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Women’s Health: Behavioral Medicine Interventions for Women During Childbearing and Menopause

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The Massachusetts General Hospital Handbook of Behavioral Medicine

Part of the book series: Current Clinical Psychiatry ((CCPSY))

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Abstract

After decades of health-related research that focused predominantly on males, the field of women’s health is now well established. Reproductive events are important transitions for women. While these transitions are uncomplicated for most women, some will experience recurrent or new onset mood and/or anxiety symptoms. Awareness of these issues represents an opportunity for early behavioral medicine interventions alone or as adjuncts to medical care, either to prevent or improve symptoms and facilitate quality of life. While women’s health encompasses a broad array of topics, the present chapter will focus on behavioral medicine approaches to working with women during childbearing and menopause. Specifically, this chapter will describe the course of depression and anxiety (the most common psychiatric presentations) during childbearing-related events and the menopausal transition, discuss the evidence base for cognitive behavioral therapy (CBT)-based interventions as well as specific population concerns, and conclude with a case study of how CBT might be used in women with a history of depression who hope to conceive.

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Abbreviations

ASD:

Acute Stress Disorder

CBT:

Cognitive Behavioral Therapy

GAD:

Generalized Anxiety Disorder

IPT:

Interpersonal Psychotherapy

MDD:

Major Depressive Disorder

OCD:

Obsessive Compulsive Disorder

PPD:

Postpartum Depression

PTSD:

Post-Traumatic Stress Disorder

SSRIs:

Selective Serotonin Reuptake Inhibitors

TCAs:

Tricyclic Antidepressants

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Authors and Affiliations

  1. Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Christina Psaros Ph.D., Jocelyn Remmert & Nicole Amoyal

  2. Behavioral Medicine, Department of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, 7th Floor, Boston, MA, 02114, USA

    Rebecca Hicks

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  1. Christina Psaros Ph.D.
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  3. Nicole Amoyal
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  1. Department of Psychiatry Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Ana-Maria Vranceanu

  2. Dept. of Psychiatric Oncology & Behavior, Massachusetts General Hospital Cancer Ce, Boston, Massachusetts, USA

    Joseph A. Greer

  3. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA

    Steven A. Safren

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Psaros, C., Remmert, J., Amoyal, N., Hicks, R. (2017). Women’s Health: Behavioral Medicine Interventions for Women During Childbearing and Menopause. In: Vranceanu, AM., Greer, J., Safren, S. (eds) The Massachusetts General Hospital Handbook of Behavioral Medicine. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-29294-6_12

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