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

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

Psychosis, 2020, vol. 12, issue 3, 281-284

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.

Date: 2020
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DOI: 10.1080/17522439.2020.1720274

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