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...

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Main Authors: Katherine Hall, Ritaben Patel, Jonathan Evans, Rosemary Greenwood, Jane Hicks
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Sleep Science and Practice
Subjects:
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.
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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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