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General Reproductive Mood Disorder Research

Prenatal and Postpartum Depression Research

Menstrually Related Mood Disorder Research

 

 

 

 


 
   

 

General Reproductive Mood Disorder Studies

UNC Center for Women’s Mood Disorders Survey: Prevalence and Screening for Psychiatric Co-Morbidity in a Women’s Reproductive Psychiatry Clinic

The purpose of this survey is to learn about women with reproductive mood disorders. Women who have scheduled an appointment with the UNC Center for Women’s Mood Disorders Clinic are invited to participate. This specialty clinic at UNC focuses on Reproductive Psychiatric Disorders, which include Premenstrual Dysphoric Disorder (PMDD), Perinatal Depression (depression during pregnancy and postpartum depression (PPD)), and Perimenopausal mood symptoms. We are interested in measuring how well patients are functioning in everyday life, and we would like to determine the effects of psychiatric symptoms including: depression, anxiety, panic disorder, post-traumatic stress disorder, eating disorders, abuse/trauma history and PTSD symptoms on reproductive mood disorders.

Participation lasts for thirty minutes or less, and is open to eligible women with scheduled clinic appointments in the Center for Women’s Mood Disorders.

 

 

 

Prenatal and Postpartum Depression Studies

The Genetic Contribution to Stress Axis Reactivity in Women with a History of Postpartum Depression

We will be recruiting participants who are at least one year postpartum (12-18 months). We are looking for postpartum women who...

1) Have had Postpartum Depression in the past

2) Have had Depression in the past, but not Postpartum

3) Have no history of Depression

Please call 919-966-9640 for more information.

Late Pregnancy Thyroid Hormone Levels and Postpartum Depression

Preliminary research done in the UNC Center for Women's Mood Disorders found that women who had lower (but still normal) levels of thyroid hormone during the last two months of pregnancy had more depression symptoms before and especially after giving birth. A study of a much larger number of mothers is being planned to see if this relationship between thyroid hormone levels during pregnancy and postpartum depression can be replicated. This research may help to identify women who are more likely to become depressed. We might also find that thyroid hormone could help treat postpartum depression or even prevent it.
More information coming soon.

Thyroid Hormone Augmentation of Antidepressant Treatment of Postpartum Depression

The thyroid hormone has long been known to increase the effectiveness of antidepressants and speed up recovery. This study will determine if thyroid hormone also help antidepressants work better and faster in depressed mothers. More information coming soon.

Breast-Feeding and Postpartum Depression

Are women who want to breast-feed but are unable to more likely to become depressed? Does depression interfere with breast-feeding? Does it decrease the amount of milk mothers produce? A study is currently being designed in collaboration with Lactation Services in the Women’s Hospital to address these questions about the relationship between breast-feeding complications and failure and postpartum depression. More information coming soon.

 

 

Menstrually Related Mood Disorder Studies

Menstrually Related Mood Disorders Screening

There are currently two studies for women with a menstrually related mood disorder such as premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD).

1. If you have PMDD and are currently being treated with an antidepressant but you are not experiencing adequate relief

Over the last few years anti-depressants have become the first line treatment for PMDD, although many women do not experience adequate relief of their symptoms with this treatment alone. This study will investigate the addition of Quetiapine to anti-depressant treatment for PMDD.
- Quetiapine (Seroquel) is an FDA approved psychiatric medicine.
- Participants in this study have a 50/50 chance of receiving the active drug or placebo.
- Study Participation will last for approximately 5 months and involves multiple visits to UNC Hospital.

If you......
1) Experience severe PMS or PMDD,
2) Are currently taking an anti-depressant (or SSRI or SNRI),
3) Use some form of birth control

Please call 919-966-1392

2. If you think that you may have PMDD and wish to be evaluated for it and participate in other studies providing treatment or monetary compensation

If you suffer during the week before menstruation from depression, irritability, anxiety or mood swings, and these symptoms interfere with normal functioning or interpersonal relationships then you may have a menstrually related mood disorder such as premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). You may receive diagnostic feedback on your symptoms and medical evaluations in this study

If you …..
1) have mood symptoms only pre-menstrually and not after the onset of menstruation
2) are medically healthy and not currently suffering from some other chronic psychiatric condition
3) are 18 – 50 years of age with regular menstrual cycles
4) are not taking any medications, including antidepressants and birth control pills

Women diagnosed in this study with PMS or PMDD may then be eligible to participate in other research studies designed to give treatment or monetary compensation.

Please call 919-966-2547

Childhood Trauma in the Adrenergic and HPA-axis Regulation and Symptoms in PMDD

This is a five year study, to be funded by the National Institute of Mental Health in the spring of 2007 (pending approval).  This study is designed to compare women who have been sexually or physically abused with women who have never been abused for differences in daily mood and physical symptoms, sensitivity to laboratory pain procedures, and hormone responses to stress.  This study is also aimed at understanding how abuse histories may affect women with premenstrual dysphoric disorder (PMDD) differently than non-PMDD women.

Women 18 – 45 years of age, with regular menstrual cycles who are not taking any prescription medication, including birth control pills or antidepressants are eligible.  Each participant will keep daily symptom records for two months, undergo a psychological interview, and come into the laboratory for three test sessions involving measurement of blood pressure, heart rate, and stress hormone levels in response to speech and mental arithmetic stress, and also in response to a pain test involving inflation of a blood pressure cuff on the arm. Because this study is interested in how heart rate responses to stress influence pain sensitivity, in one session a very short acting drug will be used to increase heart rate by 25 beats, and in another session heart rate increases to stress will prevented with a different short acting drug.

The results of this study are intended to help researchers develop different treatment options for women with PMDD, particularly those with histories of abuse.   This study will also provide new insight into long lasting biological changes associated with abuse histories in all women, and how such changes contribute to mood and somatic complaints.  Women will receive financial compensation for their participation and feedback on their menstrual symptom profiles.