Psychoneuroimmunology in the context of perinatal depression - Tools for improved clinical practice.
Cytokines
Depression
Microbiome
Postpartum
Pregnancy
Women
Journal
Brain, behavior, & immunity - health
ISSN: 2666-3546
Titre abrégé: Brain Behav Immun Health
Pays: United States
ID NLM: 101759062
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
15
05
2021
revised:
17
08
2021
accepted:
18
08
2021
entrez:
30
9
2021
pubmed:
1
10
2021
medline:
1
10
2021
Statut:
epublish
Résumé
Maternal mental health spans in a temporary manner from pre-conception through the phases of pregnancy, childbirth, and the postpartum period (i.e., perinatal). The psychoneuroimmunology (PNI) field has made important contributions to the knowledge of the pathophysiology of poor perinatal mental health, but the PNI lens could be used more broadly to inform clinical practice. This review argues that PNI holds the key to several important aspects of variations in mental health for pregnant and postpartum women. This review describes existing knowledge from studies on immune activation in maternal depression during pregnancy and postpartum, and other important features such as stress reactivity, the microbiome, and its metabolites. The importance of objective measures for screening and prediction is discussed as well as the need for novel therapeutics to treat poor mental health in the perinatal period. The PNI framework could thus be further applied to inform research about the mechanisms of perinatal psychiatric morbidity, which could pave the way for future precision medicine for perinatal mental health issues.
Identifiants
pubmed: 34589817
doi: 10.1016/j.bbih.2021.100332
pii: S2666-3546(21)00135-6
pmc: PMC8474604
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100332Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
Some work that is cited has been financed with an unrestricted research grant from 10.13039/501100004914Ferring Pharmaceuticals.
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