The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice
Abstract Postnatal depression (PND) is an important public health problem with far-reaching consequences for mothers, families, and society. Current treatment approaches tend to focus on the depressive symptoms of the mother. We propose the need for a shift in the conceptualisation of PND and its ma...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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BMC
2022-12-01
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Series: | Sleep Science and Practice |
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Online Access: | https://doi.org/10.1186/s41606-022-00081-x |
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author | Katherine Hall Ritaben Patel Jonathan Evans Rosemary Greenwood Jane Hicks |
author_facet | Katherine Hall Ritaben Patel Jonathan Evans Rosemary Greenwood Jane Hicks |
author_sort | Katherine Hall |
collection | DOAJ |
description | Abstract Postnatal depression (PND) is an important public health problem with far-reaching consequences for mothers, families, and society. Current treatment approaches tend to focus on the depressive symptoms of the mother. We propose the need for a shift in the conceptualisation of PND and its management, by focusing on circadian rhythm as an early manifestation of mother-infant synchrony. We have reviewed the relevant interdisciplinary literature to formulate a hypothesis and suggest recommendations for practice. We hypothesise that, after a mother’s circadian rhythm becomes ‘desynchronised’ immediately following birth, persistence of this disruption is implicated in the development of PND. This has important implications for novel treatment strategies in the critical and vulnerable postnatal period, for example the use of outdoor-based interventions and light. |
first_indexed | 2024-04-12T01:30:10Z |
format | Article |
id | doaj.art-ea96dbb33a9e414e9d19175ac5b744c9 |
institution | Directory Open Access Journal |
issn | 2398-2683 |
language | English |
last_indexed | 2024-04-12T01:30:10Z |
publishDate | 2022-12-01 |
publisher | BMC |
record_format | Article |
series | Sleep Science and Practice |
spelling | doaj.art-ea96dbb33a9e414e9d19175ac5b744c92022-12-22T03:53:31ZengBMCSleep Science and Practice2398-26832022-12-016111110.1186/s41606-022-00081-xThe relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practiceKatherine Hall0Ritaben Patel1Jonathan Evans2Rosemary Greenwood3Jane Hicks4Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of BristolKettering General HospitalCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of BristolResearch and Innovation, UHBW NHS Foundation TrustInsomnia Clinic, Royal Surrey County HospitalAbstract Postnatal depression (PND) is an important public health problem with far-reaching consequences for mothers, families, and society. Current treatment approaches tend to focus on the depressive symptoms of the mother. We propose the need for a shift in the conceptualisation of PND and its management, by focusing on circadian rhythm as an early manifestation of mother-infant synchrony. We have reviewed the relevant interdisciplinary literature to formulate a hypothesis and suggest recommendations for practice. We hypothesise that, after a mother’s circadian rhythm becomes ‘desynchronised’ immediately following birth, persistence of this disruption is implicated in the development of PND. This has important implications for novel treatment strategies in the critical and vulnerable postnatal period, for example the use of outdoor-based interventions and light.https://doi.org/10.1186/s41606-022-00081-xPostnatal depressionCircadian rhythmMother-infant dyadNature-based interventionsLight therapy |
spellingShingle | Katherine Hall Ritaben Patel Jonathan Evans Rosemary Greenwood Jane Hicks The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice Sleep Science and Practice Postnatal depression Circadian rhythm Mother-infant dyad Nature-based interventions Light therapy |
title | The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice |
title_full | The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice |
title_fullStr | The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice |
title_full_unstemmed | The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice |
title_short | The relationship between perinatal circadian rhythm and postnatal depression: an overview, hypothesis, and recommendations for practice |
title_sort | relationship between perinatal circadian rhythm and postnatal depression an overview hypothesis and recommendations for practice |
topic | Postnatal depression Circadian rhythm Mother-infant dyad Nature-based interventions Light therapy |
url | https://doi.org/10.1186/s41606-022-00081-x |
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