May 27, 2022
Welcome to PsychEd, the psychiatry
podcast for medical learners, by medical learners. This episode
covers perinatal psychiatry with Dr. Tuong Vi Nguyen, Assistant
Professor, Department of Psychiatry, Faculty of Medicine and Health
Sciences, McGill University and Scientist, RI-MUHC, Brain Repair
and Integrative Neuroscience (BRaIN) Program, Centre for Outcomes
Research and Evaluation.
The learning objectives for this
episode are as follows:
By the end of this episode, you
should be able to…
- Define the field of reproductive
psychiatry
- Discuss the possible neurobiological pathways
impacting mood and cognition during the reproductive cycle of
women.
- Discuss the influence of sociocultural gender
roles on psychopathology.
- List the DSM-V diagnostic criteria of
premenstrual dysphoric disorder.
- Recall the epidemiology of premenstrual
dysphoric disorder.
- Describe the steps in the diagnostic evaluation
for premenstrual dysphoric disorder.
- List lifestyle and psychopharmacologic
interventions for premenstrual dysphoric disorder.
- Discuss common mental health concerns during
the perimenopausal period.
Guest: Dr.
Tuong Vi Nguyen
Hosts: Nima
Nahiddi (PGY4), Audrey Le (PGY1), and Arielle Geist
(PGY2)
Audio editing by: Audrey Le
Show notes by:
Arielle Geist
Interview content:
- Introduction - 00:00
- Learning objectives - 01:00
- Defining the field of perinatal psychiatry -
01:50
- Discussing neurobiological pathways impacting
mood and cognition during the reproductive cycle -
02:47
- The influence of sociocultural gender roles on
psychopathology -05:28
- DSM-V criteria of premenstrual dysphoric
disorder - 11:18
- Epidemiology of premenstrual dysphoric disorder
- 13:40
- Diagnostic evaluation of premenstrual dysphoric
disorder - 14:38
- Management of premenstrual dysphoric
disorder
- Pharmacologic - 17:45
- Lifestyle - 24:15
- Perimenopausal period - 24:45
- Closing comments - 31:39
Resources:
- Brzezinski, A., Brzezinski-Sinai, N.A., &
Seeman, M.V. (2017). Treating schizophrenia during
menopause. Menopause,
24(5), 582-588. doi:
10.1097/GME.0000000000000772.
- Epperson, C.N., Steiner, M., Hartlage, A.,
Eriksson, E., Schmidt, P.J., Jones, I., & Yonkers, K.A. (2012).
Premenstrual dysphoric disorder: evidence for a new category for
DSM-5. The American
Journal of Psychiatry, 169(5), 465-475. DOI:
10.1176/appi.ajp.2012.11081302
- Marsh, W.K., Gershenson, B., & Rothschild, A.J.
(2015). Symptom severity of bipolar disorder during the menopausal
transition. International Journal of Bipolar Disorders,
3(1), 35. DOI:
10.1186/s40345-015-0035-z
- Soares, C.N., Almeida, O.P., Joffe, H., &
Cohen, L.S. (2001). Efficacy of estradiol for the treatment of
depressive disorders in perimenopausal women a double-blind,
randomized, placebo-controlled trial. Archives of General Psychiatry,
58(6), 529-534.
doi:10.1001/archpsyc.58.6.529
- Weber, M.T., Maki, P.M., & McDermott, M.P.
(2013). Cognition and mood in perimenopause: A systematic review
and meta-analysis. The
Journal of Steroid Biochemistry and Molecular Biology,
142, 90-98.
https://doi.org/10.1016/j.jsbmb.2013.06.001
References:
- Kornstein S.G., & Clayton, A.H. (2004). Sex
differenes in neuroendocrine and neurotransmitter systems.
In Women’s mental
health: A comprehensive textbook (pp.3-30). Guilford Press.
- Chrisler, J. C., & Johnston-Robledo, I. (2002).
Raging hormones?: Feminist perspectives on premenstrual syndrome
and postpartum depression. In M. Ballou & L. S. Brown (Eds.),
Rethinking mental health and disorder: Feminist perspectives (pp.
174–197). Guilford Press.
- American Psychiatric Association. (2013).
Depressive disorders. In Diagnostic and statistical manual of mental
disorders (5th ed.).
https://doi.org/10.1176/appi.books.9780890425596.
CPA Note: The views expressed in
this podcast do not necessarily reflect those of the Canadian
Psychiatric Association.
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