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A history of depression with psychotic features modifies a woman’s risk for depression after childbirth

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  • Michael E. Silverman
  • Martin A. Goldstein
  • Lauren Smith
  • Abraham Reichenberg
  • Paul Lichtenstein
  • Sven Sandin

Abstract

Objective: Postpartum depression (PPD) is a prevalent disorder that can result in negative child developmental outcomes. While a maternal history of unipolar depression is understood to be the largest risk factor, how a history of unipolar depression with psychotic features modifies PPD risk remains unclear. Methods: In a prospective cohort of all women with single infant births in Sweden, 1997–2008, the study explored the relative risk (RR) of PPD for mothers with a depression history, both with and without psychotic features. Results: Of the 707,701 mothers observed, 4,397 received a PPD diagnosis (62 per 10,000). PPD incidence in women without a depression history was 48 per 10,000 compared to 1,154 per 10,000 for those with a depression history (RR = 27.0). The incidence of PPD in women with a depression history that included psychotic features was 2,360 per 10,000 (RR = 37.9). Conclusion: PPD risk is significantly elevated among women who had a history of depression with psychotic features compared to women with a history of depression without psychotic features.

Suggested Citation

  • Michael E. Silverman & Martin A. Goldstein & Lauren Smith & Abraham Reichenberg & Paul Lichtenstein & Sven Sandin, 2020. "A history of depression with psychotic features modifies a woman’s risk for depression after childbirth," Psychosis, Taylor & Francis Journals, vol. 12(3), pages 281-284, July.
    • Handle: RePEc:taf:rpsyxx:v:12:y:2020:i:3:p:281-284
    DOI: 10.1080/17522439.2020.1720274
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