PSI Chapter 2: Perinatal Mental Health Risks, PRotective Factors,
and Interactions (Blueprint - 10%)
Genetic and Family History: - Genetic Factors: - ️ Biological sensitivities to hormonal changes (runs in families). - ️ Genetic predisposition. - ️ Faulty belief systems (old vs. new view ...
PSI Chapter 2: Perinatal Mental Health Risks, PRotective Factors,
and Interactions (Blueprint - 10%)
Genetic and Family History:
- Genetic Factors:
- ✔️ Biological sensitivities to hormonal changes (runs in families).
- ✔️ Genetic predisposition.
- ✔️ Faulty belief systems (old vs. new view of self).
- ✔️ Previous history of PMADs.
- ✔️ Symptoms during pregnancy.
Sensitivity to Hormonal Changes:
- ✔️ Women with PMADs exhibit hormone levels similar to non-PMAD women but may be more
sensitive to changes in those hormone levels, especially during pregnancy.
Evidence-Based Risk Factors:
- ✔️ A history of significant mood reactions to hormonal changes (such as puberty, PMS, or hormonal
birth control) is a known risk factor.
- ✔️ A personal history of PMADs is considered a risk factor.
Non-Pregnancy Related Mental Health Disorders:
- ✔️ History of depression, anxiety, OCD, eating disorders, and bipolar disorders.
Epigenetics:
- ✔️ Refers to biological mechanisms through which relationships, environments, and early nutrition
affect "chemical signatures" on genes, influencing how they are turned on or off, affecting well-being
across a lifetime.
Exacerbating Factors for PMADs:
- ✔️ Pain can exacerbate PMADs.
, - ✔️ A history of thyroid imbalance increases the risk of PMADs; it’s crucial to assess patients for
thyroid dysfunction.
Increased Risk Groups for PMADs:
- ✔️ Women with endocrine disorders.
- ✔️ Women experiencing fertility challenges.
- ✔️ Those with thyroid imbalances.
- ✔️ Individuals experiencing pain.
Hormonal Interactions:
- ✔️ Thyroid dysfunction and anemia can reduce milk supply and potentially cause depression.
- ✔️ Galactagogues can help increase milk supply but may also cause depression.
- ✔️ Breastfeeding and depression have a bi-directional relationship.
- ✔️ Depression suppresses prolactin and oxytocin, both crucial hormones for lactation.
Impact of Delivery Method:
- ✔️ Suppression of oxytocin can occur with C-section deliveries, stressful or traumatic births, as well as
with interventions like epidurals, leading to potential lactation problems.
Pregnancy and Diabetes:
- ✔️ True: Postpartum depression (PPD) is more common among women with pre-pregnancy diabetes
(34.8% prevalence).
- ✔️ Gestational diabetes is not associated with increased rates of PPD.
Polycystic Ovarian Syndrome (PCOS):
- ✔️ A hormonal disorder that can lead to perinatal symptoms such as anxiety and depression.
Common Exacerbating Factors for PMADs:
- ✔️ Lack of sleep.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller bestscores1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.66. You're not tied to anything after your purchase.
