Cheryl Tatano Beck Flashcards
“The birth of a baby is an occasion for joy
—or so the saying goes . . . But for some
women, joy is not an option.”
Postpartum Depression Theory
— postpartum blues and baby blues, maternity blues is a relatively transient and self-limited period of melancholy and mood swings during the early postpartum period
Maternity Blues
— is a non-psychotic major depressive disorder with distinguishing diagnostic criteria that often begins as early as 4 weeks after birth. It may also occur anytime within the first year after childbirth.
Postpartum depression
— is a psychotic disorder characterized by hallucinations, delusions, agitation, and inability to sleep, along with bizarre and irrational behavior.
Postpartum psychosis
It is characterized by acute onset of anxiety, fear, rapid breathing, heart palpitations, and a sense of impending doom
Postpartum-Onset Panic Disorder
Symptoms include repetitive, intrusive thoughts of harming the baby, a fear of being left alone with the infant, and hypervigilance in protecting the infant.
Postpartum Obsessive-Compulsive Disorder
was experienced in all areas of women’s lives, although the particulars of the circumstances may be different.
Loss of control
consisted of horrifying anxiety attacks, enveloping fogginess, and relentless obsessive thinking.
Encountering terror
consists of alarming unrealness, contemplating
and attempting self-destruction, and isolating oneself.
Dying of self
— consisted of battling the system, seeking solace at support groups, and praying for relief
Struggling to survive
consisted of unpredictable transitioning, guarded recovery, and mourning lost time
Regaining control
Depression during any or all of the trimesters of pregnancy has been found to be the strongest predictor of postpartum depression
Prenatal Depression
pertains to stressful events related to child care
such as infant health problems and diiculty in infant care pertaining to feeding and sleeping.
Child care stress
is an index of stressful life events during pregnancy and postpartum.
Life stress
pertains to instrumental support (e.g., babysitting, help with household chores) and emotional support. Structural features of a woman’s social network
Social support
occurs during any trimester or throughout the pregnancy. Anxiety refers to feelings of uneasiness or apprehension concerning a
vague, nonspeciic threat.
Prenatal anxiety
refers to feelings of uneasiness or apprehension concerning a vague, nonspeciic threat.
Anxiety
The degree of satisfaction with a marital relationship is assessed and includes how happy or satisfied the woman is with certain
aspects of her marriage, such as communication, affection, similarity of values (e.g., finances, child care), mutual activity and
decision making, and global well-being.
Marital Satisfaction
A woman has a history of depression if there is report of having had a bout of depression before this pregnancy.
History of Depression
The temperament is the infant’s disposition and personality. Difficult temperament describes an infant who is irritable, fussy, unpredictable, and difficult to console.
Infant Temperament
Prolonged episodes of maternity blues (lasting more than 10 days) may predict postpartum depression.
Maternity blues
is a woman’s global feelings of self-worth and self-acceptance
Self-esteem
is a person’s rank or status in society involving a combination of social and economic factors
Socioeconomic status
is a woman’s standing in regard to marriage; it
denotes whether a woman is single, married or cohabiting, divorced, widowed, separated, or partnered.
Marital Status
refers to a pregnancy that was not planned or wanted.
Unplanned or unwanted pregnancy
include inability to sleep even when the baby is asleep, even though she is consciously aware of the need to eat, the woman may experience loss of appetite and inability to eat.
Sleeping and eating disturbances
includes over attention to relatively minor issues, There is an ever present feeling of insecurity and a sense of being overwhelmed in the new role of mother.
Anxiety and insecurity
A woman experiencing emotional lability has a sense that her emotions are unstable and out of her control
Emotional Lability
is characterized by a marked inability to
concentrate, focus on a task, or make a decision.
Mental confusion
they cannot identify who they really are and are fearful that they might never be able to be their real selves again.
Loss of Self
when she perceives that she is performing
poorly as a mother and has negative thoughts regarding her infant
Guilt and Shame
frequent thoughts of harming themselves or ending their lives to escape the living nightmare of postpartum depression.
Suicidal Thoughts
