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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

It has been possible to note certain clinical features of 62 cases of failure of intra-uterine growth at term which had no maternal or fetal somatic cause and 21 control cases that support the theoretical hypothesis with which we start: this hypothesis is that there are mothers who are ambivalent as far as their future child is concerned and this is shown by a reluctance to "let it grow". Delivery and then the future relationship between the mother and infant will account for these difficulties. As far as the clinical features are concerned the 75% incidence of primiparity which has already been remarked on by other authors is confirmed. Infertility is common in the previous history (more than 30% of all cases): the absence of any plan as far as the child is concerned during the pregnancy with a refusal to consider one, the low incidence of breast feeding (less than 30%), the absence of post-partum depression and no plans for looking after the child once the mother starts work again all add up to a special kind of picture that seems to be associated with the absence of "child imaging". This pathological state seems to us to be associated with an early inability of the mother to make loving relationship, which she felt in her infancy with her own mother and which would explain certain maternal inherited features of failure to grow.
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PMID:[Psychogenetic aspects of intra-uterine growth failure (author's transl)]. 710 60

Studies have shown that very few women experience significant depression in the weeks following abortion and most have strong feelings of relief and happiness; what mild feelings of guilt, regret, or remorse do exist immediately following abortion tend to diminish quickly. Traditionally attitudes were that abortion could even precipitate psychosis and cause infertility, depression, and sexual dysfunction. The findings of a 1963-65 study of 116 women who underwent abortions indicate that few women had regrets immediately. Studies done after the 1973 Supreme Court decision conclude that even psychiatrically disturbed women who undergo abortion remain stabilized or improved afterwards. Women who do have postabortion problems are usually those who were late aborters, who feel that the decision was not freely made, or that the pregnancy fulfilled certain needs. When working with these women clinicians use a variety of techniques, encouraging the women to express their feelings of loss and anger and supporting the choice that was made, while providing contraceptive and decision making education. The strategy in 3 cases described here involved the woman first saying goodbye to the fetus and her former relationship with it in a gestalt dialogue. The next part of the strategy is establishing positive remembrance of the significant meaning of the fetus to the woman. There are usually 5 sessions at the end of which the woman feels optimistic; the 6th session is a followup 6 months to 1 year later at which most women report no further symptoms.
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PMID:Abortion: a technique for working through grief. 711 93

Women with epilepsy have lower fertility rates than women without epilepsy. We hypothesized that limbic dysfunction in temporal lobe epilepsy (TLE) alters the release of hypothalamic trophic hormones that secondarily affect release of the pituitary gonadotropins, causing ovulatory failure. We assessed ovulatory function over three consecutive menstrual cycles in 17 women with partial seizures arising from the temporal lobe (TLE), 7 women with primary generalized epilepsy (PGE), and 12 controls. We devised scores to reflect ovulatory function that were based on daily basal body temperature and monthly serum progesterone levels. Seizure frequency, antiepileptic drugs (AEDs), and depressive symptomatology were also evaluated. Anovulation was more frequent in subjects with TLE (35.3%) than in subjects with PGE (0%) or in controls (8.3%). Anovulatory cycles tended to occur more frequently in subjects with TLE who were treated with polytherapy than in those receiving monotherapy, but this result was not statistically significant. Seizure frequency and symptoms of depression did not affect ovulatory function. Although AED polytherapy may increase the likelihood of anovulation, our results suggest a mechanism of infertility related to temporal lobe dysfunction.
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PMID:Ovulatory function in epilepsy. 760 13

Mental status and personality were investigated in 130 infertile women from November 1992 to May 1993 in the infertility clinic of The Second Hospital of Hunan Medical University. Causes of their infertility attributed to female (n = 65), male (n = 53), unexplained infertility (n = 12). Fifty four fertile women were recruited as normal control. A women consulting questionnaire, Eysenck personality questionnaire (EPQ), symptom checklist-90 (SCL-90), self-rating anxiety scale (SAS) and Hamilton depressive scale (HDS) were used in this study. The result showed that any level of mental pressure were found in 83.8% of infertile women, and moderate and severe in 52%. In comparison with the control, the prevalence of psychiatric symptoms were significantly higher in infertile than fertile women (P < 0.01). Infertile women were more likely to suffer from severe depression and anxiety. Their mental status were more unstable than fertile women and correlated with their personality traits. Authors emphasized that not only the somatic treatment, but also the psychological consultation and mental support should be provided in the program of the infertility management.
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PMID:[Mental status and personality of infertile women]. 775 Apr 6

Depression is a common, often overlooked, illness in women that should be recognized and treated. The obstetrician-gynecologist should be aware of factors that contribute to the high prevalence of depression in women, and particular attention should be given to family and work roles, victimization, early childhood loss of parent, personality variables, and reproductive-related events such as pregnancy, childbirth, and menopause. It is also important to distinguish between a grief reaction and major depression. Grief occurs secondary to losses such as abortion, miscarriage, still-birth, or infertility and is generally self-limiting; self-esteem is preserved. In major depression, changes in sleeping patterns, appetite, energy, and mood persist, along with loss of self-esteem. As a part of patient education, it should be emphasized that depression is a medical illness and not a character defect or weakness and that in most cases it can be treated effectively. However, the risk of recurrence is significant; patients should be alert to early signs and symptoms of recurrence and seek treatment. Antidepressants that are well tolerated are now available, and appropriate use of these medications, along with psychotherapy as needed, will provide effective treatment for most patients.
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PMID:Depression in women. ACOG technical bulletin number 182--July 1993. 790 43

The aim of the study was to investigate factors that may influence the well-being of long-term infertile couples. One hundred and eight childless couples with a long-term infertility completed a structured questionnaire. Three groups of independent variables were discerned: sociodemographic factors, factors associated with infertility and the desire to have a child, and personality characteristics. The effect of these variables upon seven dimensions of (negative) well-being: depression, anxiety, hostility, health complaints, guilt/blame, self-esteem and sexuality was investigated. Strong negative feelings concerning infertility and a high degree of femininity were associated with a low level of well-being (among women as well as among men). To a lesser extent, secrecy with regard to infertility and being the infertile partner (among men) and still pursuing medical treatment (among women) were related to a lower sense of well-being. Recognition of these relations may help in the counselling of infertile couples.
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PMID:Factors influencing the well-being of long-term infertile couples. 800 Apr 73

Female circumcision is practiced in 26 African countries, and it is estimated that at least 100 million women are circumcised. The mildest form is clitoridectomy and the more severe type is infibulation. Girls are commonly circumcised between the ages of 4 and 10 years. Since the operator is usually a nonprofessional without surgical experience, complications are common: hemorrhage and severe pain that can even result in shock and death. The most common long-term complication is the formation of dermoid cysts in the line of the scar. Childbirth adds other risks for infibulated women and vesicovaginal fistula is often the result. The attendant urinary incontinence leads to ostracism of these women. In sum, female circumcision is a major contributor to childhood and maternal mortality and morbidity in communities with poor health services. The physical complications add to the psychological trauma: many infibulated women have a syndrome of chronic anxiety and depression arising from their condition, intractable dysmenorrhea, and the fear of infertility. The psychological sequelae of immigrant women who live in societies where such practice is condemned is even worse and may need professional counseling to address their sexual identity and cultural identification. Tightly infibulated women require clinical intervention for deinfibulation in order to preclude serious maternal and fetal complications during childbirth. Reinfibulation is medically harmful and even though some women request it, health professionals who comply are ethically reprehensible. In Sweden a 1982 law makes all forms of female circumcision illegal, as does a law that was passed in the United Kingdom in 1985. In France several cases were brought against parents under child abuse laws for circumcising or attempting to circumcise their French-born daughters. In the United States a 1993 bill drafted by the Congressional Women's Caucus would make the practice illegal and fund a program to assist immigrant communities to deal with the problem.
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PMID:Female circumcision as a public health issue. 805 82

To compare the psychological symptoms of infertile women with patients with other chronic medical conditions, subjects completed the Symptom Checklist-90 (Revised) (SCL-90R), a standardized, validated and widely used psychological questionnaire, prior to enrolling in a group behavioral treatment program. All subjects were female and the totals in each program were as follows: 149 with infertility, 136 with chronic pain, 22 undergoing cardiac rehabilitation, 93 with cancer, 77 with hypertension, and 11 with human immunodeficiency virus (HIV)-positive status. The infertile women had global symptom scores equivalent to the cancer, cardiac rehabilitation and hypertension patients, but lower scores than the chronic pain and HIV-positive patients (p < 0.0001 and p < 0.02 respectively). The anxiety and depression scores of the infertile women were significantly lower than chronic pain patients but not statistically different from the other groups. The results suggest that the psychological symptoms associated with infertility are similar to those associated with other serious medical conditions. Therefore, standard psychosocial interventions for serious medical illness should also be applied in infertility treatment.
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PMID:The psychological impact of infertility: a comparison with patients with other medical conditions. 814 88

The objective of the study was to investigate long-term infertile couples in regard to their well-being. The design of the study consisted of a structured questionnaire. Husband and wife answered a written questionnaire each in a different place in their home. Wives and husbands of 108 childless couples with a long-term infertility participated. Seven dimensions of (negative) well-being were measured: depression, anxiety, hostility, health complaints, guilt/blame, self-esteem and sexuality. Results showed that sexual behavior was (still) often ruled by the constraints of procreation. Also a third of the women reported as a consequence of infertility a low self-esteem concerning their womanhood. Infertile women were more anxious, more depressed, displayed more hostility and reported more health complaints. There was no similar difference between long-term infertile men and men in general. In conclusion long-term infertile women showed a significantly-lower level of well-being compared with women in general. A third of the infertile women and a fifth of the infertile men had serious well-being problems. This group can be considered as needing emotional help and counselling in learning to live with their childlessness.
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PMID:Long-term infertile couples: a study of their well-being. 814 90

The morpho-functional indexes of ejaculates from 35 healthy and 145 infertile men were studied. The depression of functional sperm activity was found in the majority of infertile men. Phospholipid analysis of whole ejaculates from 12 healthy and 35 infertile subjects was performed. It was shown that inorganic phosphorus of total phospholipids decreased in ejaculates of men with secretory infertility. Lyso-phosphatidyl choline (LPC) was not detected in ejaculates of men with relative infertility. The amount of lyso-phosphatidyl ethanolamine (lyso-PE) and sphingomyelin in whole ejaculates of those patients decreased. The levels of LPC and lyso-PE decreased in ejaculates of persons with associated infertility. The level of phosphatidyl inositol, LPC and PE decreased in ejaculates of men with secretory infertility. The gas-lipid chromatography analysis of fatty acids composition of whole ejaculates of the infertile men showed significant changes in quantity of fatty acids. The quantity of docosahexaenoic acid in ejaculates of infertile men decreased and positively correlated with motility of spermatozoa.
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PMID:[Lipid composition and fertility of human ejaculate]. 828 22


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