13 results on '"Lluïsa Garcia-Esteve"'
Search Results
2. Dispositivos específicos de la salud mental perinatal: Hospital de Día Madre-Bebé
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Alba Roca, Lluïsa Garcia-Esteve, Bárbara Sureda, Susanna Andrés, Esther Roda, Carmen Naranjo, and Noemí Fernández
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Hospital de día madre-bebé ,Dispositivos ,Salud mental perinatal ,Díada madre-hijo ,Psychology ,BF1-990 ,Psychiatry ,RC435-571 - Published
- 2021
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3. Personality traits as a risk factor for postpartum depression : A systematic review and meta-analysis
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Meritxell Puyané, Estel Gelabert, Anna Torres, Susana Subirà, Alba Roca, and Lluïsa Garcia-Esteve
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Postpartum depression ,media_common.quotation_subject ,medicine.disease ,Neuroticism ,Personality Disorders ,Depression, Postpartum ,Psychiatry and Mental health ,Clinical Psychology ,Mood ,Risk Factors ,Meta-analysis ,medicine ,Trait ,Personality ,Humans ,Female ,Prospective Studies ,Personality Assessment Inventory ,Big Five personality traits ,Psychology ,Clinical psychology ,media_common - Abstract
Acord transformatiu CRUE-CSIC Background: Certain personality traits increase vulnerability to depression, but the evidence linking personality and postpartum depression (PPD) is less robust. This systematic review aimed to identify personality traits that increase the risk of PPD. Methods: We systematically reviewed studies retrieved from PubMed/Medline, PsycINFO, Scopus, CINAHL, and Cochrane, following the PRISMA guidelines for reporting. We carried out a meta-analysis on the association between neuroticism and PPD. Results: A total of 34 studies were analyzed. Of these, 31 considered at least one trait associated with PPD; 10 studies considered at least one trait not associated with PPD. The meta-analysis included 13 studies, concluding that neuroticism was associated with PPD (OR: 1.37; 95%CI: 1.22-1.53; p
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- 2022
4. Depression prevalence based on the Edinburgh Postnatal Depression Scale compared to Structured Clinical Interview for DSM DIsorders classification: Systematic review and individual participant data meta-analysis
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Scott B. Patten, Kylee Trevillion, Nicolas Favez, Pim Cuijpers, Kira E. Riehm, Nicholas D. Mitchell, Lorie A. Kloda, Lisa Giardinelli, Bárbara Figueiredo, Jane Kohlhoff, Emma Robertson-Blackmore, Chantal Quispel, Chen He, Angeliki A. Leonardou, Yin Wu, Mahrukh Imran, Thach Duc Tran, Adomas Bunevicius, Susan Pawlby, Roy C. Ziegelstein, Iva Alexandra Barbosa Tendais, Lorenzo Lelli, Alan Stein, Marleine Azar, Parash Mani Bhandari, Carola Bindt, Meri Tadinac, Simon Gilbody, Anna Torres-Giménez, Brooke Levis, Tamsen J. Rochat, Zelalem Negeri, Andrea Benedetti, Louise M. Howard, Valentina Meuti, Ian Shrier, Jill Boruff, Robert C. Stewart, Dipika Neupane, Bonnie W.M. Siu, Katherine Turner, Johann M. Vega-Dienstmaier, Jacqueline Barnes, Linda H. Chaudron, Sandra Nakić Radoš, Simone N. Vigod, Amar Bavle, Nazanin Saadat, Anita Lyubenova, Marcello Tonelli, Danielle B. Rice, John P. A. Ioannidis, Ying Sun, Purificación Navarro García, Nadine Helle, Annamária Töreki, Brett D. Thombs, Liane Comeau, S. Darius Tandon, Ankur Krishnan, Lluïsa Garcia-Esteve, Cheryl Tatano Beck, Deborah Sharp, Matthew J. Chiovitti, Laima Kusminskas, Philip Boyce, Zoltán Kozinszky, Franca Aceti, Clinical Psychology, World Health Organization (WHO) Collaborating Center, APH - Global Health, APH - Mental Health, [et al.], and Universidade do Minho
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European community ,Endowment ,purl.org/pe-repo/ocde/ford#3.02.24 [https] ,Library science ,Categorical grant ,Depression, Postpartum ,03 medical and health sciences ,0302 clinical medicine ,Individual participant data meta‐analysis ,SDG 3 - Good Health and Well-being ,Community support ,Pregnancy ,Internship ,Prevalence ,structured clinical interview for DSM ,Humans ,Major depression ,Edinburgh Postnatal Depression Scale ,Sociology ,Clinical interview ,Psychiatric Status Rating Scales ,Depressive Disorder, Major ,Science & Technology ,depression prevalence ,individual participant data meta-analysis ,major depression ,Depression ,Individual participant data ,Original Articles ,individual participant data meta‐analysis ,3. Good health ,030227 psychiatry ,Psychiatry and Mental health ,Depression prevalence ,Female ,Original Article ,Structured clinical interview for DSM ,030217 neurology & neurosurgery - Abstract
Objectives: Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies. Methods: We analyzed datasets that compared EPDS scores to Structured Clinical Interview for DSM (SCID) major depression status. Random‐effects meta‐analysis was used to compare prevalence with EPDS cutoffs versus the SCID. Results: Seven thousand three hundred and fifteen participants (1017 SCID major depression) from 29 primary studies were included. For EPDS cutoffs used to estimate prevalence in recent studies (≥9 to ≥14), pooled prevalence estimates ranged from 27.8% (95% CI: 22.0%–34.5%) for EPDS ≥ 9 to 9.0% (95% CI: 6.8%–11.9%) for EPDS ≥ 14; pooled SCID major depression prevalence was 9.0% (95% CI: 6.5%–12.3%). EPDS ≥14 provided pooled prevalence closest to SCID‐based prevalence but differed from SCID prevalence in individual studies by a mean absolute difference of 5.1% (95% prediction interval: 13.7%, 12.3%). Conclusion: EPDS ≥14 approximated SCID‐based prevalence overall, but considerable heterogeneity in individual studies is a barrier to using it for prevalence estimation., This study was funded by the Canadian Institutes of Health Research (CIHR, KRS‐140994). Ms. Lyubenova was supported by the Mitacs Globalink Research Internship Program. Ms. Neupane was supported by G.R. Caverhill Fellowship from the Faculty of Medicine, McGill University. Drs. Levis and Wu were supported by Fonds de recherche du Québec‐Santé (FRQS) Postdoctoral Training Fellowships. Mr. Bhandari was supported by a studentship from the Research Institute of the McGill University Health Centre. Ms. Rice was supported by a Vanier Canada Graduate Scholarship. Ms. Azar was supported by a FRQS Masters Training Award. The primary study by Barnes et al. was supported by a grant from the Health Foundation (1665/608). The primary study by Beck et al. was supported by the Patrick and Catherine Weldon Donaghue Medical Research Foundation and the University of Connecticut Research Foundation. The primary study by Helle et al. was supported by the Werner Otto Foundation, the Kroschke Foundation, and the Feindt Foundation. Prof. Robertas Bunevicius, MD, PhD (1958‐2016) was Principal Investigator of the primary study by Bunevicius et al., but passed away and was unable to participate in this project. The primary study by Chaudron et al. was supported by a grant from the National Institute of Mental Health (grant K23 MH64476). The primary study by Tissot et al. was supported by the Swiss National Science Foundation (grant 32003B 125493). The primary study by Tendais et al. was supported under the project POCI/SAU‐ESP/56397/2004 by the Operational Program Science and Innovation 2010 (POCI 2010) of the Community Support Board III and by the European Community Fund FEDER. The primary study by Garcia‐Esteve et al. was supported by grant 7/98 from the Ministerio de Trabajo y Asuntos Sociales, Women's Institute, Spain. The primary study by Howard et al. was supported by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Numbers RP‐PG‐1210‐12002 and RP‐DG‐1108‐10012) and by the South London Clinical Research Network. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. The primary study by Phillips et al. was supported by a scholarship from the National Health and Medical and Research Council (NHMRC). The primary study by Nakić Radoš et al. was supported by the Croatian Ministry of Science, Education, and Sports (134‐0000000‐2421). The primary study by Navarro et al. was supported by grant 13/00 from the Ministry of Work and Social Affairs, Institute of Women, Spain. The primary study by Pawlby et al. was supported by a Medical Research Council UK Project Grant (number G89292999N). The primary study by Quispel et al. was supported by Stichting Achmea Gezondheid (grant number z‐282). Dr. Robertson‐Blackmore was supported by a Young Investigator Award from the Brain and Behavior Research Foundation and NIMH grant K23MH080290. The primary study by Rochat et al. was supported by grants from the University of Oxford (HQ5035), the Tuixen Foundation (9940), the Wellcome Trust (082384/Z/07/Z and 071571), and the American Psychological Association. Dr. Rochat receives salary support from a Wellcome Trust Intermediate Fellowship (211374/Z/18/Z). The primary study by Prenoveau et al. was supported by The Wellcome Trust (grant number 071571). The primary study by Stewart et al. was supported by Professor Francis Creed's Journal of Psychosomatic Research Editorship fund (BA00457) administered through University of Manchester. The primary study by Tandon et al. was funded by the Thomas Wilson Sanitarium. The primary study by Tran et al. was supported by the Myer Foundation who funded the study under its Beyond Australia scheme. Dr. Tran was supported by an early career fellowship from the Australian National Health and Medical Research Council. The primary study by Vega‐Dienstmaier et al. was supported by Tejada Family Foundation, Inc, and Peruvian‐American Endowment, Inc. Drs. Benedetti and Thombs were supported by FRQS researcher salary awards.
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- 2021
5. Comparison of major depression diagnostic classification probability using the SCID, CIDI, and MINI diagnostic interviews among women in pregnancy or postpartum: An individual participant data meta-analysis
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Pim Cuijpers, Ying Sun, Cosme Alvarado-Esquivel, Alkistis Skalkidou, Jane Kohlhoff, Beth A. Lewis, Humberto Correa, Muideen O. Bakare, Simon Gilbody, Bonnie W.M. Siu, Sandra Nakić Radoš, Adomas Bunevicius, Katherine Turner, Andrea Benedetti, Valsamma Eapen, Daisuke Nishi, Liane Comeau, Zoltán Kozinszky, Michael Maes, Kylee Trevillion, Johann M. Vega-Dienstmaier, Karen Wynter, Cheryl Tatano Beck, Rubén Alvarado, Angeliki A. Leonardou, Emma Robertson-Blackmore, Felipe Pinheiro de Figueiredo, Pavaani Thiagayson, Matthew J. Chiovitti, Bárbara Figueiredo, Brett D. Thombs, Yin Wu, Mahrukh Imran, S. Darius Tandon, Lisa Giardinelli, Laima Kusminskas, Tatiana A. Sanchez, Jacqueline Barnes, Linda H. Chaudron, Philip Boyce, Heather Rowe, Parash Mani Bhandari, Anna Torres-Giménez, Marleine Azar, Robert C. Stewart, Iva Alexandra Barbosa Tendais, Daniel Okitundu Luwa E-Andjafono, Meri Tadinac, Tiago Castro e Couto, Lluïsa Garcia-Esteve, Tamsen J. Rochat, Marcello Tonelli, Danielle B. Rice, Roy C. Ziegelstein, Annamária Töreki, Thach Duc Tran, Dipika Neupane, Ankur Krishnan, Franca Aceti, Dina Sami Khalifa, Kuan-Pin Su, Carola Bindt, Michelle Fernandes, Nicholas D. Mitchell, Lorie A. Kloda, Scott B. Patten, Lorenzo Lelli, Louise M. Howard, Kira E. Riehm, Kimberly A. Yonkers, Nazanin Saadat, Alan Stein, Nadine Helle, Purificación Navarro García, Simone N. Vigod, Dean McMillan, John P. A. Ioannidis, Jane Fisher, Inger Sundström-Poromaa, Chen He, Brooke Levis, Valentina Meuti, Ian Shrier, Jill Boruff, [et al.], Universidade do Minho, Clinical, Neuro- & Developmental Psychology, APH - Global Health, APH - Mental Health, and World Health Organization (WHO) Collaborating Center
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DRUŠTVENE ZNANOSTI. Psihologija. Klinička i zdravstvena psihologija ,0302 clinical medicine ,Pregnancy ,Medicine ,Depression (differential diagnoses) ,Psychiatry ,education.field_of_study ,4. Education ,individualparticipant data meta-analysis ,1. No poverty ,Public Health, Global Health, Social Medicine and Epidemiology ,16. Peace & justice ,CIDI ,3. Good health ,Psychiatry and Mental health ,Meta-analysis ,SOCIAL SCIENCES. Psychology. Clinical and Health Psychology ,Female ,Original Article ,diagnostic interviews ,Clinical psychology ,Adult ,purl.org/pe-repo/ocde/ford#3.02.24 [https] ,Population ,Psykiatri ,Depression, Postpartum ,03 medical and health sciences ,SDG 3 - Good Health and Well-being ,Interview, Psychological ,Humans ,Edinburgh Postnatal Depression Scale ,education ,Mini-international neuropsychiatric interview ,Psychiatric Status Rating Scales ,Depressive Disorder, Major ,Science & Technology ,business.industry ,individual participant data meta‐analysis ,Odds ratio ,Original Articles ,individual participant data meta-analysis ,030227 psychiatry ,Pregnancy Complications ,depressive disorders, diagnostic interviews ,major depression ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,Structured interview ,business ,depressive disorders ,030217 neurology & neurosurgery - Abstract
Objectives: A previous individual participant data meta-analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire-9. We aimed to determine whether similar results would be seen in a different population, using studies that administered the Edinburgh Postnatal Depression Scale (EPDS) in pregnancy or postpartum. Methods: Data accrued for an EPDS diagnostic accuracy IPDMA were analysed. Binomial generalised linear mixed models were fit to compare depression classification odds for the Mini International Neuropsychiatric Interview (MINI), Composite International Diagnostic Interview (CIDI), and Structured Clinical Interview for DSM (SCID), controlling for EPDS scores and participant characteristics. Results: Among fully structured interviews, the MINI (15 studies, 2,532 participants, 342 major depression cases) classified depression more often than the CIDI (3 studies, 2,948 participants, 194 major depression cases; adjusted odds ratio [aOR] = 3.72, 95% confidence interval [CI] [1.21, 11.43]). Compared with the semistructured SCID (28 studies, 7,403 participants, 1,027 major depression cases), odds with the CIDI (interaction aOR = 0.88, 95% CI [0.85, 0.92]) and MINI (interaction aOR = 0.95, 95% CI [0.92, 0.99]) increased less as EPDS scores increased. Conclusion: Different interviews may not classify major depression equivalently., This study was funded by the Canadian Institutes of Health Research (CIHR, KRS-140994). Ms. Levis was supported by a CIHR Frederick Banting and Charles Best Canada Graduate Scholarship Doctoral Awards. Ms. Rice was supported by a Vanier Canada Graduate Scholarship. Dr. Wu was supported by an Utting Postdoctoral Fellowship from the Jewish General Hospital, Montreal, Quebec, Canada. Ms. Azar was supported by a Fonds de recherche du Québec - Santé (FRQS) Masters Training Award. Mr. Bhandari was supported by a studentship from the Research Institute of the McGill University Health Centre. The primary study by Alvarado et al. was supported by the Ministry of Health of Chile. The primary study by Barnes et al. was supported by a grant from the Health Foundation (1665/608). The primary study by Beck et al. was supported by the Patrick and Catherine Weldon Donaghue Medical Research Foundation and the University of Connecticut Research Foundation. The primary study by Helle et al. was supported by the Werner Otto Foundation, the Kroschke Foundation, and the Feindt Foundation. Prof. Robertas Bunevicius, MD, PhD (1958–2016) was principal investigator of the primary study by Bunevicius et al. but passed away and was unable to participate in this project. The primary study by Couto et al. was supported by the National Counsel of Technological and Scientific Development (CNPq; Grant 444254/2014-5) and the Minas Gerais State Research Foundation (FAPEMIG; Grant APQ-01954-14). The primary study by Chaudron et al. was supported by a grant from the National Institute of Mental Health (Grant K23 MH64476). The primary study by Figueira et al. was supported by the Brazilian Ministry of Health and by the National Counsel of Technological and Scientific Development (CNPq; Grant 403433/2004-5). The primary study by de Figueiredo et al. was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo. The primary study by Tissot et al. was supported by the Swiss National Science Foundation (Grant 32003B 125493). The primary study by Fernandes et al. was supported by grants from the Child: Care Health and Development Trust and the Department of Psychiatry, University of Oxford, Oxford, UK, and by the Ashok Ranganathan Bursary from Exeter College, University of Oxford. Dr. Fernandes was supported by a National Institute for Health Research (NIHR) academic clinical fellowship. The primary study by Tendais et al. was supported under the project POCI/SAU-ESP/56397/2004 by the Operational Program Science and Innovation 2010 (POCI 2010) of the Community Support Board III and by the European Community Fund FEDER. The primary study by Fisher et al. was supported by a grant under the Invest to Grow Scheme from the Australian Government Department of Families, Housing, Community Services and Indigenous Affairs. The primary study by Garcia-Esteve et al. was supported by Grant 7/98 from the Ministerio de Trabajo y Asuntos Sociales, Women's Institute, Spain. The primary study by Howard et al. was supported by the NIHR under its Programme Grants for Applied Research Programme (Grants RP-PG-1210-12002 and RPDG-1108-10012) and by the South London Clinical Research Network. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. The primary study by Phillips et al. was supported by a scholarship from the National Health and Medical and Research Council (NHMRC). The primary study by Roomruangwong et al. was supported by the Ratchadaphiseksomphot Endowment Fund 2013 of Chulalongkorn University (CU-56-457-HR). The primary study by Naki c Radoš et al. was supported by the Croatian Ministry of Science, Education, and Sports. The primary study by Navarro et al. was supported by Grant 13/00 from the Ministry of Work and Social Affairs, Institute of Women, Spain. The primary study by Usuda et al. was supported by Grants-in-Aid for Young Scientists (A) from the Japan Society for the Promotion of Science (primary investigator: Daisuke Nishi, MD, PhD) and by an Intramural Research Grant for Neurological and Psychiatric Disorders from the National Center of Neurology and Psychiatry, Japan. Dr. Robertson-Blackmore was supported by a Young Investigator Award from the Brain and Behavior Research Foundation and NIMH Grant K23MH080290. The primary study by Rochat et al. was supported by grants from University of Oxford (HQ5035), the Tuixen Foundation (9940), the Wellcome Trust (082384/Z/07/Z and 071571), and the American Psychological Association. Dr. Rochat receives salary support from a Wellcome Trust Intermediate Fellowship (211374/Z/18/Z). The primary study by Rowe et al. was supported by the diamond Consortium, beyondblue Victorian Centre of Excellence in Depression and Related Disorders. The primary study by Comasco et al. was supported by funds from the Swedish Research Council (VR: 521-2013-2339, VR: 523-2014-2342), the Swedish Council for Working Life and Social Research (FAS: 2011-0627), the Marta Lundqvist Foundation (2013, 2014), and the Swedish Society of Medicine (SLS-331991). The primary study by Prenoveau et al. was supported by the Wellcome Trust (Grant 071571). The primary study by Stewart et al. was supported by Professor Francis Creed's Journal of Psychosomatic Research Editorship fund (BA00457) administered through University of Manchester. The primary study by Su et al. was supported by grants from the Department of Health (DOH94F044 and DOH95F022) and the China Medical University and Hospital (CMU94-105, DMR-92-92, and DMR94-46). The primary study by Tandon et al. was supported by the Thomas Wilson Sanitarium. The primary study by Tran et al. was supported by the Myer Foundation who funded the study under its Beyond Australia scheme. Dr. Tran was supported by an early career fellowship from the Australian National Health and Medical Research Council. The primary study by Vega-Dienstmaier et al. was supported by Tejada Family Foundation, Inc. and Peruvian-American Endowment, Inc. The primary study by Yonkers et al. was supported by a National Institute of Child Health and Human Development grant (5 R01HD045735). Drs. Benedetti and Thombs were supported by FRQS researcher salary awards.
- Published
- 2019
6. The Stafford Interview
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Pey-Ling Shieh, Hettie Dubow, Bruma Palacios-Hernández, Prabha S. Chandra, Ylva Parfitt, Lluïsa Garcia-Esteve, Suaad Moussa, Kristina Hofberg, Walaa Fakher, Alessandra Bramante, and Ian Brockington
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medicine.medical_specialty ,Pregnancy ,business.industry ,Mother infant ,Obstetrics and Gynecology ,medicine.disease ,030227 psychiatry ,Clinical Practice ,03 medical and health sciences ,Psychiatry and Mental health ,Single pregnancy ,0302 clinical medicine ,medicine ,Psychiatry ,business ,030217 neurology & neurosurgery - Abstract
This article describes an interview exploring the social, psychological and psychiatric events in a single pregnancy and puerperium. It has been in development since 1992 and is now in its 6th edition. It takes approximately 2 h to administer and has 130 compulsory probes and 185 ratings. It is suitable for clinical practice, teaching and research.
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- 2016
7. S206. ARIPIPRAZOLE LONG-ACTING INJECTABLE IN SCHIZOPHRENIA DURING PREGNANCY: A CASE REPORT
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Alba Roca, Anna Torres, Eva Solé, Lluïsa Garcia-Esteve, Susana Andres, Marina Garriga, Sara Lera, and Juan Ignacio Duran
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medicine.medical_specialty ,Pregnancy ,Poster Session I ,business.industry ,AcademicSubjects/MED00810 ,Schizophrenia (object-oriented programming) ,medicine.disease ,Psychiatry and Mental health ,Long acting ,medicine ,Aripiprazole ,Psychiatry ,business ,medicine.drug - Abstract
Background Long-acting injectable (LAI) antipsychotics provide some advantages in treatment compliance of psychotic disorders. However, information about their effects during pregnancy is still very limited. We expose a clinical case of aripiprazole LAI use in a pregnant woman diagnosed of schizophrenia. Methods A non-systematic review using Pubmed was conducted using the following terms: schizophrenia, pregnancy, aripiprazole and aripiprazole LAI. A clinical record review was performed for the clinical case report. Results We report the case of a 30-year-old woman diagnosed of schizophrenia. She required several hospital admissions in the past because of the mental disorder and the lack of treatment adherence, what was the consequence of having no insight of illness and her pregnancy desires. She was initially treated with risperidone, suffering from some adverse effects like prolactine elevation and amenorrhea. In the last hospital admission, she started treatment with aripiprazol 20mg, having a good tolerability and being finally changed into aripiprazole LAI 400mg/28days. No incidences were reported and stability was achieved. After five months, she became pregnant and started being followed up in the Perinatal Mental Health Unit that belongs to the same hospital. The severity of the mental disorder and her stability at that moment made psychiatrists; obstetricians and patient decide to keep the antipsychotic treatment with subsequent appointments. The goal was to supervise psychopathology and blood tests during pregnancy. Prolactine was in physiologic levels and there were no obstetric complications. She finally delivered at 41 gestational weeks to a 3465g baby girl (Apgar 1’: 9 Apgar 5’: 10). No neonatal complications were reported. The Stafford interview was also administered in order to explore her social, obstetric and psychological background as well as possible psychiatric complications due to pregnancy and puerperium. No psychiatric complications were reported. Postpartum Bounding Questionnaire was also administered. No bounding disorder was detected. Discussion Pregnancy and postpartum are periods that carry a high risk of illness onset or recurrence in women with severe mental disorders, such as schizophrenia. Having a good control of the symptoms may prevent from risks to both patient and child, due to the important influence that exists on the development of the baby and the mother-infant relationship.
- Published
- 2020
8. Validation and Test-Retest Reliability of Early Trauma Inventory in Spanish Postpartum Women
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James Douglas Bremner, Purificación Navarro, Lluïsa Garcia-Esteve, Anna Plaza, Maria Luisa Imaz, Rocío Martín-Santos, Manuel Valdés, Estel Gelabert, and Anna Torres
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Adult ,Postpartum depression ,medicine.medical_specialty ,Psychometrics ,Intraclass correlation ,Article ,Depression, Postpartum ,Life Change Events ,Young Adult ,Surveys and Questionnaires ,Confidence Intervals ,medicine ,Humans ,Young adult ,Psychiatry ,Depression (differential diagnoses) ,Obstetrics ,Adult Survivors of Child Abuse ,Postpartum Period ,Case-control study ,Area under the curve ,Reproducibility of Results ,medicine.disease ,Confidence interval ,Psychiatry and Mental health ,ROC Curve ,Spain ,Area Under Curve ,Case-Control Studies ,Female ,Psychology - Abstract
The aims were to study the validity and test-retest reliability of the Early Trauma Inventory—Self Report (ETI-SR) and its short-form (ETI-SF), which retrospectively assess different childhood trauma, in a sample of Spanish postpartum women. A total of 227 healthy postpartum women completed the ETI-SR and ETI-SF. The longitudinal, expert, all data procedure was used as the external criterion for the assessment of childhood trauma. The ETI-SR and ETI-SF were also administered to a sample of 102 postpartum depressive women (DSM-IV) and the results were compared with those of the healthy postpartum sample. The area under the curve values of the ETI-SR and ETI-SF were 0.77 (95% confidence interval [CI], 0.71–0.84) and 0.78 (95% CI, 0.72–0.85), the internal consistencies of the 2 scales were 0.79 and 0.72, and the intraclass correlation coefficients were 0.92 (95% CI, 0.80–0.97) and 0.91 (95% CI, 0.78–0.96), all respectively. The ETI-SR and ETI-SF had higher test-retest reliability on all subscales. The ETI-SR and ETI-SF are shown to be valid and reliable instruments for assessing childhood trauma in postpartum women.
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- 2011
9. Employment During Pregnancy Protects Against Postpartum Depression
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Elisabet Vilella, Isolde Gornemann, Rocío Martín-Santos, Glòria Albacar, Julio Sanjuán, Lluïsa Garcia-Esteve, Francesca Canellas, Yolanda de Diego, Alfonso Gutiérrez-Zotes, Ana Milena Gaviria, and Roser Guillamat
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Postpartum depression ,Marital discord ,Pregnancy ,medicine.medical_specialty ,education.field_of_study ,Obstetrics ,Population ,Life events ,medicine.disease ,Social support ,medicine ,Anxiety ,medicine.symptom ,Psychiatry ,Psychology ,education - Abstract
Postpartum depression (PPD), a disorder that has severe consequences for mother and child (Pearlstein, Howard, Salisbury, & Zlotnick, 2009), is the most common psychiatric disorder experienced by women after childbirth (McGarry, Kim, Sheng, Egger, & Baksh, 2009), with a prevalence of ~7% during the first three postpartum months (O'Hara, 2009). While different biological (Albacar et al., 2011; Brummelte & Galea, 2010; Leung & Kaplan, 2009) and genetic (Costas et al., 2010; Mahon et al., 2009; Sanjuan et al., 2008; Treloar, Martin, Bucholz, Madden, & Heath, 1999) factors have been associated with PPD, most researchers have identified a history of affective disorder, depressive episodes and anxiety during pregnancy as the principal risk factors for PPD (O'Hara, 2009; Oppo et al., 2009). Social and psychological factors such as marital discord, low social support, stressful life events and lack of marital support have been strongly associated with PPD in several studies (Beck, 2001; Chen, 2001; O'Hara, 2009), and unemployment, which has been associated with depression in the general population (Stankunas, Kalediene, Starkuviene, & Kapustinskiene, 2006), has been specifically associated with PPD (Chen, 2001; Inandi et al., 2002; Jardri et al., 2006; Lane et al., 1997; Miyake, Tanaka, Sasaki, & Hirota, 2011; Posmontier, 2008; Rubertsson, Wickberg, Gustavsson, & Radestad, 2005; Warner, Appleby, Whitton, & Faragher, 1996). However, the results of studies on the impacts of other social variables such as income (Miyake et al., 2011) and the mother’s level of education (Beck, 2001; Josefsson et al., 2002; Kozinszky et al., 2011; Miyake et al., 2011) are controversial. A recent study in Japan found that full-time employment and professional or technical employment significantly reduced the risk of PPD, leading researchers to claim that it is likely that a
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- 2012
10. 1816 – Prenatal exposure to lithium and fetal and neonatal growth
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Elisenda Eixarch, Francesc Figueras, Francesc Botet, G. Español, Lluïsa Garcia-Esteve, Alexandre González-Rodríguez, R. García-Bouza, E. Roda, M.L. Imaz, and Anna Torres
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Pregnancy ,Fetus ,medicine.medical_specialty ,Lithium (medication) ,business.industry ,Obstetrics ,medicine.medical_treatment ,medicine.disease ,Umbilical cord ,Obesity ,Gestational diabetes ,Psychiatry and Mental health ,medicine.anatomical_structure ,Diabetes mellitus ,medicine ,Caesarean section ,business ,medicine.drug - Abstract
Introduction Insulin-dependent diabetes, obesity and gestational diabetes are factors associated with macrosomia. Some psychiatric medications have well established side effects of weight changes in exposed pregnants. However, very few studies have investigated about the effects of lithium in fetal and neonatal anthropometry. Aims To investigate the effects of maternal use of lithium during pregnancy on fetal and neonatal growth. Methods A case-control study was conducted at the PERINATAL PSYCHIATRY PROGRAM CLINIC-BARCELONA. Case group consisted of 18 pregnant women on maintenance treatment with lithium monotherapy (n=13) or polytherapy (n=5) during pregnancy; control group involves 49 healthy women selected from an initial sample of 309. We evaluated sociodemographic data, lithium plasma concentrations in maternal blood and umbilical cord, fetal and neonatal anthropometry. Results Women did not diabetes or obesity criteria pre-pregnancy and during pregnancy. Mean maternal age (SD) in lithium exposed cases was 33.5 (3.8) and 32.5 (4.1) in non-exposed pregnant. No statistically significant differences were found regarding sociodemographic variables and pre-pregnancy BMI. Caesarean section was required in 91.8% of lithium exposed mothers, whereas 8.2% of non-exposed women did not need it (p= 0.000). Fetuses exposed to lithium had greater abdominal circumference (p= 0.018) and femur length (p= 0.010) compared to non-exposed group. There were no differences in umbilical cord/maternal plasma lithium ratio between women treated with lithium monotherapy or polytherapy (1.11vs.1.03). Conclusions The fetuses exposed to lithium had a greater abdominal circumference, greater femur length and more caesarean section in comparison to non-exposed group. Fetal growth surveillance is recommended in pregnant treated with lithium.
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- 2013
11. Case Report: Clinical and Pharmacokinetic Profile of Lithium Monotherapy in Exclusive Breastfeeding. A Follow-Up Case Series
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Maria Luisa Imaz, Dolors Soy, Mercé Torra, Llüisa García-Esteve, Cristina Soler, and Rocio Martin-Santos
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bipolar disorder ,lithium ,lactation ,case report ,pharmacokinetics ,exclusive maternal breastfeeding ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Background: Most guidelines advise that women taking lithium should not breastfeed. The variation in transfer is just one reason behind this advice.Objectives: To present clinical and pharmacokinetic data of nine mother–infant pairs exposed to lithium monotherapy during late pregnancy and exclusive breastfeeding at the Perinatal Psychiatric Unit (2006–2018).Methods: We obtained sociodemographic data, medical risk factors, obstetric variables, and family and personal psychiatric history by semi-structured interview, and assessed maternal psychopathology with the Hamilton Depression Rating Scale and Young Mania Rating Scale. A senior neonatologist reviewed neonatal outcomes at birth using the Peripartum Events Scale. Paired maternal and cord blood and infant venous blood samples were collected. During the breastfeeding period, we monitored serum lithium and creatinine concentrations in mother–infant pairs at delivery, and at days 1–5, 7–11, 30, and 60 postpartum, and monthly until 6-months.Results: Lithium equilibrated completely across the placenta [1.13 (0.10), range (1.02–1.30)]. No women presented symptoms of postpartum lithium intoxication, two of the neonates presented transient hypotonia (22%). Lithium exposure was significantly less during breastfeeding than during late pregnancy, and serum lithium concentrations decreased up to 44% overtime from delivery to the first-month, and up to 60% to the third-month postpartum. There was no growth or developmental delay in the follow-up period. One woman had a manic episode with psychotic features at 45 days postpartum.Conclusions: In carefully selected women with bipolar disorder, lithium therapy when breastfeeding can be an appropriate option if coupled with close monitoring of the mother-infant pair.
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- 2021
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12. Clinical Lactation Studies of Lithium: A Systematic Review
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Maria Luisa Imaz, Mercè Torra, Dolors Soy, Lluïsa García-Esteve, and Rocio Martin-Santos
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lithium ,lactation ,breastfeeding ,human milk ,postpartum ,neonates ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Background: There is substantial evidence that postpartum prophylaxis with lithium lowers the rate of relapse in bipolar disorder. However, it is contraindicated during breastfeeding due to the high variability of the transfer into breast milk.Aims: We conducted a systematic review of the current evidence of studies assessing the transfer of lithium to lactating infants and short-term infant outcomes.Methods: An a priori protocol was designed based on PRISMA guidelines. Searches in PubMed and LactMed were conducted until September 2018. Studies assessing lithium pharmacokinetic parameters and short-term infant outcomes were included. Quality was assessed using a checklist based on international guidelines (i.e., FDA).Results: From 344 initial studies, 13 case reports/series with 39 mother–child dyads were included. Only 15% of studies complied with ≥50% of the items on the quality assessment checklist. Infants breastfeed a mean (SD) of 58.9 (83.3) days. Mean maternal lithium dose was 904 (293) mg/day, corresponding lithium plasma/serum concentration was 0.73(0.26) mEq/L, and breast milk concentration was 0.84(0.14) mEq/L. Mean infant lithium plasma/serum concentration was 0.23(0.26) mEq/L. Twenty-six (80%) infants had concentrations ≤0.30 mEq/L without adverse effects. Eight (20%) showed a transient adverse event (i.e., acute toxicity or thyroid alterations). All of them were also prenatally exposed to lithium monotherapy or polytherapy.Conclusion: The current evidence comes from studies with a degree of heterogeneity and of low-moderate quality. However, it identifies areas of improvement for future clinical lactation studies of lithium and provides support for some clinical recommendations.
- Published
- 2019
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13. Clozapine Use During Pregnancy and Lactation: A Case-Series Report
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M. Luisa Imaz, Giovanni Oriolo, Mercè Torra, Dolors Soy, Lluïsa García-Esteve, and Rocio Martin-Santos
- Subjects
clozapine ,pregnancy ,placental ,pharmacokinetics ,amniotic ,lactation ,Therapeutics. Pharmacology ,RM1-950 - Abstract
The current prescription of clozapine in psychotic women of reproductive age makes it crucial to understand its pharmacokinetics during pregnancy and lactation as well as its risk profile for neonatal outcome. The aim of this case series was to provide new evidence on the pharmacokinetic features of clozapine that determine its passage through the placenta and amniotic fluid, as well as the neonatal clozapine elimination half-life (t1/2). This case series demonstrates for the first time that clozapine might show partial placental passage similar to other atypical antipsychotics. Clozapine levels decreased during the first few days in nursing infants. The half-life of clozapine in neonates was slightly higher than previously estimated. Clozapine use in pregnancy may be associated with diabetes mellitus, especially if there is a family history of this disease. Although no acute toxicological effects were observed in the intrauterine exposed newborn, close follow-up of pregnancy is recommended. However, these results must be taken with caution being a case series with small sample size
- Published
- 2018
- Full Text
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