Case Studies On Postpartum Depression

Vulnerability coupled with life stress predicated the diagnosis of depression” (p. Vulnerability speaks to the psychological theories of PPD which according to the cognitive model, “a patients negative view of the world and herself leads to depression and low self-esteem and disturb relationships” (Leopold & Zoschnick, 1995).

“Three correlates of PPD are consistently found by researchers: marriage problems and lack of social support, particularly the father’s, infant problems, including pregnancy and delivery problems, and a prior history of depression or other emotional problems (Hagen, 1996).

As the focus of this paper is Postpartum Depression, it is vital to differentiate the degrees of PPD. The ‘baby blues’ is characterized by mild and transient mood disturbances with an onset of 1-7 days postpartum with a peak between day 5-6 postpartum. “Of the 13 studies addressing the role of socioeconomic factors in PMD/PPD, only two found that low socioeconomic status is predictive of PMD/PPD” (Epperson, 1999). Women who have a prior history of depression or mood disorders displayed a significant influence on the occurrence of PMD/PPD during postpartum. The connection between childbirth and psychological instability has been historically validated. In 1858, Marce’ in his Treatise on Insanity of Pregnant and Lactation Women, “linked negative emotional reactions with childbirth (Griffin Hospital, 2004). It was not until 1958 with the publishing of the DSM II that “Psychosis with Childbirth” was even included. Postpartum Depression also referred to as Postpartum Major Depression (PMD), “occurs in approximately 10 percent of childbearing women and may begin anywhere between 14 hours to several months after delivery” (Epperson, 1999). Professional Psychology: Research and Practice, 30(2), 180-186. PPD exhibits all the typical symptoms of depression, but is distinguished by its manifestation after the childbirth. Typical features included rapidly evolving or shifting depressed or elated mood, disorganized, confused and disoriented behavior, and the presence of hallucination or delusions typically focus on the infant (Jellineck, Patel, & Froehele, 2002). Psychosis of any kind is considered a psychiatric emergency, however, with postpartum psychosis, potential harm to the infant necessitates immediate attention and evaluation. Additionally, it will encourage funding for researchers investigating perinatal mood disorders incidence and initiation” (Stone, 2010). Sudi, 29, is a married caucasian mother of two girls living in an affluent community in Maryland.

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