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Mood and anxiety disorders are very common during the perinatal period, with severe consequences not only for the mother but also for the child and the whole family. Recent research has shown how maternal stress, anxiety and depression can adversely influence a child's early and later development. It is therefore widely accepted that mental disorders in the perinatal period require special attention and uniquely modified treatments including pharmacological, nonpharmacological and psychotherapeutic approaches. In this volume, a group of internationally renowned experts review the most important topics of the field from both a clinical as well as a preclinical perspective - the history of psychiatry of motherhood, questions of classification of these disorders, the effects of chronic maternal stress on fetal development and a child's vulnerability to later psychiatric illness, the risk of perinatal infanticide and suicide and finally the most important forms and modifications of therapy.
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Perinatal Stress, Mood and Anxiety Disorders
Bibliotheca Psychiatrica No. 173
Series Editors
A. Riecher-Rössler Basel M. Steiner Hamilton
Perinatal Stress, Mood and Anxiety Disorders From Bench to Bedside
Volume Editors
A. Riecher-Rössler Basel M. Steiner Hamilton
11 figures, 1 in color, and 5 tables, 2005
Basel · Freiburg · Paris · London · New York · Bangalore · Bangkok · Singapore · Tokyo · Sydney
Bibliotheca Psychiatrica Formerly published as ‘Abhandlung aus der Neurologie, Psychiatrie, Psychologie und ihren Grenzgebieten’ (Founded 1917) Edited by K. Bonhoeffer, Berlin (1917–1939), J. Klaesi, Bern (1948–1952), J. Klaesi and E. Grünthal, Bern (1955–1967), E. Grünthal, Bern (1968), E. Grünthal and Th. Spoerri, Bern (1969–1971), Th. Spoerri, Bern (1973), P. Berner and E. Gabriel, Wien (1975–1986), B. Saletu, Wien (1986–2003)
Prof. Dr. med. A. Riecher-Rössler
M. Steiner, MD, PhD
Psychiatrische Poliklinik Universitätsspital Basel Petersgraben 4 CH–4031 Basel (Switzerland)
Department of Psychiatry McMaster University Women’s Health Concerns Clinic St. Joseph’s Healthcare Hamilton, Ont. (Canada)
Library of Congress Cataloging-in-Publication Data Perinatal stress, mood, and anxiety disorders : from bench to bedside / volume editors, A. Riecher-Rössler, M. Steiner. p. ; cm. – (Bibliotheca psychiatrica ; no. 173) Includes bibliographical references and indexes. ISBN 3-8055-7865-2 (hard cover : alk. paper) 1. Postpartum psychiatric disorders. 2. Childbirth–Psychological aspects. 3. Motherhood–Psychological aspects. 4. Postnatal care–Psychological aspects. 5. Mothers–Mental health. 6. Stress (Psychology) 7. Anxiety in women. 8. Postpartum depression. 9. Mental illness in pregnancy. 10. Pregnant women–Mental health. [DNLM: 1. Postpartum Period–psychology. 2. Anxiety Disorders. 3. Mood Disorders. 4. Pregnancy Complications–psychology. WQ 500 P4456 2005] I. Riecher-Rössler, Anita. II. Steiner, Meir. III. Series. RG850.P475 2005 618.7⬘6–dc22 2005006482 Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents® and Index Medicus. Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. All rights reserved. No part of this public