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NEUROSCIENCE AND NEUROLOGICAL DISORDERS
PSYCHIATRY AND PSYCHOLOGICAL DISORDERS
&
International Conference on
International Conference on
J u n e 2 8 - 2 9 , 2 0 1 8 | D u b l i n , I r e l a n d
Journal of Neurology and Neurorehabilitation Research | Volume 3
Page 16
Note:
Joint Event on
Depression is common among women and likely due to certain biological,
hormonal and social factors that are unique to women. Women are at higher
risk than men of developing depression particularly during the reproductive
years. The burden of depression is 50% higher for females than males. Mood
changes in women may be due to life events (divorce, death) or may be due
to hormones (pregnancy, menstrual cycle). MDD is the fourth common cause
of disability in female in all age groups. Life time prevalence is 10%-25% and
more common among married women. Late life depression is also common
in the elderly women. Dysthymia (Persistent Depressive Disorder) is common
in women. Bipolar disorder occurs with similar frequency in men and women
but Bipolar II significantly more common in female. Research suggests that
in women, hormones play a role in the development and severity of bipolar
disorder. Mixed mania and rapid cycling is more common in bipolar women.
Post-partum period is associated with high risk of onset and relapse of BD.
Premenstrual dysphoria is a heritable disorder. Genes related to estrogen and
serotonins are believed to be of primary importance in PMDD. In studies it has
been seen that centrally active progesterone metabolite allopregnanolone has
potential role in the pathogenesis of PMDD. Mood and anxiety disorders are
prevalent during pregnancy. Prenatal depression and Prenatal Bipolar Disorders
are common, and risk of recurrence of mania or depression needs proper
management. During the post-partum period about 85% of women experience
some mood disturbance and 10% to 15% of women experience clinically
significant symptoms. Post-partum depressions are of three categories: Post-
partum Blues, Non-psychotic major depression and Puerperal Psychosis.
Post-menopausal depression is also common and due to declining levels of
estrogen and progesterone. In PMD, vasomotor symptoms may be related to
the dysregulation of thermoregulatory center, associated with fluctuations
in estrogen levels and increased noradrenergic tone in hypothalamus.
Management of Depression in women is very important. Psychotherapy,
Cognitive Behavior Therapy plays a useful role. Different antidepressant drugs
are used considering safety, efficacy and tolerability. Mood stabilizers are used
for Bipolar Disorders, ECT is also used. Prevention of suicide needs special
attention.
Biography
Amarnath Mallik is a Consultant Psychiatrist
and he completed his practice from institutes
like Kothari Medical Centre, Kolkata, Woodlands
Hospital, Kolkata and Belle Vue Nursing home
Mumbai, India. He is a Specialist in the field of
Psychiatry and his expertise lies in the field of
Neuropsychiatry.
DEPRESSION IN WOMEN
Amarnath Mallik
Woodlands Hospital, India
Amarnath Mallik, J Neurol Neurorehabil Res 2018, Volume 3