Breastfeeding and Postpartum Depression: A Review of Relationships and Potential Mechanisms.

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI:10.1007/s11920-023-01471-3

Erin J Henshaw

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Abstract

Purpose of review: Postpartum depression (PPD) and breastfeeding are important, interrelated health factors. It is established that women who breastfeed exclusively have lowered likelihood of developing significant PPD. Yet, many questions remain around what factors are involved. The purpose of this review is to provide updated information about the relationship between PPD and breastfeeding.

Recent findings: Both psychological and physiological factors have emerged as important moderators and mechanisms of the relationship between postpartum depression and breastfeeding. Breastfeeding self-efficacy, self-compassion, and engagement with the infant during feeding all modify or mediate the relationship, and a complex dynamic relationship among cortisol, oxytocin, progesterone, and estrogen is involved. Importantly, recent intervention studies suggest psychosocial interventions may impact both breastfeeding and mood. Providers and researchers should recognize the interrelationship between the breastfeeding and PPD and apply this understanding to patient care through integrated education and care for both mood and breastfeeding enhancement.

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母乳喂养与产后抑郁症：关系和潜在机制综述。

综述目的：产后抑郁症（PPD）和母乳喂养是重要的、相互关联的健康因素。已经证实，纯母乳喂养的女性患严重产后抑郁症的可能性较低。然而，其中涉及哪些因素仍然存在许多问题。本综述的目的是提供PPD与母乳喂养之间关系的最新信息。最近的研究结果：心理和生理因素已成为产后抑郁症与母乳喂养之间关系的重要调节因素和机制。母乳喂养的自我效能感、自我同情和在喂养过程中与婴儿的互动都会改变或调节这种关系，皮质醇、催产素、孕酮和雌激素之间存在复杂的动态关系。重要的是，最近的干预研究表明，心理社会干预可能会影响母乳喂养和情绪。提供者和研究人员应该认识到母乳喂养和PPD之间的相互关系，并通过情绪和母乳喂养增强的综合教育和护理将这一理解应用于患者护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.