound studies with larger samples to compare treatment modalities, teratogenicity associated with pharmacotherapy, and prevalence of perinatal depression in various cultures.
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Kendall-Tackett, Kathleen. Complementary and Alternative Treatments for Perinatal Depression. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.28.
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Complementary and alternative (CAM) treatments for depression are increasingly popular with new mothers seeking alternatives to antidepressants. This chapter reviews recent studies on the modalities that have the strongest empirical support. These include long-chain omega-3 fatty acids, S-adenosyl-L-methionine (SAMe), bright light therapy, exercise, and two herbal antidepressants (i.e., St. John’s wort, and kava). As our understanding of the anti-inflammatory mechanism underlying treatments for depression increases, this research may suggest still more treatments or combinations of treatments that can help pregnant and postpartum women recover quickly from perinatal depression. Safety considerations for breastfeeding mothers are reviewed for each modality, and reasons that mothers might choose these approaches over antidepressant medications are described.
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Mizock, Lauren, and Erika Carr. Women with Serious Mental Illness. Oxford University Press, 2020. http://dx.doi.org/10.1093/med-psych/9780190922351.001.0001.
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Women with Serious Mental Illness: Gender-Sensitive and Recovery-Oriented Care calls attention to a topic and a population that have been overlooked in research and psychotherapy—women with serious mental illnesses (schizophrenia, severe depression, bipolar disorder, and complex post-traumatic stress disorder). The book focuses on the history of mistreatment, marginalization, and oppression women with serious mental illness have encountered, not only from the general public but within the mental health system as well. This book provides an overview of recovery-oriented care for women with serious mental illness—a process of seeking hope, empowerment, and self-determination beyond the effects of mental illness. The authors provide a historical overview of the treatment of women with mental illness, their resilience and recovery experiences, and issues pertaining to relationships, work, class, culture, trauma, and sexuality. This book also offers the new model, the Women’s Empowerment and Recovery-Oriented Care intervention, for working with this population from a gender-sensitive framework. The book is a useful tool for mental health educators and providers and provides case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.
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Breivik, Harald. Epidemiology of pain: Its importance for clinical management and research. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198785750.003.0002.
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Chronic pain affects at least 20% of the adult population in Europe. Musculoskeletal, abdominal pain, abdominal pain, and headache dominate. About 10% have widespread pain. Women suffer more chronic pain than men. Chronic pain is more common in older persons, in 50% of home-dwelling women, and 60% of women living in nursing homes. Chronic pain increases, with increasing age, and with increasing obesity, and with more patients surviving after treatment for cancer. After injuries and surgical operations new pain develops and persists longer than healing of the surgical wound in about 10%; with 1% developing disabling pain. Apart from sex and age, risk factors that can be reduced by preventive measures are disturbed sleep, psychological stress, depression, and anxiety. Chronic pain costs 2–10% of gross national products of European countries. Epidemiological studies can enable policymakers to provide preventive and therapeutic measures, and research investment to address this suffering.
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Dutton, Garreth R., and Belinda L. Needham. Obesity. Edited by C. Steven Richards and Michael W. O'Hara. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199797004.013.021.
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Cross-sectional and longitudinal studies indicate a positive association between obesity and depression. While some evidence suggests that depression is a risk factor for obesity, other findings indicate that obesity is a risk factor for depression. Therefore the directionality of this relationship remains unclear. Alternatively, there may be common mediating biological or environmental contributors accounting for this association. Potential biological mediators include dysregulation of the HPA axis, leptin resistance, and inflammatory immune responses. Environmental and psychological mediators may include a history of abuse and binge eating. It is also possible that the association between obesity and depression is most pronounced among particular subsets of individuals (e.g., women, those with more severe obesity). A better understanding of this depression-obesity association is needed to guide treatment recommendations for obese clients with comorbid depression. Future research is also needed to determine who is most vulnerable to experiencing comorbid depression and obesity.
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Buttner, Melissa M., and Michael W. O'Hara. Women’s Health. Edited by C. Steven Richards and Michael W. O'Hara. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199797004.013.034.
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Major depressive disorder (MDD) is a significant mental health problem with deleterious effects, including poor health related quality of life and long-term disability. Epidemiological studies suggest that women in particular are more vulnerable to an increased risk of depression, relative to men, beginning at the time of menarche through the menopausal transition. Depression comorbid with chronic medical conditions can often exacerbate the risk of depression, as well as complicate its recognition and treatment. Depression comorbidity can lead to negative outcomes, including progression of the chronic medical condition, poor treatment adherence, and mortality. In this chapter, we explore chronic medical conditions that are associated with a greater prevalence of depression in women relative to men, including type 2 diabetes, fibromyalgia, and rheumatoid arthritis. An overview of epidemiology is followed by a discussion of theories explaining depression comorbidity and approaches to recognizing and treating depression in the context of these chronic medical conditions. Finally, we discuss future research directions with the goal of informing clinical research and practice.
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Wenzel, Amy, Scott Stuart, and Hristina Koleva. Psychotherapy for Psychopathology During Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.22.
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Psychotherapy is often the treatment of choice for perinatal women who wish to limit their fetus’s or infant’s medication exposure. The vast majority of empirical research that has examined psychotherapy for perinatal women has focused on depression. Interpersonal psychotherapy (IPT) and cognitive behavioral therapy (CBT) have been examined in several studies to determine their efficacy in perinatal depression and anxiety. Recent research has begun to examine the manner in which psychotherapies can be delivered in alternative formats (e.g., teletherapy) in order to overcome problems with treatment retention and compliance. Suggestions for future research include large-scale randomized controlled trials that compare two active approaches to psychotherapy, mediation studies to uncover the mechanisms of change associated with the successful treatment of perinatal women, and randomized controlled trials evaluating the efficacy of psychotherapy for mental health disorders other than depression.
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Hart, Kimberly J., and Heather A. Flynn. Screening, Assessment, and Diagnosis of Mood and Anxiety Disorders During Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.009.
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Mood and anxiety disorders are highly prevalent in perinatal samples, affecting as many as 20% of childbearing women (Gavin et al., 2005). In an effort to prevent adverse outcomes associated with perinatal mood and anxiety disorders, researchers and clinicians have advocated routine screening during the perinatal period (NRC, 2009). Although, there are several screening measures for depression, many of which have been used or validated in perinatal populations, few screening tools have been developed specifically for or validated in perinatal samples for bipolar disorder or anxiety disorders. Despite the ongoing need for brief, accurate, and easily administered screening measures, it seems clear that perinatal mood and anxiety screening is associated with substantial improvement in rate of detection (Georgiopoulous et al., 1999; Georgiopoulos, Bryan, Wollan, and Yawn, 2001; Gilbody, Sheldon, and House, 2008). However, in the absence of systematic protocols to ensure further assessment, treatment, and follow-up, screening is unlikely to have a positive impact on depression-associated morbidity (Gjerdingen, Katon, and Rich, 2008; Gilbody et al., 2008; Miller et al., 2012; NRC, 2009). Preliminary evidence suggests that screening for perinatal mood and anxiety disorders, when embedded within larger systems to ensure comprehensive assessment, connection to treatment, and regular monitoring, has the potential to improve outcomes for women and their families. The question of whether screening programs can ultimately decrease depression-associated morbidity and prevent adverse outcomes cannot be answered given the existing research base (Myers et al., 2013). Although much is left to be understood about perinatal screening for mood and anxiety disorders, the impact of this research lies in potential for reducing negative maternal outcomes as well as for prevention of the negative impact of perinatal depression on the health and well-being of babies born to depressed or anxious mothers.
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Segre, Lisa S., Michael W. O'Hara, and Elena Perkhounkova. Adaptations of Psychotherapy for Psychopathology During Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.013.
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Women experiencing depressive symptoms often do not seek timely treatment from a mental health professional. This review focuses specifically on adapted approaches and tailored interventions for perinatal depression that increase their acceptability and accessibility. The effects of these adapted depression interventions cover a broad range; to compare these new treatments only those resulting in statistically significant improvement are reviewed. Some adaptations, even those provided by non–mental health specialists, produced effects equal to or surpassing those achieved by traditional treatment strategies. Suggestions for future research have two foci. First, because depressed perinatal women are also likely to suffer from comorbid disorders such as anxiety, it is important to evaluate the effectiveness of adapted treatments on complex cases. Second, the implementation setting of adapted treatments has generally been limited. Evaluating how these interventions might be incorporated into new settings as part of a stepped-care approach moves research from the bench into clinical settings.
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Wenzel, Amy, and Deborah Kim. Psychopharmacology in Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.21.
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A substantial minority of pregnant and lactating women meet criteria for one or more mental health disorders and, in many of these cases, treatment with psychotropic medication is indicated. Data from empirical studies on psychopharmacology using antidepressant medications for perinatal women suggest that the risk-benefit ratio is favorable, although their usage during pregnancy is associated with a slight increase in risk of spontaneous abortion, cardiac malformations (specifically with paroxetine), preterm birth, and poor neonatal adaptation syndrome. However, these risks should be contrasted with the fact that women with moderate to severe depression who have had multiple lifetime episodes have a substantial relapse rate if they stop taking their antidepressant during pregnancy. There is more limited research on the use of other classes of psychotropic medications during pregnancy and the postpartum period. Future research should establish the efficacy and risk-benefit profile of psychotropic medications for the broad array of mental health disorders during pregnancy and lactation, as well as for postpartum mental health disorders other than depression.
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Kurtiş, Tuğçe, and Glenn Adams. Gender and Sex(ualities). Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190658540.003.0005.
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Cultural psychology highlights the mutual constitution of psyche and culture—that is, the bidirectional relationship between person-based structures of mind and socially constructed affordances inscribed in everyday cultural worlds. The experience of gender and sexuality requires engagement with particular sociocultural affordances, and cultural traditions of gender and sexuality are (re)produced by everyday activities. Western feminists have often viewed aspects of gender relations in Majority-World settings as pathological or oppressive. Adopting a decolonial standpoint, we proposes two analytic strategies to counter such epistemic violence: (1) normalize Other patterns that appear abnormal or deficient; and (2) denaturalize the patterns that prevail in Western high-income settings. We illustrate these strategies by describing our research on “self-silencing,” relationship satisfaction, and depression among Turkish women.
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Brandon, Anna R., Geetha Shivakumar, Elizabeth H. Anderson, and Anne Drapkin Lyerly. Specific Populations. Edited by John Z. Sadler, K. W. M. Fulford, and Cornelius Werendly van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732365.013.16.
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It is estimated that more than 500,000 women annually experience a mental illness during pregnancy. Although approximately a third of these women will be prescribed medication, the majority receives no treatment, partly because ethical challenges to including pregnant women in research protocols have impeded studies necessary to establish maternal and fetal effects of medication, appropriate dosing, and the relative risks of undertreated mental illness. Because mental illness is a frequent complication of pregnancy (particularly anxiety and depression), clinicians will be called upon to ethically navigate uncertain treatment recommendations with sensitivity to patient values. The following discussion reviews the history of current guidelines to research with pregnant women, common clinical presentations of women experiencing mental illness in the perinatal context, and relevant ethical frameworks to inform patient care.
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Ayers, Susan, and Elizabeth Ford. Posttraumatic Stress During Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.18.
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Research on post-traumatic stress disorder (PTSD) in pregnancy and postpartum is relatively new but clearly demonstrates the importance of recognizing and treating women with PTSD at this time. Women with PTSD in pregnancy are at greater risk of pregnancy complications and health behaviors that have a negative impact on the woman and fetus. Approximately –3% of women develop PTSD after giving birth, and rates increase for women who have preterm or stillborn infants or life-threatening complications during pregnancy or labor. Models of the etiology of postpartum PTSD focus on the interaction among individual vulnerability, risk, and protective factors during and after birth. Research shows evidence for the role of previous psychiatric problems, depression in pregnancy, severe complications during birth, support, and women’s subjective experience of birth in postpartum PTSD. Very little research has examined screening or intervention. The chapter highlights key research topics that need addressing.
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Tzilos, Golfo, Kristina Davis, and Caron Zlotnick. Prevention of Postpartum Psychopathology. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.29.
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Approximately 26% of postpartum women meet diagnostic criteria for a psychiatric disorder. Untreated psychopathology in the postpartum period is associated with a range of adverse outcomes for both infant and mother. Fortunately, the perinatal period provides an opportune time to intervene with and prevent postpartum psychopathology. Women have increased contact with health care providers during this time, providing an avenue through which access to prevention can be improved. Furthermore, with increased knowledge to identify high-risk women, preventive interventions can be delivered to assist both the woman and infant. Preventive efforts for postpartum psychopathology are aimed at modifying risk factors or protective factors to prevent the psychiatric disorder and primarily use three distinct approaches: universal, selective, and indicated. This chapter provides a review of the empirical research in the prevention of postpartum psychopathologies including postpartum depression, anxiety, bipolar disorder, psychosis, and addictions (tobacco, alcohol, and illicit drugs).
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Onoye, Jane M., Deborah Goebert, and Leslie Morland. Cross-Cultural Differences in Adjustment to Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.31.
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Cultural context is important to understanding cross-cultural difference in adjustment to pregnancy and the postpartum period. Culture is complex, with interrelated variables posing challenges for research. Highlighted with examples of research with women from Western, Eastern, Native, and Other cultures, the chapter discusses variables such as acculturation and acculturative stress, social support, religious and spiritual beliefs and practices, and help-seeking and utilization of services in perinatal mental health and adjustment. Although rates of psychiatric symptoms and disorders vary across cultures, postpartum depression is universal and most often reflected in the perinatal mental health literature. Research on interventions and services mainly examine Western approaches as standard models of health care; however, understanding cultural context can help to inform directions for intervention adaptations or tailoring through a “cultural lens.” There are growing segments of cross-cultural perinatal mental health research, but many gaps still remain.
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Glover, Vivette, Thomas G. O’Connor, and Kieran O’Donnell. Maternal mood in pregnancy: fetal origins of child neurodevelopment. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0003.
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Women experience as many symptoms of anxiety, depression, and stress during pregnancy as in the postnatal period. This can affect not only the woman herself but also the development of her fetus, and have long-term effects on several different outcomes including the cognitive ability and behaviour of her child, although most children are not affected. The particular outcomes affected may depend on the timing of the exposure, specific genetic vulnerabilities, and the quality of postnatal care provided. Recent research has shown that increased maternal anxiety is associated with altered placental function, and a greater association between maternal and fetal cortisol. This interrelationship of hormonal associations during the fetal stage could potentially impact on fetal/infant outcomes, and supports the need for continuing research in the field. Chapter 3 covers studies on maternal mood in pregnancy and explores the underlying mechanisms and types of stress.
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Gorman, Sara, Judith Currier, Elise Hall, and Julia del Amo. Women’s Issues. Edited by Mary Ann Cohen, Jack M. Gorman, Jeffrey M. Jacobson, Paul Volberding, and Scott Letendre. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199392742.003.0035.
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This chapter explores some of the unique challenges that often put women at higher risk of HIV infection and that create a course of illness that may differ from that found in men living with HIV. The first portion of the chapter discusses manifestations of HIV infection and the course of infection in women. It also addresses the particular issues associated with antiretroviral treatment (ART) and women, and the interactions between ART and depression in women. The chapter then goes on to broach an important topic that puts many women at high risk for HIV infection: gender-based violence, as well as some of the key, albeit limited, research on effective interventions for gender-based violence and HIV prevention. The third part of the chapter addresses issues related specifically to HIV and pregnancy, including vertical transmission. Finally, the chapter concludes with a discussion of a relatively neglected topic, HIV and menopause.
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Oakley, Ann. From Here to Maternity. Policy Press, 2018. http://dx.doi.org/10.1332/policypress/9781447349341.001.0001.
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The author of this book is a pioneer in the field of sociological research. In this classic re-issue, the author interviewed 60 women to find out what it is really like to have a baby. Covering pregnancy, birth and child care, the book relies on the stories mothers tell to discuss whether and why women want to become pregnant, how they imagine motherhood to be, the experience of birth, post-natal depression, feeding and caring routines, and the challenges for the domestic division of labour and to fathers. It shows that most women are unprepared for the birth or the work of caring for a baby, but also for the joys that a baby can bring. As topical today as the day it was written, this important book was the first to examine first-time motherhood in the words of those experiencing it, and it continues to influence generations of researchers today.
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Milkman, Ruth. Introduction. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252040320.003.0012.
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This book examines the historical and contemporary intersections of class and gender inequalities in the U.S. labor market, as well as efforts to challenge those inequalities. Drawing on four decades of research that dates back to the 1970s, it investigates the dynamics of job segregation by sex—the linchpin of gender inequality. It considers the relationship between women workers and labor unions and the American labor movement more generally. It also discusses union responses to workforce feminization, along with the sexual division of labor in the automobile industry during World War II. After explaining how the growing class inequality among women has contributed to employment growth in paid domestic labor and assessing these growing class inequalities in the context of work–family policy, the book concludes with an analysis of class-based disparities among women in the late twentieth and early twenty-first centuries by comparing the gender dynamics of the Great Depression of the 1930s and those of the Great Recession associated with the 2008 financial crisis.
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Mizock, Lauren, and Zlatka Russinova. Acceptance of Mental Illness. Oxford University Press, 2016. http://dx.doi.org/10.1093/med:psych/9780190204273.001.0001.
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The book covers a topic that is often overlooked in the literature: How people with serious mental illnesses (i.e., schizophrenia, bipolar disorder, severe depression) come to recognize and deal with the symptoms of a mental illness in order to promote recovery. Per the recovery movement in mental health, recovery is understood as not simply symptom elimination, but the process of living a meaningful and satisfying life in the face of mental illness. Acceptance of Mental Illness draws from research to provide educators, clinicians, researchers, and consumers with an understanding of the multidimensional process of acceptance of mental illness in order to support people across culturally diverse groups to experience empowerment, mental wellness, and growth. Chapters focus on providing a historical overview of the treatment of people with mental illness, examining the acceptance process, and exploring the experience of acceptance among women, men, racial–ethnic minorities, and LGBT individuals with serious mental illnesses. The book is a useful tool for mental health educators and providers, with each chapter containing case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.