The DSM-5 peripartum specifier: prospects and pitfalls

Sharma, Verinder; Mazmanian, Dwight

doi:10.1007/s00737-013-0406-3

Arch Womens Ment Health

2014

DOI: 10.1007/s00737-013-0406-3

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The DSM-5 peripartum specifier: prospects and pitfalls

Verinder Sharma

¹

,

Dwight Mazmanian

²

Abstract: The addition of the "with peripartum onset" specifier for mood episodes in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, and broadening the scope of the specifier to include hypomanic episodes, are welcome changes. However, the peripartum onset specifier, by failing to distinguish between "prepartum" onset and "postpartum" onset, obfuscates important differences in mood episodes that might have distinct etiologies, clinical profiles, and responses to treatment. In addition, re… Show more

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Cited by 64 publications

(41 citation statements)

References 18 publications

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The enduring impact of birth: Women’s birth perceptions, postpartum depressive symptoms, and postpartum depression risk

Johnson,

Thai,

Kington

2022

Birth

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho-social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions. 10 As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs. In bivariate associations (not shown), participants who felt more positive on average about their most recent birth had significantly lower scores on both EPDS and PDSS screeners.…”

Section: Results

mentioning

confidence: 99%

“…More than 60% of participants in the LTM II sample met this cutoff. Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho‐social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions 10 . As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs.…”

Section: Results

mentioning

confidence: 99%

“…Notably, EPDS and PDSS have been shown to have different sensitivies and specificities in correctly identifying women who do and do not have PPD—with the PDSS showing the highest combination of both sensitivity (true positives) and specificity (true negatives) 10 . Our descriptive findings in Table 2 did show substantial differences in the percentage of women in the clinical cutoff groups, with nearly double in the PDSS screener group compared with the EPDS screener group (63.3% vs 33.5%).…”

Section: Discussion

mentioning

confidence: 99%

See 2 more Smart Citations

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The enduring impact of birth: Women’s birth perceptions, postpartum depressive symptoms, and postpartum depression risk

Johnson,

Thai,

Kington

2022

Birth

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho-social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions. 10 As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs. In bivariate associations (not shown), participants who felt more positive on average about their most recent birth had significantly lower scores on both EPDS and PDSS screeners.…”

Section: Results

mentioning

confidence: 99%

“…More than 60% of participants in the LTM II sample met this cutoff. Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho‐social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions 10 . As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs.…”

Section: Results

mentioning

confidence: 99%

“…Notably, EPDS and PDSS have been shown to have different sensitivies and specificities in correctly identifying women who do and do not have PPD—with the PDSS showing the highest combination of both sensitivity (true positives) and specificity (true negatives) 10 . Our descriptive findings in Table 2 did show substantial differences in the percentage of women in the clinical cutoff groups, with nearly double in the PDSS screener group compared with the EPDS screener group (63.3% vs 33.5%).…”

Section: Discussion

mentioning

confidence: 99%

See 1 more Smart Citation

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Extreme Dysphoria of Pregnancy

Freeman

¹

2024

J. Clin. Psychiatry

Smart CitationsHow this paper cites the one you are viewing

“…Others have expertly argued that the peripartum specifier falls short in enabling the clinical and research goals of distinguishing the biological determinants of psychiatric disorders that impact antenatal and postpartum manifestations of illness. 12,13 Description of this phenomenon may create momentum for future research. Indeed, it took decades to formally recognize PMDD as a distinct psychiatric disorder.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Preventing Postpartum Depression in the Early Postpartum Period Using an App-Based Cognitive Behavioral Therapy Program: A Pilot Randomized Controlled Study

Qin

¹

,

Liu

²

,

Zhu

³

et al. 2022

IJERPH

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Second, participants’ depressive symptoms were only assessed in the first month postpartum. However, postpartum depression can occur within 6 months after delivery [ 3 ]. Further investigations covering a wider range of postpartum periods would be helpful.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

The enduring impact of birth: Women’s birth perceptions, postpartum depressive symptoms, and postpartum depression risk

Johnson,

Thai,

Kington

2022

Birth

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho-social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions. 10 As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs. In bivariate associations (not shown), participants who felt more positive on average about their most recent birth had significantly lower scores on both EPDS and PDSS screeners.…”

Section: Results

mentioning

confidence: 99%

“…More than 60% of participants in the LTM II sample met this cutoff. Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho‐social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions 10 . As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs.…”

Section: Results

mentioning

confidence: 99%

“…Notably, EPDS and PDSS have been shown to have different sensitivies and specificities in correctly identifying women who do and do not have PPD—with the PDSS showing the highest combination of both sensitivity (true positives) and specificity (true negatives) 10 . Our descriptive findings in Table 2 did show substantial differences in the percentage of women in the clinical cutoff groups, with nearly double in the PDSS screener group compared with the EPDS screener group (63.3% vs 33.5%).…”

Section: Discussion

mentioning

confidence: 99%

See 1 more Smart Citation

Get access via publisher

Extreme Dysphoria of Pregnancy

Freeman

¹

2024

J. Clin. Psychiatry

Smart CitationsHow this paper cites the one you are viewing

“…Others have expertly argued that the peripartum specifier falls short in enabling the clinical and research goals of distinguishing the biological determinants of psychiatric disorders that impact antenatal and postpartum manifestations of illness. 12,13 Description of this phenomenon may create momentum for future research. Indeed, it took decades to formally recognize PMDD as a distinct psychiatric disorder.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Preventing Postpartum Depression in the Early Postpartum Period Using an App-Based Cognitive Behavioral Therapy Program: A Pilot Randomized Controlled Study

Qin

¹

,

Liu

²

,

Zhu

³

et al. 2022

IJERPH

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Second, participants’ depressive symptoms were only assessed in the first month postpartum. However, postpartum depression can occur within 6 months after delivery [ 3 ]. Further investigations covering a wider range of postpartum periods would be helpful.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

The enduring impact of birth: Women’s birth perceptions, postpartum depressive symptoms, and postpartum depression risk

Johnson,

Thai,

Kington

2022

Birth

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho-social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions. 10 As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs. In bivariate associations (not shown), participants who felt more positive on average about their most recent birth had significantly lower scores on both EPDS and PDSS screeners.…”

Section: Results

mentioning

confidence: 99%

“…More than 60% of participants in the LTM II sample met this cutoff. Potential differences between screeners are known, as the PDSS is a more sensitive screening tool that also addresses more psycho‐social dimensions of postpartum depression; the EPDS provides a more conservative estimate of possible depression and measures fewer dimensions 10 . As such, it is important to consider both screeners in terms of how risk factors might correlate with overall scores and cutoffs.…”

Section: Results

mentioning

confidence: 99%

“…Notably, EPDS and PDSS have been shown to have different sensitivies and specificities in correctly identifying women who do and do not have PPD—with the PDSS showing the highest combination of both sensitivity (true positives) and specificity (true negatives) 10 . Our descriptive findings in Table 2 did show substantial differences in the percentage of women in the clinical cutoff groups, with nearly double in the PDSS screener group compared with the EPDS screener group (63.3% vs 33.5%).…”

Section: Discussion

mentioning

confidence: 99%

See 1 more Smart Citation

Get access via publisher

Extreme Dysphoria of Pregnancy

Freeman

¹

2024

J. Clin. Psychiatry

Smart CitationsHow this paper cites the one you are viewing

“…Others have expertly argued that the peripartum specifier falls short in enabling the clinical and research goals of distinguishing the biological determinants of psychiatric disorders that impact antenatal and postpartum manifestations of illness. 12,13 Description of this phenomenon may create momentum for future research. Indeed, it took decades to formally recognize PMDD as a distinct psychiatric disorder.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Preventing Postpartum Depression in the Early Postpartum Period Using an App-Based Cognitive Behavioral Therapy Program: A Pilot Randomized Controlled Study

Qin

¹

,

Liu

²

,

Zhu

³

et al. 2022

IJERPH

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…Second, participants’ depressive symptoms were only assessed in the first month postpartum. However, postpartum depression can occur within 6 months after delivery [ 3 ]. Further investigations covering a wider range of postpartum periods would be helpful.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher