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Diabesity and Perinatal Mental Health: Evidence-based Recommendations for Screening and Intervention
Elisabeth L Stark1, Emily S Miller2
1Northwestern University Feinberg School of Medicine.
Insights
Perinatal mental illness, obesity, and diabetes mellitus (diabesity) frequently co-occur. This review examines their prevalence, relationships, screening, and treatment adaptations for better maternal health outcomes.
Area of Science:
- Reproductive medicine
- Perinatal health
- Mental health research
Background:
- Perinatal mental illness, obesity, and diabetes mellitus are increasingly prevalent complications.
- These conditions often co-occur, creating complex health challenges for expectant and new mothers.
- Understanding the interplay between "diabesity" and mental health is crucial for effective perinatal care.
Purpose of the Study:
- To review the prevalence of comorbid "diabesity" and mental illness in the perinatal period.
- To explore the psychosocial and pathophysiological links between these conditions.
- To provide recommendations for screening and adapted mental health treatment.
Main Methods:
- Literature review of current research on perinatal "diabesity" and mental illness.
- Analysis of existing screening guidelines and treatment protocols.
- Synthesis of evidence regarding psychosocial and pathophysiological relationships.
Main Results:
- High prevalence of co-occurring "diabesity" and mental illness in the perinatal population.
- Identified psychosocial factors and pathophysiological pathways linking these conditions.
- Gaps in current screening and treatment guidelines for this comorbidity.
Conclusions:
- Integrated care models are needed to address "diabesity" and mental illness concurrently.
- Screening protocols should be adapted to identify at-risk individuals.
- Future research should focus on tailored interventions and long-term outcomes.
Abstract:
Perinatal mental illness, obesity, and diabetes mellitus are common complications of the perinatal period that are becoming ever more prevalent and frequently co-occur. This review seeks to examine the prevalence of comorbid obesity/diabetes (termed "diabesity") and mental illness in the perinatal period and current understandings of the psychosocial and pathophysiological relationships between these diseases. We will present current guidelines for screening and make recommendations for adaptations of mental health treatment in patients with this comorbidity. Finally, we present future directions for research and clinical intervention.
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