Non-pharmacological methods in the treatment of postpartum depression

Authors

  • А. В. Филоненко The I.N. Ulianov Chuvash State University (Cheboksary, Russia)

Keywords:

postpartum depression, puerpera, newborn, non-pharmacological therapy, acupuncture, aromatherapy, musictherapy, chromotherapy

Abstract

About 85 % of puerperae are suffering from different forms of borderline psychic disorders. In this article, we examine our current understanding of the pathophysiology of postpartum depression (PD) in mothers, the important and evolving role of breastfeeding in children, the end-organ morbidities associated with PD, and the therapies currently available for the disorder. If left untreated, maternal PD may lead to substantial morbidity of newborns that affects multiple target organs and systems, and such deleterious consequences may not be completely reversible with appropriate treatment, if the latter is instituted too late in the course of the disease. PD in children can lead to behavioral disturbances and learning deficits, alterations in autonomic nervous system, growing morbidity, compromised somatic growth. Nonpharmacological interventions in the treatment of easy and middle forms of PD include acupuncture, aromatherapy, musictherapy and chromotherapy. The effectiveness of these modalities in decreasing maternal depressive symptoms is the same as pharmacological, but these interventions have minimal risks and have health benefits for both mother and breastfeeding infant. The use of nonpharmacological methods in the treatment of PD in maternal-child dyads seems promising while in its early stages of development.

Author Biography

А. В. Филоненко, The I.N. Ulianov Chuvash State University (Cheboksary, Russia)

A.V. Philonenko

References

1. Шишкина Г.Т., Дыгало Н.Н. Нейробиологические основы депрессивных расстройств и действия антидепрессантов // Журнал высшей нервной деятельности. – 2010. – Т. 60. – № 2. – С. 138–152.<BR>2. Филоненко А.В., Голенков А.В. Влияние послеродовой депрессии на семью // Психическое здоровье. – 2011. – № 6 (61). – С. 71–76.<BR>3. Филоненко А.В. Физическое развитие новорожденных с перинатальным поражением нервной системы в ранний восстановительный период и рефлексотерапия // Казанский медицинский журнал. – 2009 – Т. 90. – № 6 – С. 812–817.<BR>4. Василенко А.М. Нейроэндокриноиммунология боли и рефлексотерапия // Рефлексотерапия. – 2004. – № 1 (8). – С. 7–18.<BR>5. Филоненко А.В., Голенков А.В. Рефлексотерапия женщин с послеродовыми депрессиями // Рефлексотерапия. – 2007. – № 2 (20). – С. 55–59.<BR>6. Филоненко А.В. Электрокожная проводимость родильниц и рефлексотерапия // Вестник восстановительной медицины. – 2010. – № 3 (37). – С. 48–50.<BR>7. Филоненко А.В. Рефлексотерапия: психоэмоциональная сфера матери и её взаимосвязь с выраженностью морфо-функциональных отклонений у новорожденного с перинатальным поражением нервной системы в поздний неонатальный период // Рефлексотерапия. – 2007. – № 4. – С. 40–44.<BR>8. Филоненко А.В. Рефлексотерапия в реабилитации новорождённых: монография / А.В. Филоненко // Чебоксары: Изд-во Чуваш. ун-та, 2008. – 100 с.<BR>9. Дашина Т.А., Крикорова С.А. Современные представления о фитоароматерапии // Вопросы курортологии, физиотерапии и лечебной физической культуры. – 1999. – № 2. – С. 47–53.<BR>10. Михайленко А.А. Клинический практикум по неврологии. – СПб: ООО «Издательство «Фолиант», 2001. – 489 с.<BR>11. Павлыгина Р.А., Сахаров Д.С., Давыдов В.И. и др. Влияние музыки, различающейся по мощности и стилю, на распознавательную деятельность человека // Журнал высшей нервной деятельности им. И.П. Павлова. – 2009. – Т. 59. – № 5. – С. 557–567.<BR>12. Толчинская Е.А. Музыкальная коррекция состояния беременных женщин и психологическая подготовка к родам // Известия Российского государственного педагогического университета им. А.И. Герцена. – 2009. – № 98. – С. 300–308.<BR>13. Сурушкин М.А., Пятакович Ф.А., Якунченко Т.И. Разработка структуры блока цветостимуляции для биоуправляемого игрового модуля «Xonix» // Международный журнал экспериментального образования. – 2010. – № 5. – С. 21–23.<BR>14. Филоненко А.В., Голенков А.В. Послеродовая депрессия и клиническая медицина // Здравоохранение Чувашии. – 2005. – № 4. – С. 99–107.<BR>15. Peindl K.S., Wisner K.L., Hanusa B.H. et al. Identifying depression in the first postpartum year: guidelines for office-based and referral // J. Affect. Disord. – 2004. – May. – Vol. 80. – № 1. – P. 37–44.<BR>16. Silverman M.E., Loudon H., Safier M. et al. Neural dysfunction in postpartum depression: an fMRI pilot study // CNS Spectr. – 2007. – Nov. – Vol. 12. – № 11. – P. 853–862.<BR>17. Moses-Kolko E.L., Fraser D., Wisner K.L. et al. Rapid habituation of ventral striatal response to reward receipt in postpartum depression // Biol. Psychiatry. – 2011. – Aug. – Vol. 70. – № 4. – P. 395–399.<BR>18. Moses-Kolko E.L., Perlman S.B., Wisner K.L. et al. Abnormally reduced dorsomedial prefrontal cortical activity and effective connectivity with amygdala in response to negative emotional faces in postpartum depression // Am. J. Psychiatry. – 2010. – Nov. – Vol. 167. – № 11. – P. 1373–1380.<BR>19. Guxens M., Mendez M.A., Molto-Puigmarti C. et al. Breastfeeding, Long-Chain Polyunsaturated Fatty Acids in Colostrum, and Infant Mental Development // Pediatrics. – 2011. – Oct. – Vol. 128. – № 4. – P. 880–889.<BR>20. Khan A., Cutler A.J., Kajdasz D.K. et al. A randomized, double-blind, placebo-controlled, 8-week study of vilazodone, a serotonergic agent for the treatment of major depressive disorder // J. Clin. Psychiatry. – 2011. – Vol. 72. – № 4. – P. 441–447.<BR>21. Freeman M.P. Postpartum depression treatment and breastfeeding // J. Clin. Psychiatry. – 2009. – Vol. 70. – № 9. – P. 35.<BR>22. Karlsson H., Kronstrom K., Nabi H. et al. Low Level of Optimism Predicts Initiation of Psychotherapy for Depression: Results from the Finnish Public Sector Study // Psychother. Psychosom. – 2011. – Vol. 80. – № 4. – P. 238–244.<BR>23. Greenhalgh J., Knight C., Hind D. et al. Clinical and cost-effectiveness of electroconvulsive therapy for depressive illness, schizophrenia, catatonia and mania: systematic reviews and economic modelling studies // Health Technol. Assess. – 2005. – Mar. – Vol. 9. – № 9. – P. 1–156.<BR>24. Whithby D.H., Smith K.M. The use of tricyclic antidepressants and selective serotonin reuptake inhibitors in women who are breastfeeding // Pharmacotherapy. – 2005. – Vol. 25. – № 3. – P. 411–425.<BR>25. Misri S., Kostaras X. Benefits and risks to mother and infant of drug treatment for postnatal depression // Drug. Saf. – 2002. – Vol. 25. – № 13. – P. 903–911.<BR>26. Mantle F. The role of alternative medicine in treating postnatal depression // Complement. Ther. Nurs. Midwifery. – 2002. – Nov. – Vol. 8. – № 4. – P. 197–203.<BR>27. Samuels N., Gropp C., Singer S.R. et al. Acupuncture for psychiatric illness: a literature review // Behav. Med. – 2008. – Summer. – Vol. 34. – № 2. – P. 55–64.<BR>28. Andreescu C., Glick R.M., Emeremni C.A. et al. Acupuncture for the treatment of major depressive disorder: a randomized controlled trial // J. Clin. Psychiatry. – 2011. – Aug. – Vol. 72. – № 8. – P. 1129–1135.<BR>29. Zhang Z.J., Chen H.Y., Yip K.C. et al. The effectiveness and safety of acupuncture therapy in depressive disorders: systematic review and meta-analysis // J. Affect. Disord. – 2010. – Jul. – Vol. 124. – № 1–2. – P. 9–21.<BR>30. Manber R., Schnyer R.N., Lyell D. et al. Acupuncture for depression during pregnancy: a randomized controlled trial // Obstet. Gynecol. – 2010. – Mar. – Vol. 115. – № 3. – P. 511–520.<BR>31. Smith C.A., Collins C.T., Cyna A.M. et al. Complementary and alternative therapies for pain management in labour // Cochrane Database Syst. Rev. – 2006. – Oct. – № 4. – CD. 003521.<BR>32. Perry N, Perry E. Aromatherapy in the management of psychiatric disorders: clinical and neuropharmacological perspectives // CNS Drugs. – 2006. – Vol. 20. – № 4. – P. 257–280.<BR>33. Pause B.M, Raack N., Sojka B. et al. Convergent and divergent effects of odors and emotions in depression // Psychophysiology. – 2003. – Mar. – Vol. 40. – № 2. – P. 209–225.<BR>34. Chang K.M., Shen C.W. Aromatherapy benefits autonomic nervous system regulation for elementary school faculty in taiwan // Evid. Based Complement. Alternat. Med. – 2011. – Apr. – PMID: 21584196.<BR>35. Hongratanaworakit T. Aroma-therapeutic effects of massage blended essential oils on humans // Nat. Prod. Commun. – 2011. – Aug. – Vol. 6. – № 8. – P. 1199–1204.<BR>36. Hongratanaworakit T. Relaxing effect of rose oil on humans // Nat. Prod. Commun. – 2009. – Feb. – Vol. 4. – № 2. – P. 291–296.<BR>37. Hongratanaworakit T. Stimulating effect of aromatherapy massage with jasmine oil // Nat. Prod. Commun. – 2010. – Jan. – Vol. 5. – № 1. – P. 157–162.<BR>38. Bastard J., Tiran D. Aromatherapy and massage for antenatal anxiety: its effect on the fetus // Complement. Ther. Clin. Pract. – 2006. – Feb. – Vol. 12. – № 1. – P. 48–54.<BR>39. Imura M., Misao H., Ushijima H. The psychological effects of aromatherapy-massage in healthy postpartum mothers // Midwifery Womens Health. – 2006. – Mar-Apr. – Vol. 51. – № 2. – e. 21–27.<BR>40. Burns E., Blamey C., Ersser S.J. et al. The use of aromatherapy in intrapartum midwifery practice an observational study // Complement. Ther. Nurs. Midwifery. – 2000. – Feb. – Vol. 6. – № 1. – P. 33–34.<BR>41. Mousley S. Audit of an aromatherapy service in a maternity unit // Complement. Ther. Clin. Pract. – 2005. – Aug. – Vol. 11. – № 3. – P. 205–210.<BR>42. Molnar M., Csuhaj R., Csikos D. et al. Psychophysiologic and clinical aspects of EEG synchronization related to cognitive processes // Ideggyogy. Sz. – 2005. – Nov. – Vol. 58. – № 11–12. – P. 393–401.<BR>43. Jausovec N., Habe K. The «Mozart effect»: an electroencephalographic analysis employing the methods of induced event-related desynchronization/synchronization and event-related coherence // Brain. Topogr. – 2003. – Winter. – Vol. 16. – № 2. – P. 73–84.<BR>44. Nilsson U. Listening to music may relax mechanically ventilated patients, but there are limitations to the quality of the available evidence // Evid. Based. Nurs. – 2011. – Vol. 14. – № 3. – P. 66–67.<BR>45. Nilsson U. Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial // J. Clin. Nurs. – 2009. – Aug. – Vol. 18. – № 15. – P. 2153–2161.<BR>46. Okada K., Kurita A., Takase B. et al. Effects of music therapy on autonomic nervous system activity, incidence of heart failure events, and plasma cytokine and catecholamine levels in elderly patients with cerebrovascu-lar disease and dementia // Int. Heart. J. – 2009. – Jan. – Vol. 50. – № 1. – P. 95–110.<BR>47. Khalfa S., Isabelle P., Jean-Pierre B. et al. Event-related skin conductance responses to musical emotions in humans // Neurosci. Lett. – 2002. – Aug. – Vol. 328. – № 2. – P. 145–149.<BR>48. Bernardi L., Porta C., Sleight P. Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence // Heart. – 2006. – Apr. – Vol. 92. – № 4. – P. 445–52.<BR>49. Labbe E., Schmidt N., Babin J. et al. Coping with stress: the effectiveness of different types of music // Psychophysiol. Biofeedback. – 2007. – Dec. – Vol. 32. – № 3–4. – P. 163–168.<BR>50. Ebneshahidi A., Mohseni M. The effect of patient-selected music on early postoperative pain, anxiety, and hemodynamic profile in cesarean section surgery // J. Altern. Complement. Med. – 2008. – Sep. – Vol. 14. – № 7. – P. 827–831.<BR>51. Lee S.M. The effects of music therapy on postpartum blues and maternal attachment of puerperal wo-men // J. Korean. Acad. Nurs. – 2010. – Feb. – Vol. 40. – № 1. – P. 60–68.<BR>52. Schlez A., Litmanovitz I., Bauer S. et al. Combining kangaroo care and live harp music therapy in the neonatal intensive care unit setting // Isr. Med. Assoc. J. – 2011. – Jun. – Vol. 13. – № 6. – P. 354–358.<BR>53. Lai H.L., Chen C.J., Peng T.C. et al. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants responses // Int. J. Nurs. Stud. – 2006. – Feb. – Vol. 43. – № 2. – P. 139–146.<BR>54. Tuunainen A., Kripke D.F., Endo T. Light therapy for non-seasonal depression // Cochrane Database Syst. Rev. – 2004. – № 2. – CD. 004050.<BR>55. Azorin J.M., Kaladjian A. Depression and circadian rhythm // Encephale. – 2009. – Jan. – Vol. 35. –№ Suppl. 2. – S. 68–71.<BR>56. Radeljak S., Zarkovic-Palijan T., Kovacevic D. et al. Chromotherapy in the regulation of neurohormonal balance in human brain--complementary application in modern psychiatric treatment // Coll. Antropol. – 2008. – Oct. – Vol. 32. – № Suppl 2. – P. 185–188.<BR>57. Bubl E., Tebartz Van Elst L., Gondan M. et al. Vision in depressive disorder // World J. Biol. Psychiatry. – 2009. – Vol. 10. – № 4. – Pt. 2. – P. 377–384.<BR>58. Loving R.T., Kripke D.F., Knickerbocker N.C. et al. Bright green light treatment of depression for older adults // BMC Psychiatry. – 2005. – Nov. – Vol. 5. – P. 42.<BR>59. Oren D.A., Brainard G.C., Johnston S.H. et al. Treatmentof seasonal affective disorder with green light and red light// Am. J. Psychiatry. – 1991. – Apr. – Vol. 148. – № 4. – P. 509–511.<BR>60. Iyilikci O., Aydin E., Canbeyli R. Blue but not red light stimulation in the dark has antidepressant effect in behavioral despair // Behav. Brain. Res. – 2009. – Oct. – Vol. 203. – № 1. – P. 65–68.<BR>61. Vojnikovic B., Vojnikovic D. Chromotherapy of macular degeneration with transitions lenses and green-yellow medical filters and special programme for psychoorganic disturbances // Coll. Antropol. – 2010. – Apr. – Vol. 34. – № Suppl. 2. – P. 89–93.<BR>62. Stewart K.T., Gaddy J.R., Byrne B. et al. Effects of green or white light for treatment of seasonal depression // Psychiatry Res. – 1991. – Sep. – Vol. 38. – № 3. – P. 261–270.<BR>63. Wirz-Justice A., Bader A., Frisch U. et al. A randomized, double-blind, placebo-controlled study of light therapy for antepartum depression // J. Clin. Psychiatry. – 2011. – Jul. – Vol. 72. – № 7. – P. 986–993.<BR>64. Tamarova Z.A., Limansky Y., Gulyar S.A. Antinociceptive effects of color polarized light in animal with formalin test // Fiziol. Zh. – 2009.– Vol. 55. – № 3. – P. 81–93.<BR>65. Sushko B.S., Lymansky Iu.P., Huliar S.O. Action of the red and infrared electromagnetic waves of light-emitting diodes on the behavioral manifestation of somatic pain // Fiziol. Zh. – 2007. – Vol. 53. – № 3. – P. 51–60.<BR>66. Prasko J. Bright light therapy // Neuro. Endocrinol. Lett. – 2008.– Vol. 29. – № 1. – P. 33–64.<BR>67. Desan P.H., Weinstein A.J., Michalak E.E. et al. A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD) // BMC Psychiatry. – 2007. – Aug. – Vol. 7. – P. 38.<BR>68. Vandewalle G., Schwartz S., Grandjean D. et al. Spectral quality of light modulates emotional brain responses in humans // Proc. Natl. Acad. Sci. USA. – 2010. – Nov. – Vol. 107. – № 45. – P. 19549–19554.<BR>69. Hodgson D.M., Nakamura T., Walker A.K. Prophylactic role for complementary and alternative medicine in perinatal programming of adult health // Forsch. Komplementmed. – 2007. – Apr. – Vol. 14. – № 2. – P. 92–101.<BR>

Published

2012-06-30

How to Cite

Филоненко, А. В. “Non-Pharmacological Methods in the Treatment of Postpartum Depression”. Traditional Medicine, no. 2(29) 2012, June 2012, pp. 30-37, http://www.tradmed.ru/index.php/tm/article/view/300.

Issue

Section

Reflex therapy

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