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Published in: Archives of Women's Mental Health 1/2020

01-02-2020 | Affective Disorder | Review Article

Mood instability during pregnancy and postpartum: a systematic review

Authors: Hua Li, Angela Bowen, Rudy Bowen, Lloyd Balbuena, Cindy Feng, Jill Bally, Nazeem Muhajarine

Published in: Archives of Women's Mental Health | Issue 1/2020

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Abstract

Perinatal mood instability (MI) is a common clinical observation in perinatal women, and existing research indicates that MI is strongly associated with a variety of mental disorders. The purpose of this study is to review the evidence of perinatal MI systematically, with a focus on perinatal MI, its relation to perinatal depression, and its effects on children. A systematic search of the literature using PRISMA guidelines was conducted on seven academic health databases to identify any peer-reviewed articles published in English from 1985 to July 2017. Studies were screened, data were extracted, and quality of the selected studies was assessed. A total of 1927 abstracts were returned from the search, with 1063 remaining for abstract screening after duplicate removal, and 4 quantitative studies were selected for final analysis. The selected studies addressed perinatal MI (n = 2), the relation of perinatal MI to perinatal depression (n = 1), and the effects of perinatal MI on children (n = 1). The selected studies identified that perinatal women experienced a significantly higher level of MI than non-perinatal women, MI is a prominent feature in perinatal women with and without depression, mood lability during the early postpartum predicts psychopathology up to 14 months postpartum, and maternal emotion dysregulation, rather than maternal psychopathology, increases the risk of heightened facial affect synchrony in mother-infant interaction. The study reveals a significant gap in the literature of perinatal MI.
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Metadata
Title
Mood instability during pregnancy and postpartum: a systematic review
Authors
Hua Li
Angela Bowen
Rudy Bowen
Lloyd Balbuena
Cindy Feng
Jill Bally
Nazeem Muhajarine
Publication date
01-02-2020
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 1/2020
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-019-00956-6

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