NDLI: Perinatal maternal depression and cortisol function in pregnancy and the postpartum period: a systematic literature review

Content Provider	Springer Nature : BioMed Central
Author	Seth, Sunaina Lewis, Andrew J. Galbally, Megan
Abstract	Background Perinatal depression has a significant impact on both mother and child. However, the influence of hormonal changes during pregnancy and the postpartum period remains unclear. This article provides a systematic review of studies examining the effects of maternal cortisol function on perinatal depression. Method A systematic search was conducted of six electronic databases for published research on the relationship between cortisol and perinatal depression. The databases included; MEDLINE complete, PsychINFO, SCOPUS, Psychology and Behavioural Sciences, Science Direct and EBSCO, for the years 1960 to May 2015. Risk of bias was assessed and data extraction verified by two investigators. Results In total, 47 studies met criteria and studies showed considerable variation in terms of methodology including sample size, cortisol assays, cortisol substrates, sampling processes and outcome measures. Those studies identified as higher quality found that the cortisol awakening response is positively associated with momentary mood states but is blunted in cases of major maternal depression. Furthermore, results indicate that hypercortisolemia is linked to transient depressive states while hypocortisolemia is related to chronic postpartum depression. Discussion and Conclusion Future research should aim to improve the accuracy of cortisol measurement over time, obtain multiple cortisol samples in a day and utilise diagnostic measures of depression. Future studies should also consider both antenatal and postnatal depression and the differential impact of atypical versus melancholic depression on cortisol levels, as this can help to further clarify the relationship between perinatal depression and maternal cortisol function across pregnancy and the postpartum period.
Related Links	https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-016-0915-y.pdf
Ending Page	19
Page Count	19
Starting Page	1
File Format	HTM / HTML
ISSN	14712393
DOI	10.1186/s12884-016-0915-y
Journal	BMC Pregnancy and Childbirth
Issue Number	1
Volume Number	16
Language	English
Publisher	BioMed Central
Publisher Date	2016-05-31
Access Restriction	Open
Subject Keyword	Reproductive Medicine Maternal and Child Health Gynecology Cortisol Steroid hormones Perinatal depression Postpartum depression Postnatal depression Antenatal depression Maternal blues Baby blues Pregnancy Maternal mood
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3.4/2023

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