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In a review by Frazier et al., acute and chronic stress during pregnancy can diminish proper immunological activity crucial during pregnancy, and can possibly induce spontaneous abortion. [44] There is still a debate on whether the miscarriage is due to the depressive disease state or the anti-depressant medication.
According to a study conducted in 2005, 65% of males identified with depressive symptoms when the child was 8 weeks old. [4] The causes of paternal depression include stress overload, caring responsively to the children, undertaking multiple family and social roles and a decrease in direct father to child interaction. [ 4 ]
Therefore, men are more likely to develop severe symptoms of anxiety and possibly develop an additional depressive disorder due to the lack of treatment intervention.”
Pregnancy-related anxiety is a distinct anxiety contextualized by pregnancy specific fears, worries, and concerns. [ 1 ] [ 2 ] Pregnancy-related anxiety is characterized by increased concerns or excessive fears and worries about their unborn baby, childbirth , body image , and impending motherhood.
First-line choices for medications include SSRIs or SNRIs to treat generalized anxiety disorder, social anxiety disorder or panic disorder. [7] [72] [83] For adults, there is no good evidence supporting which specific medication in the SSRI or SNRI class is best for treating anxiety, so cost often drives drug choice.
The risk factors [110] for treatment resistant depression are: the duration of the episode of depression, severity of the episode, if bipolar, lack of improvement in symptoms within the first couple of treatment weeks, anxious or avoidant and borderline comorbidity and old age. Treatment resistant depression is best handled with a combination ...