Perinatal Mental Health
Conditions
Keywords
perinatal mental health, perinatal depression, perinatal bipolar troubles
Brief summary
The perinatal period is recognized as a time of heightened psychological vulnerability. This research aims to improve the diagnosis and therapeutic management of mood episodes occurring during this time. It is integrated into routine clinical care and seeks to standardize the evaluation of criteria used to characterize mood episodes, while also exploring relevant contextual factors. Traditionally, clinical attention has focused on postnatal depression; however, increasing evidence highlights the presence of hypomanic symptoms-such as distractibility, reduced need for sleep, tachypsychia, and irritability-during the postpartum period. These symptoms may coexist with depressive features, resulting in complex clinical presentations that are often difficult to recognize and manage. Consequently, many cases go undiagnosed and untreated. Current research has largely concentrated on depressive episodes (perinatal depression), with less emphasis on manic, hypomanic, or mixed episodes indicative of bipolar disorder. A systematic evaluation of hypomanic symptoms occurring alongside depressive symptoms in the postpartum period could refine clinical diagnosis and support more targeted and effective therapeutic interventions.
Interventions
OTHERself-questionnaires
Patients who volunteer to take part in the research will complete self-questionnaires before their appointment with the psychiatrist.
Sponsors
Centre Hospitalier Charles Perrens, Bordeaux
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
Participants are assigned prospectively to complete self-questionnaires according to the protocol to characterize perinatal mood episodes.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women over 18 years old * Pregnant or having given birth less than a year ago * First psychiatric consultation for the pregnancy concerned. * Good command of the French language. * Participant affiliated to the social security system * Participant who has given her consent to take part in the study.
Exclusion criteria
* Women who gave birth more than a year ago. * Participant under psychiatric care * Participant under court protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detailed description of the Edinburg Postnatal (EPDS) scale | 1 day | A sensitivity analysis will be carried out on the group of patients with an EPDS score greater than 12, and a comparison between these patients and patients with an EPDS score equal to or less than 12 will also be carried out |
| Detailed description of Multidimensional Assessment of Thymic (MAThyS) scale | 1 day | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association of the risk factors Perceived Stress Scale (PSS) will be assessed by self-report | 1 day | the level of perceived stress by self report score\>=14 characterize a high level of perceived stress |
| Association of the risk factors Medical Outcomes Study -Social Support Survey (MOS-SSS) will be assessed by self-report | 1 | the level of perceived social support by self-report scale scores can range from 19 to 95, with a median score of 57 |
| Association of the risk factors Perceived Professional Social Support (QSSP-P) will be assessed by self-report | 1 | the level of perceived social support in the professional by self-report. scale scores pcan range from 12 to 120, with a median score of 66 |
Countries
France
Contacts
Primary ContactAnne-Laure SUTTER DALLAY, Prof, MD, PhD
Backup ContactHelen SAVARIEAU
Outcome results
None listed