A surge of clinical and research interest in postpartum mood
disturbances has recently lead to a greater understanding of their
phenomenology, etiologies, relationships to one another and to
psychiatric disorders. Summarizing these recent advances in theory,
research, and treatment, "Postpartum Mood Disorders" hypothesizes
that the traditional categories of postpartum mood disorders&
mdash;postpartum & ldquo;blues,& rdquo; postpartum
depression and postpartum psychosis& mdash;are not necessarily
on a continuum. Though interrelated in some cases, these categories
represent distinct postpartum states, with different
phenomenologies, etiologies, predictive factors, and treatments.
Focusing on the biological aspects of puerperal mood
disturbance, the book& rsquo;s first section explores how the
ubiquitous, mild postpartum mood changes known as & ldquo;baby
blues& rdquo; can be caused by the effects of sudden hormonal
withdrawal. It further reviews data about how postpartum depression
relates to mood changes occurring at other parts of the
reproductive cycle, such as menopause; examines the pattern of mood
changes across the reproductive cycle in relation to hormonal
changes; and describes cultural differences in understanding,
conceptualizing and reacting to postpartum mood changes.
Reviewing the clinical features and differential diagnosis of
postpartum psychosis, this timely monograph investigates data about
whether psychoses of postpartum onset differs from other psychoses
in terms of phenomenology, family history and prognosis, and
addresses the acute and long-term impact of major postpartum
psychiatric disorders on children& mdash;a central question for
families andclinicians.
The book& rsquo;s second section covers treatment strategies
for postpartum disorders, examining psychotherapeutic modalities as
well as pharmacologic and psychosocial interventions, including the
role of self-help groups and volunteer networks, and their
relationship to professional care systems.
Authored by pioneering clinicians, researchers, and self-help
volunteers who have worked with new mothers and their families in
dealing with postpartum mood disturbances, "Postpartum Mood
Disorders" provides a much-needed, thorough coverage of a highly
prevalent, but often misunderstood, subject.
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