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1. The Risk Factors Predicting Suicidal Ideation Among Perinatal Women in Japan

Author

Chika Kubota, Toshiya Inada, Tomoko Shiino, Masahiko Ando, Maya Sato, Yukako Nakamura, Aya Yamauchi, Mako Morikawa, Takashi Okada, Masako Ohara, Branko Aleksic, Satomi Murase, Setsuko Goto, Atsuko Kanai, and Norio Ozaki

Subjects
major depressive disorder, harm avoidance, postpartum depression, suicidal ideation, self-harm, Psychiatry, RC435-571
Abstract

IntroductionThe aim of the present study was to elucidate the foreseeable risk factors for suicidal ideation among Japanese perinatal women.MethodsThis cohort study was conducted in Nagoya, Japan, from July 2012 to March 2018. The Edinburgh Postnatal Depression Scale (EPDS) questionnaire was conducted at four time points: early pregnancy, late pregnancy, 5 days postpartum, and 1 month postpartum. A total of 430 women completed the questionnaires. A logistic regression analysis was performed using the presence of suicidal ideation on the EPDS as an objective variable. The explanatory variables were age, presence of physical or mental disease, smoking and drinking habits, education, hospital types, EPDS total score in early pregnancy, bonding, and quality and amount of social support, as well as the history of major depressive disorder (MDD).ResultsThe rate of participants who were suspected of having suicidal ideation at any of the four time points was 11.6% (n=52), with the highest (n=25, 5.8%) at late pregnancy. For suicidal ideation, education level (OR: 1.19; 95% CI: 1.00–1.41; p=0.047), EPDS total points in the pregnancy period (OR: 1.25; 95% CI: 1.16–1.34; p < 0.000), a history of MDD (OR: 2.16; 95% CI: 1.00–4.79; p=0.049), and presence of mental disease (OR: 2.39; 95% CI: 1.00–5.70; p=0.049) were found to be risk factors for suicidal ideation. Age [odds ratio (OR): 0.88; 95% confidence interval (CI): 0.80–0.95; p=.002] and quality of social support (OR: 0.77; 95% CI: 0.60–0.99; p=.041) were found to be protective factors.ConclusionBased on these results, effective preventive interventions, such as increasing the quality of social support and confirming the history of depression, should be carried out in pregnant depressive women at the early stage of the perinatal period.

Published
2020
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2. Validation and factor structure of the Japanese version of the inventory to diagnose depression, lifetime version for pregnant women.

Author

Chika Kubota, Toshiya Inada, Yukako Nakamura, Tomoko Shiino, Masahiko Ando, Branko Aleksic, Aya Yamauchi, Mako Morikawa, Takashi Okada, Masako Ohara, Maya Sato, Satomi Murase, Setsuko Goto, Atsuko Kanai, and Norio Ozaki

Subjects
Medicine, Science
Abstract

IntroductionA history of major depressive disorder before pregnancy is one risk factor for peripartum depression. Therefore, the purpose of the present study was to examine the validation and factor structure of the Japanese version of the Inventory to Diagnose Depression, Lifetime version (IDDL) for pregnant women.MethodsThe study participants were 556 pregnant women. Factor analysis was performed to identify the factor structure, construct validity was examined based on the results of the factor analysis, and reliability was examined using Cronbach's α coefficient.ResultsBased on the results of the factor analysis of the IDDL, a bifactor model composed of a single general dimension along with the following five factors was extracted: (1) depression, anxiety, and irritability (items 1, 2, 8-10, and 19-21); (2) retardation, decreased concentration, indecisiveness, and insomnia (items 4, 11, 12, and 17); (3) decrease in appetite/significant weight loss (items 13 and 14); (4) increase in appetite/significant weight gain (items 15 and 16); and (5) diminished interest, pleasure, and libido (items 5-7). Cronbach's α coefficients for these five factors were as follows: 0.910, 0.815, 0.780, 0.683, and 0.803, respectively.ConclusionsThe reliability, construct validity, and factor structure of the Japanese version of the IDDL were confirmed in pregnant women.

Published
2020
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3. Relation Between Perinatal Depressive Symptoms, Harm Avoidance, and a History of Major Depressive Disorder: A Cohort Study of Pregnant Women in Japan

Author

Chika Kubota, Toshiya Inada, Tomoko Shiino, Masahiko Ando, Branko Aleksic, Aya Yamauchi, Maya Sato, Masako Ohara, Satomi Murase, Mako Morikawa, Yukako Nakamura, Takashi Okada, Setsuko Goto, Atsuko Kanai, and Norio Ozaki

Subjects
major depressive disorder, harm avoidance, postpartum depression, psychometrics, psychiatric status rating scales, Psychiatry, RC435-571
Abstract

Introduction: The relationship between perinatal depressive symptoms, harm avoidance (HA), and a history of major depressive disorder (MDD) was examined in a prospective cohort study.Methods: This study was conducted from May 1, 2011, to December 31, 2016. A history of MDD was evaluated using the Inventory to Diagnose Depression, Lifetime version during pregnancy. Depressive state and HA were evaluated during pregnancy and at 1 month postnatal using the Edinburgh Postnatal Depression Scale (EPDS) and Temperament and Character Inventory, respectively. The relationship between these variances was examined using structural equation modeling.Results: A total of 338 participants with complete data were included in the present study. Pregnant women with compared with those without a history of MDD were observed to have a significantly higher intensity of HA and more severe depressive symptoms in both the prenatal and postnatal periods. A history of MDD affected the severity of depressive symptoms [standardized path coefficient (SPC) = 0.25, p < 0.001] and the intensity of HA during pregnancy (SPC = 0.36, p < 0.001). The intensity of HA during pregnancy affected that at 1 month postnatal (SPC = 0.78, p < 0.001), while the severity of depressive symptoms as assessed by the EPDS during pregnancy affected that at 1 month postnatal (SPC = 0.41, p < 0.001). The SPC for perinatal HA to postnatal depressive symptoms (SPC = 0.13, p = 0.014) was significant and higher than that for perinatal depressive symptoms to postnatal HA (SPC = 0.06, p = 0.087).Conclusion: The present results suggest that early intervention in pregnant women with a history of MDD or a high intensity of HA is important to prevent postnatal depressive symptoms.

Published
2019
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4. Validation and Factor Analysis of the Japanese Version of the Highs Scale in Perinatal Women

Author

Aya Yamauchi, Takashi Okada, Masahiko Ando, Mako Morikawa, Yukako Nakamura, Chika Kubota, Masako Ohara, Satomi Murase, Setsuko Goto, Atsuko Kanai, and Norio Ozaki

Subjects
mood symptoms, pregnancy, postpartum, hypomania, depression, Psychiatry, RC435-571
Abstract

Background: The Highs scale has been developed to evaluate hypomanic symptoms in the first postpartum week. However, it has not been elucidated whether this scale is also applicable to pregnant women. To address this issue, we confirmed the factor structure, reliability, and validity of the Japanese version of the Highs scale for pregnant and postpartum women.Methods: 418 women provided effective responses to both the Highs scale and the Edinburgh Postnatal Depression Scale (EPDS) during early pregnancy (before week 25), late pregnancy (around week 36), at 5 days and at 1 month after delivery. Subjects were randomly divided into two groups, and exploratory and confirmatory factor analyses were performed for each group. Cronbach's alpha was calculated and the correlation of the Highs scale with EPDS was analyzed. The correlation between the subscales was analyzed at four time points, and the correlation of subscales between the four time points was confirmed.Results: This scale was found to have the two-factor structure with elation and agitation subscales. The two subscales had reasonable internal consistency at all time points (Cronbach's alpha range: Factor 1, 0.696–0.758; Factor 2, 0.553–0.694). The overall scale had reasonable internal consistency at all time points (Cronbach's alpha range: 0.672–0.738). Based on the correlation analysis of the two subscales and EPDS, discriminative and convergent validity were indicated at all time points, confirming the construct validity of the Highs scale. Subscale scores showed a significant correlation with EPDS at all time points (r = 0.388, 0.384, 0.498, and 0.442, p < 0.01).Conclusions: The Japanese version of the Highs scale is reliable and valid, and can be applied for evaluating the hypomanic symptoms during pregnancy and postpartum period.

Published
2018
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5. Factor structure of the Japanese version of the Edinburgh Postnatal Depression Scale in the postpartum period.

Author

Chika Kubota, Takashi Okada, Branko Aleksic, Yukako Nakamura, Shohko Kunimoto, Mako Morikawa, Tomoko Shiino, Ai Tamaji, Harue Ohoka, Naomi Banno, Tokiko Morita, Satomi Murase, Setsuko Goto, Atsuko Kanai, Tomoko Masuda, Masahiko Ando, and Norio Ozaki

Subjects
Medicine, Science
Abstract

BackgroundThe Edinburgh Postnatal Depression Scale (EPDS) is a widely used screening tool for postpartum depression (PPD). Although the reliability and validity of EPDS in Japanese has been confirmed and the prevalence of PPD is found to be about the same as Western countries, the factor structure of the Japanese version of EPDS has not been elucidated yet.Methods690 Japanese mothers completed all items of the EPDS at 1 month postpartum. We divided them randomly into two sample sets. The first sample set (n = 345) was used for exploratory factor analysis, and the second sample set was used (n = 345) for confirmatory factor analysis.ResultsThe result of exploratory factor analysis indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of confirmatory factor analysis suggested that the anxiety and anhedonia factors existed for EPDS in a sample of Japanese women at 1 month postpartum. The depression factor varies by the models of acceptable fit.ConclusionsWe examined EPDS scores. As a result, "anxiety" and "anhedonia" exist for EPDS among postpartum women in Japan as already reported in Western countries. Cross-cultural research is needed for future research.

Published
2014
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6. Prospective study on the association between harm avoidance and postpartum depressive state in a maternal cohort of Japanese women.

Author

Kaori Furumura, Takayoshi Koide, Takashi Okada, Satomi Murase, Branko Aleksic, Norika Hayakawa, Tomoko Shiino, Yukako Nakamura, Ai Tamaji, Naoko Ishikawa, Harue Ohoka, Hinako Usui, Naomi Banno, Tokiko Morita, Setsuko Goto, Atsuko Kanai, Tomoko Masuda, and Norio Ozaki

Subjects
Medicine, Science
Abstract

BackgroundRecent studies have displayed increased interest in examining the relationship between personality traits and the onset, treatment response patterns, and relapse of depression. This study aimed to examine whether or not harm avoidance (HA) was a risk factor for postpartum depression measured by the Edinburgh Postnatal Depression Scale (EPDS) and the state dependency of HA.MethodsPregnant women (n=460; mean age 31.9±4.2 years) who participated in a prenatal program completed the EPDS as a measure of depressive state and the Temperament and Character Inventory (TCI) as a measure of HA during three periods: early pregnancy (T1), late pregnancy (around 36 weeks), and 1 month postpartum (T2). Changes in EPDS and HA scores from T1 to T2 were compared between the non depressive (ND) group and the postpartum depressive (PD) group.ResultsThere was no significant difference in the level of HA between the ND and PD groups at T1. In the ND group, EPDS and HA scores did not change significantly from T1 to T2. In the PD group, both scores increased significantly from T1 to T2 (EPDS, pConclusionsThese results suggest that HA cannot be considered a risk factor for the development of postpartum depression measured by EPDS. Furthermore, HA may be state dependent.

Published
2012
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7. The postpartum depressive state in relation to perceived rearing: a prospective cohort study.

Author

Norika Hayakawa, Takayoshi Koide, Takashi Okada, Satomi Murase, Branko Aleksic, Kaori Furumura, Tomoko Shiino, Yukako Nakamura, Ai Tamaji, Naoko Ishikawa, Harue Ohoka, Hinako Usui, Naomi Banno, Tokiko Morita, Setsuko Goto, Atsuko Kanai, Tomoko Masuda, and Norio Ozaki

Subjects
Medicine, Science
Abstract

BackgroundThe relationship between perceived rearing and the postpartum depressive state remains unclear. We aimed to examine whether perceived rearing is a risk factor for postpartum depression as measured by the Edinburgh Postnatal Depression Scale (EPDS), and whether the score of perceived rearing is affected by depressive mood (the state dependency of perceived rearing).MethodsPregnant women (n = 448, mean age 31.8 ± 4.2 years) completed the EPDS as a measure of depressive state in early pregnancy (T1), late pregnancy (around 36 weeks), and at 1 month postpartum (T2), and the Parental Bonding Instrument (PBI) at T1 as a measure of perceived rearing. Changes in the EPDS and the PBI scores from T1 to T2 were compared between the non depressive (ND) group and the postpartum depressive (PD) group.ResultsThere were no significant differences in any PBI category for perceived rearing between the ND and PD groups at T1. EPDS scores did not change significantly from T1 to T2 in the ND group but increased significantly in the PD group. The PBI maternal care score increased significantly in the ND group (pConclusionsThe present study suggests that perceived rearing is not a strong risk factor for postpartum depression as measured by the EPDS. Furthermore, the results indicated the state dependency of the PBI maternal care score.

Published
2012
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8. Stable factor structure of the Edinburgh Postnatal Depression Scale during the whole peripartum period: Results from a Japanese prospective cohort study

Author

Mako Morikawa, Maya Sato, Atsuko Kanai, Masahiko Ando, Takashi Okada, Branko Aleksic, Setsuko Goto, Toshiya Inada, Satomi Murase, Aya Yamauchi, Yukako Nakamura, Chika Kubota, Tomoko Shiino, Masako Ohara, and Norio Ozaki

Subjects
Adult, medicine.medical_specialty, Anhedonia, lcsh:Medicine, Anxiety, Article, Depression, Postpartum, 03 medical and health sciences, 0302 clinical medicine, Japan, Pregnancy, Rating scale, Peripartum Period, Humans, Medicine, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, lcsh:Science, Psychiatric Status Rating Scales, Multidisciplinary, Depression, business.industry, Obstetrics, Postpartum Period, lcsh:R, Confirmatory factor analysis, Exploratory factor analysis, 030227 psychiatry, Early Diagnosis, Edinburgh Postnatal Depression Scale, Female, lcsh:Q, business, Perinatal Depression, Postpartum period
Abstract

Early detection of perinatal depression is an urgent issue. Our study aimed to examine the construct validity and factor structure of the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS) from a prospective cohort study from pregnancy to postpartum. A total of 1075 women completed all items of the EPDS at four time points: early pregnancy, late pregnancy, 5 days postpartum and 1 month postpartum. The participants were randomly divided into two sample sets. The first sample set (n = 304) was used for exploratory factor analysis, and the second sample set (n = 771) was used for confirmatory factor analysis. As a result, the Cronbach’s alpha coefficients of the EPDS items were 0.762, 0.740, 0.765 and 0.772 at the four time points. From the confirmatory factor analysis of the EPDS in a sample set of Japanese women from pregnancy to postpartum, the following three factors were detected: depression (items 7, 9), anxiety (items 4, 5) and anhedonia (items 1, 2). In conclusion, the EPDS is a useful rating scale, and its factor structure is consistently stable during the whole peripartum period.

Published
2018
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9. Impact of perceived rearing and social support on bonding failure and depression among mothers: A longitudinal study of pregnant women

Author

Norio Ozaki, Mako Morikawa, Tomoko Shiino, Branko Aleksic, Atsuko Kanai, Setsuko Goto, Masako Ohara, Takashi Okada, Ryuji Kato, Masahiko Ando, Aya Yamauchi, Yukako Nakamura, Satomi Murase, Chika Kubota, and Masahiro Nakatochi

Subjects
Adult, Male, Longitudinal study, Psychological intervention, 03 medical and health sciences, Social support, Child Rearing, 0302 clinical medicine, Pregnancy, medicine, Humans, Longitudinal Studies, Biological Psychiatry, Depression (differential diagnoses), Depressive Disorder, Postpartum Period, Infant, Newborn, Infant, Social Support, medicine.disease, Object Attachment, Mother-Child Relations, 030227 psychiatry, Pregnancy Complications, Psychiatry and Mental health, Edinburgh Postnatal Depression Scale, Female, Psychology, Psychosocial, 030217 neurology & neurosurgery, Postpartum period, Clinical psychology
Abstract

Background Although previous studies have reported associations between bonding failure, depression, social support among mothers, and perceived rearing, the causal relationships remain unclear. Methods A total of 855 women (mean age, 32.4 ± 4.4 years) completed the Mother-Infant Bonding Questionnaire (MIBQ), the Edinburgh Postnatal Depression Scale (EPDS), the Japanese version of the Social Support Questionnaire, and the Parental Bonding Instrument in early pregnancy before week 25 (T1) and at 1 month after delivery (T2). We created a path model to clarify the causal relationships between perinatal bonding failure, depression, social support, and perceived rearing during pregnancy and at 1 month after delivery. The model was tested using structural equation modeling. Results Our recursive model showed acceptable fit (chi-squared statistic/degree of freedom = 2.1, comparative fit index = 0.98, root mean square error of approximation = 0.04). It was revealed that: (1) at T1, higher overprotection significantly predicted MIBQ scores; (2) at T1, poorer social support significantly predicted both MIBQ and EPDS scores; and (3) at T1, both MIBQ and EPDS scores significantly predicted respective scores at T2. Conclusions These results showed that bonding failure in the postpartum period was significantly influenced by mothers' own perceived rearing and social support during pregnancy. In addition, depression in the postpartum period was strongly influenced by social support during pregnancy. These findings suggest that psychosocial interventions that focus on both mothers' recollections of their own upbringing and social support during pregnancy are effective for preventing bonding failure and depression in the postpartum period.

Published
2018
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10. Relationship between maternal depression and bonding failure: A prospective cohort study of pregnant women

Author

Satomi Murase, Chika Kubota, Mako Morikawa, Masahiko Ando, Masako Ohara, Setsuko Goto, Takashi Okada, Yota Uno, Branko Aleksic, Tomoko Masuda, Atsuko Kanai, Aya Yamauchi, Yukako Nakamura, Tomoko Shiino, and Norio Ozaki

Subjects
Depressive mood, Pregnancy, medicine.medical_specialty, biology, Obstetrics, General Neuroscience, Early pregnancy factor, General Medicine, medicine.disease, Maternal depression, Late pregnancy, 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, 0302 clinical medicine, Neurology, Edinburgh Postnatal Depression Scale, medicine, biology.protein, Neurology (clinical), Prospective cohort study, Psychology, 030217 neurology & neurosurgery, Cohort study, Clinical psychology
Abstract

Aim Although the association between maternal depression and bonding failure during pregnancy and after delivery has been investigated, the causal relationships remain unclear. Methods A total of 751 women (mean [SD] age, 32.1 [4.4] years) completed the Mother–Infant Bonding Questionnaire and the Edinburgh Postnatal Depression Scale during early pregnancy before week 25 (T1), during late pregnancy around week 36 (T2), and at 5 days after delivery (T3). We created a structural regression model to clarify the relationships between depressive mood and bonding failure during pregnancy and at 5 days after delivery. The model was tested with structural equation modeling. Results Our non-recursive model fit the data well, and we found that: (i) during T2, bonding failure predicted depressive mood (P < 0.01, r = 0.23); (ii) at T3, bonding failure predicted depressive mood (P < 0.05, r = 0.31); (iii) during T1, depressive mood was correlated with bonding failure (P < 0.01, r = 0.45); (iv) depressive mood during T1 predicted depressive mood during T2 (P < 0.01, r = 0.58); (v) depressive mood during T2 predicted depressive mood at T3 (P < 0.01, r = 0.45); (vi) bonding failure during T1 predicted bonding failure during T2 (P < 0.01, r = 0.84); and (vii) bonding failure during T2 predicted bonding failure at T3 (P < 0.01, r = 0.44). The determinant coefficients of depressive mood and bonding failure at T3 were 0.41 and 0.28, respectively. Conclusion Our large-scale cohort study indicates that bonding failure predicts depressive mood during pregnancy and 5 days after delivery. These findings suggest that protection and support for pregnant women with depressive mood and bonding failure may prevent both issues during pregnancy and the early stage after delivery.

Published
2017
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11. Postpartum depression among women in Nagoya indirectly exposed to the Great East Japan Earthquake

Author

Atsuko Kanai, Mako Morikawa, Setsuko Goto, Masako Ohara, Masahiko Ando, Tomoko Shiino, Aya Yamauchi, Yukako Nakamura, Tomoko Masuda, Norio Ozaki, Satomi Murase, Takashi Okada, Chika Kubota, and Branko Aleksic

Subjects
Postpartum depression, Adult, lcsh:Medicine, Anxiety, Article, Depression, Postpartum, 03 medical and health sciences, 0302 clinical medicine, Japan, Pregnancy, medicine, Earthquakes, Childbirth, Humans, 030212 general & internal medicine, lcsh:Science, Depression (differential diagnoses), Depressive symptoms, Multidisciplinary, business.industry, lcsh:R, medicine.disease, 030227 psychiatry, Edinburgh Postnatal Depression Scale, lcsh:Q, Female, Cutoff point, medicine.symptom, business, Demography
Abstract

This study aimed to assess the situation of postpartum depression and maternal bonding in Nagoya, a city distant from the epicenter of the Great East Japan Earthquake that occurred on March 11, 2011. Among the participants at 1 month after childbirth between March 11, 2010 and March 10, 2013 (n = 188), 152 fully responded to the Edinburgh Postnatal Depression Scale (EPDS) and Mother–Infant Bonding Questionnaire (MIBQ). They were divided into pre-quake (n = 58), and 0–6, 6–12, 12–18, and 18–24 months after the earthquake groups (n = 20, 26, 29, and 19, respectively). The rate of mothers who scored above the cutoff point for the EPDS increased from 12.1% in the pre-quake to 35.0% in the 0–6 months group (p = 0.022). The EPDS total and anxiety subscale scores (mean ± standard error) were also significantly different between the pre-quake and 0–6 months after the earthquake groups (4.45 ± 0.50 vs. 7.95 ± 1.47, p = 0.024; 2.16 ± 0.26 vs. 3.65 ± 0.57, p = 0.021, respectively). The EPDS total and anxiety scores were the highest for the 0–6 months group, followed by the 6–12, 12–18, 18–24 months groups (p = 0.019, p = 0.022). MIBQ scores did not differ between the pre-quake and 0–6 months groups. Depressive symptoms, mainly explained by anxiety, increased after the earthquake with no changes in maternal bonding.

Published
2018

12. Validation and Factor Analysis of the Japanese Version of the Highs Scale in Perinatal Women

Author

Takashi Okada, Norio Ozaki, Mako Morikawa, Satomi Murase, Chika Kubota, Atsuko Kanai, Masako Ohara, Masahiko Ando, Aya Yamauchi, Yukako Nakamura, and Setsuko Goto

Subjects
Scale (ratio), lcsh:RC435-571, Correlation, 03 medical and health sciences, 0302 clinical medicine, Cronbach's alpha, lcsh:Psychiatry, medicine, mood symptoms, postpartum, Original Research, Psychiatry, Construct validity, 030227 psychiatry, Psychiatry and Mental health, Hypomania, Convergent validity, Edinburgh Postnatal Depression Scale, depression, hypomania, pregnancy, medicine.symptom, Psychology, 030217 neurology & neurosurgery, Postpartum period, Clinical psychology
Abstract

Background: The Highs scale has been developed to evaluate hypomanic symptoms in the first postpartum week. However, it has not been elucidated whether this scale is also applicable to pregnant women. To address this issue, we confirmed the factor structure, reliability, and validity of the Japanese version of the Highs scale for pregnant and postpartum women. Methods: 418 women provided effective responses to both the Highs scale and the Edinburgh Postnatal Depression Scale (EPDS) during early pregnancy (before week 25), late pregnancy (around week 36), at 5 days and at 1 month after delivery. Subjects were randomly divided into two groups, and exploratory and confirmatory factor analyses were performed for each group. Cronbach's alpha was calculated and the correlation of the Highs scale with EPDS was analyzed. The correlation between the subscales was analyzed at four time points, and the correlation of subscales between the four time points was confirmed. Results: This scale was found to have the two-factor structure with elation and agitation subscales. The two subscales had reasonable internal consistency at all time points (Cronbach's alpha range: Factor 1, 0.696-0.758; Factor 2, 0.553-0.694). The overall scale had reasonable internal consistency at all time points (Cronbach's alpha range: 0.672-0.738). Based on the correlation analysis of the two subscales and EPDS, discriminative and convergent validity were indicated at all time points, confirming the construct validity of the Highs scale. Subscale scores showed a significant correlation with EPDS at all time points (r = 0.388, 0.384, 0.498, and 0.442, p < 0.01). Conclusions: The Japanese version of the Highs scale is reliable and valid, and can be applied for evaluating the hypomanic symptoms during pregnancy and postpartum period.

Published
2018
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13. Social support helps protect against perinatal bonding failure and depression among mothers: a prospective cohort study

Author

Norio Ozaki, Setsuko Goto, Yota Uno, Tomoko Shiino, Mako Morikawa, Aya Yamauchi, Satomi Murase, Branko Aleksic, Chika Kubota, Yukako Nakamura, Takashi Okada, Masahiro Nakatochi, Atsuko Kanai, Masako Ohara, Tomoko Masuda, and Masahiko Ando

Subjects
medicine.medical_specialty, lcsh:Medicine, Article, Depression, Postpartum, 03 medical and health sciences, Social support, 0302 clinical medicine, Japan, Pregnancy, Surveys and Questionnaires, medicine, Humans, Prospective Studies, lcsh:Science, Psychiatry, Prospective cohort study, Depression (differential diagnoses), Multidisciplinary, business.industry, lcsh:R, Postpartum Period, Infant, Social Support, Models, Theoretical, medicine.disease, Object Attachment, Mother-Child Relations, 030227 psychiatry, Edinburgh Postnatal Depression Scale, lcsh:Q, Female, business, Psychosocial, 030217 neurology & neurosurgery, Postpartum period, Cohort study
Abstract

Causal relationships between perinatal bonding failure, depression, and social support among mothers remain unclear. A total of 494 women (mean age 32.4 ± 4.5 years) completed the Mother-Infant Bonding Questionnaire (MIBQ), the Edinburgh Postnatal Depression Scale (EPDS), and the Japanese version of the Social Support Questionnaire in early pregnancy before week 25 (T1) and 1 month after delivery (T2). Our model of recursive structured equation modeling (SEM) showed acceptable fit (CMIN/df = 2.2, CFI = 0.97, and RMSEA = 0.05). It was revealed that: (1) a lower number of supportive persons at T1 significantly predicted both MIBQ and EPDS scores at T1 and T2; (2) at T1, poorer satisfaction with the social support received significantly predicted EPDS scores; (3) both MIBQ and EPDS scores at T1 significantly predicted their respective scores at T2. Out cohort study indicates that the number of individuals who are available to provide social support and the degree of satisfaction with the level of social support received during pregnancy have a great influence on bonding failure and depression in the postpartum period. These findings suggest that psychosocial interventions that focus on these two aspects of social support during pregnancy are effective in preventing bonding failure and depression in the postpartum period.

Published
2017
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14. Relationship between maternal depression and bonding failure: A prospective cohort study of pregnant women

Author

Masako, Ohara, Takashi, Okada, Chika, Kubota, Yukako, Nakamura, Tomoko, Shiino, Branko, Aleksic, Mako, Morikawa, Aya, Yamauchi, Yota, Uno, Satomi, Murase, Setsuko, Goto, Atsuko, Kanai, Tomoko, Masuda, Masahiko, Ando, and Norio, Ozaki

Subjects
Adult, Psychiatric Status Rating Scales, Young Adult, Depression, Pregnancy, Humans, Female, Prospective Studies, Object Attachment, Mother-Child Relations
Abstract

Although the association between maternal depression and bonding failure during pregnancy and after delivery has been investigated, the causal relationships remain unclear.A total of 751 women (mean [SD] age, 32.1 [4.4] years) completed the Mother-Infant Bonding Questionnaire and the Edinburgh Postnatal Depression Scale during early pregnancy before week 25 (T1), during late pregnancy around week 36 (T2), and at 5 days after delivery (T3). We created a structural regression model to clarify the relationships between depressive mood and bonding failure during pregnancy and at 5 days after delivery. The model was tested with structural equation modeling.Our non-recursive model fit the data well, and we found that: (i) during T2, bonding failure predicted depressive mood (P0.01, r = 0.23); (ii) at T3, bonding failure predicted depressive mood (P0.05, r = 0.31); (iii) during T1, depressive mood was correlated with bonding failure (P0.01, r = 0.45); (iv) depressive mood during T1 predicted depressive mood during T2 (P0.01, r = 0.58); (v) depressive mood during T2 predicted depressive mood at T3 (P0.01, r = 0.45); (vi) bonding failure during T1 predicted bonding failure during T2 (P0.01, r = 0.84); and (vii) bonding failure during T2 predicted bonding failure at T3 (P0.01, r = 0.44). The determinant coefficients of depressive mood and bonding failure at T3 were 0.41 and 0.28, respectively.Our large-scale cohort study indicates that bonding failure predicts depressive mood during pregnancy and 5 days after delivery. These findings suggest that protection and support for pregnant women with depressive mood and bonding failure may prevent both issues during pregnancy and the early stage after delivery.

Published
2017

15. Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant-mother attachment

Author

Harue Ohoka, Naoko Ishikawa, Branko Aleksic, Takayoshi Koide, Tomoko Masuda, Norio Ozaki, Satomi Murase, Setsuko Goto, Atsuko Kanai, and Kaori Furumura

Subjects
medicine.medical_specialty, Pregnancy, General Neuroscience, Cognition, General Medicine, medicine.disease, Psychiatry and Mental health, Mood, Neurology, Edinburgh Postnatal Depression Scale, medicine, Childbirth, Neurology (clinical), Psychiatry, Psychology, Prospective cohort study, Depression (differential diagnoses), Postpartum period, Clinical psychology
Abstract

Aim Postnatal depression has demonstrated long-term consequences on child cognitive and emotional development; however, the link between maternal and child pathology has not been clearly identified. We conducted a prospective study using self-rating questionnaires to clarify the association between bonding disorder and maternal mood during pregnancy and after childbirth. Methods A total of 389 women participated in this study and completed questionnaires. Participants were asked to complete the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale four times during pregnancy and the postpartum period. Results We found statistically significant weak to moderate correlations (r = 0.14–0.39) between the EPDS and Mother-to-Infant Bonding Scale scores at each testing period. Women who experienced low mood tended to have stronger bonding disorder. Furthermore, the effectiveness of attachment between the mother and child was closely related to the mood of the mother as measured by the EPDS. Conclusion We observed different patterns of bonding and maternal mood. Distinct subtypes regarding maternal mood and formation of mother-to-infant attachment suggests that analysis of bonding disorder should be performed considering the course of maternal depressive symptoms.

Published
2014
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17. The effect of avoidant tendencies on the intensity of intrusive memories in a community sample of college students

Author

Satomi Murase and Takahiro Yoshizumi

Subjects
Recall, Traumatic memories, Dissociative Experiences Scale, Posttraumatic stress disorders, Thought suppression, Cognition, medicine.disease, Developmental psychology, Intrusive thought, Rumination, medicine, medicine.symptom, Psychology, Dissociation, General Psychology, Anxiety disorder, Intrusive memories
Abstract

The purpose of the study was to examine the factors that influence the enhancement of intrusive memories, with a particular focus on individuals’ avoidant tendencies: thought suppression, rumination, and dissociation. A total of 641 undergraduates (253 men and 388 women, M = 20.0 years) completed a battery of measures: (1) a questionnaire about intrusive memories (contents and degree of intrusion measured by the Impact of Event Scale); (2) the Beck Depression Inventory-II; (3) the White Bear Suppression Inventory; (4) the Negative Rumination Trait Scale; and (5) the Dissociative Experiences Scale. Approximately, 55% of the participants had experienced intrusive memories, of which over 90% had negative implications. The individual’s avoidant tendencies, especially thought suppression, had significant influence on the degree of intrusion of negative memories, once participants’ depressive symptoms were controlled. Clinical and research implications of the study were outlined.

Published
2007
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18. Dissociation as a mediator between perceived parental rearing style and depression in an adult community population using college students

Author

Satomi Murase, Jiro Takai, Takashi Murakami, and Takahiro Yoshizumi

Subjects
Coping (psychology), Mediator, Parenting, Depression, Depression scale, Community population, Dissociative Experiences Scale, Parental bonding, Psychology, Dissociation, General Psychology, Depressive symptoms, Developmental psychology
Abstract

The purpose of this study was to investigate the mediating process in the relationship between early parenting and depressive symptoms. In particular, the potential role of dissociation as a mediator between the perceived parental rearing style during childhood and depression in adulthood was examined, along with the effect of avoidance as a coping style. A total of 449 undergraduates (231 men and 218 women) completed five measures: the Parental Bonding Instrument (PBI), the Parenting Scale of Inconsistency (PSI), the Dissociative Experiences Scale (DES), the Depression Scale of the GHQ-60, and the Tri-axial Coping Scale (TAC-24). Path analyses were conducted to test for mediating effects. The findings showed different paths by gender. For men, dissociation mediated the relationship between overprotective parenting and depressive symptoms, although for women, dissociation mediated the relationship between inconsistent parenting and depressive symptoms. Avoidance as a coping style had no effect on depressive symptoms. The mediating role of dissociation between perceived parenting style and depressive symptoms was confirmed in a community sample. Some clinical and research implications of the study were outlined.

Published
2007
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19. Validation and factor analysis of mother-infant bonding questionnaire in pregnant and postpartum women in Japan

Author

Yukako Nakamura, Branko Aleksic, Takashi Okada, Satomi Murase, Tomoko Shiino, Tomoko Masuda, Chika Kubota, Aya Yamauchi, Norio Ozaki, Setsuko Goto, Masako Ohara, Yota Uno, Atsuko Kanai, and Mako Morikawa

Subjects
Adult, media_common.quotation_subject, Mothers, Anger, Affect (psychology), 03 medical and health sciences, 0302 clinical medicine, Cronbach's alpha, Japan, Pregnancy, Surveys and Questionnaires, Medicine, Humans, 030212 general & internal medicine, media_common, business.industry, Postpartum Period, Infant, Reproducibility of Results, medicine.disease, Object Attachment, Confirmatory factor analysis, Exploratory factor analysis, 030227 psychiatry, Psychiatry and Mental health, Affect, Edinburgh Postnatal Depression Scale, Female, Pregnant Women, business, Factor Analysis, Statistical, Postpartum period, Clinical psychology, Research Article
Abstract

Background The Mother-Infant Bonding Questionnaire (MIBQ) has been widely used to assess maternal emotional involvement with infants. Although the reliability and validity of the MIBQ in the postpartum period has been confirmed, it remains unclear whether the MIBQ is appropriate to assess maternal bonding in both pregnancy and the postpartum period over time. Our study were aimed to 1) examine the reliability and validity of the MIBQ for clinical use among pregnant and postpartum women; and 2) examine the factor structure of the items, create subscales, and confirm the stability of the MIBQ in the pregnancy and postpartum periods. Methods Participants (n = 751, mean age 32.1 ± 4.4 years) completed the MIBQ and the Edinburgh Postnatal Depression Scale (EPDS) in early pregnancy (before week 25), in late pregnancy (around week 36), 5 days after delivery, and 1 month after delivery. We randomly divided participants into two sample sets. We conducted an exploratory factor analysis of the nine MIBQ items using data from one group of mothers (Group 1; n = 376) in all four periods. The factor structure derived from the exploratory factor analysis was confirmed by a confirmatory factor analysis in the second group (Group 2; n = 375) of mothers in all four periods. Results Exploratory factor analysis yielded two factors: Lack of Affection (LA) and Anger and Rejection (AR). Confirmatory factor analysis demonstrated that LA and AR factors existed for the MIBQ in all periods. Cronbach’s alpha coefficients were 0.879 and 0.584, respectively. The scores for LA and AR were significantly correlated over the four time periods. Mothers with higher AR scores on the MIBQ at any of the four periods had higher scores on the EPDS. Conclusions The MIBQ has two subscales regardless of the timing of the assessment. The MIBQ is appropriate for pregnant as well as postpartum women to assess maternal bonding toward the fetus and infant.

Published
2015

20. Relationship between social support during pregnancy and postpartum depressive state: a prospective cohort study

Author

Atsuko Kanai, Tokiko Morita, Mako Morikawa, Norio Ozaki, Takashi Okada, Tomoko Masuda, Ai Tamaji, Naoko Ishikawa, Masahiko Ando, Tomoko Shiino, Shohko Kunimoto, Yukako Nakamura, Naomi Banno, Setsuko Goto, Kaori Furumura, Branko Aleksic, Satomi Murase, Chika Kubota, Yota Uno, Harue Ohoka, Norika Hayakawa, and Hinako Usui

Subjects
Adult, medicine.medical_specialty, Pregnancy, Multidisciplinary, Depression, business.industry, Social Support, medicine.disease, Article, Cohort Studies, Depression, Postpartum, Pregnancy Complications, Social support, Risk Factors, Surveys and Questionnaires, medicine, Humans, Female, Prospective Studies, Psychiatry, Prospective cohort study, business, reproductive and urinary physiology
Abstract

Although the association between social support and postpartum depression has been previously investigated, its causal relationship remains unclear. Therefore, we examined prospectively whether social support during pregnancy affected postpartum depression. Social support and depressive symptoms were assessed by Japanese version of Social Support Questionnaire (J-SSQ) and Edinburgh Postnatal Depression Scale (EPDS), among 877 pregnant women in early pregnancy and at one month postpartum. First, J-SSQ was standardized among peripartum women. The J-SSQ was found to have a two-factor structure, with Number and Satisfaction subscales, by exploratory and confirmatory factor analyses. Analysis of covariance was performed to examine how EPDS and J-SSQ scores during pregnancy affected the EPDS score at postpartum. Significant associations were found between postpartum EPDS score and both EPDS and total scores on the Number subscales during pregnancy (β = 0.488 and -0.054, ps

Published
2015
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21. Application of the Revised Infant Temperament Questionnaire for evaluating temperament in the Japanese infant: Creation of an abridged Japanese version

Author

Shuji Honjo, Hitoshi Kaneko, Rie Mizuno, Yasuko Sasaki, and Satomi Murase

Subjects
Cross-Cultural Comparison, Male, Persistence (psychology), Psychometrics, media_common.quotation_subject, Individuality, Psychology, Child, Infant temperament, Personality Assessment, Factor structure, Developmental psychology, Japan, Surveys and Questionnaires, Humans, Temperament, Language, media_common, General Neuroscience, Infant, Reproducibility of Results, General Medicine, Cross-cultural studies, Psychiatry and Mental health, Neurology, Scale (social sciences), Recien nacido, Infant Behavior, Female, Neurology (clinical), Psychology
Abstract

The Japanese version of the Revised Infant Temperament Questionnaire (RITQ) was implemented to re-evaluate factor structure of the temperament scale with the objective of simplification. The questionnaire was conducted on 1099 mothers of Japanese infants visiting health centers for their children's health examinations at 6 or 7 months. As a result, a 57-item abridged version was constructed consisting of the seven subscales: 'fear of strangers and strange situations', 'insensitivity to food', 'regularity of rhythm', 'manageability', 'activity level', 'persistence of attention', and 'insensitivity to touch'. Although the items did not break down into the traditional nine temperament dimensions extracted by Carey et al., a certain commonality was seen in factor structure compared with the results of factor analysis using the RITQ in studies in Japan and abroad.

Published
2006
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22. Hallucinatory Experiences in a Community Sample of Japanese Children

Author

Hitoshi Kaneko, Takahiro Yoshizumi, Takashi Murakami, Satomi Murase, and Shuji Honjo

Subjects
Male, medicine.medical_specialty, Hallucinations, Personality Inventory, Population, Dissociative Experiences Scale, Child Reactive Disorders, Diagnosis, Differential, Japan, Risk Factors, Developmental and Educational Psychology, medicine, Humans, Mass Screening, Child, education, Psychiatry, Depression (differential diagnoses), Mass screening, education.field_of_study, medicine.disease, Psychiatry and Mental health, Cross-Sectional Studies, Anxiety, Female, medicine.symptom, Personality Assessment Inventory, Psychology, Anxiety disorder, Psychopathology
Abstract

Objective Hallucinatory experiences in children are often thought to indicate serious psychopathology. However, they have also been reported in normally developing children and in association with temporary psychological reactions to acute stress. The aim of this study was to investigate the prevalence of hallucinatory experiences in a nonclinical population of children and to examine the relationship between the modality and content of hallucinations and psychopathology. Method Seven hundred sixty-one Japanese children, 11 to 12 years old, completed a battery of four measures: (1) a questionnaire about the type of hallucinatory experience, (2) the Children's Depression Inventory, (3) the State-Trait Anxiety Inventory for Children, and (4) the Adolescent Dissociative Experiences Scale. Results Approximately 21% of the subjects had experienced hallucinations. Subjects who had experienced hallucinations, in particular, hallucinations characterized by combined modalities, closely self-related auditory content, or concrete visual content, had more significant psychopathology than did those who had never experienced hallucinations. Conclusions Therapeutic intervention should be considered for children who experience hallucinations in association with depression, anxiety, or dissociation.

Published
2004
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23. Study on feelings of school avoidance, depression, and character tendencies among general junior high and high school students

Author

Hitoshi Kaneko, Takanori Nishide, Yumie Nishide, Kota Tachibana, Shuji Honjo, Satomi Murase, Takashi Ishii, and Yasuko Sasaki

Subjects
Male, Character, medicine.medical_specialty, feelings of school avoidance, Adolescent, Student Dropouts, media_common.quotation_subject, Emotions, Child Behavior, Children's Depression Inventory, Interpersonal communication, Developmental psychology, Japan, Surveys and Questionnaires, Child and adolescent psychiatry, medicine, Humans, Personality, Children’s Depression Inventory, Child, Students, media_common, Depressive Disorder, General Neuroscience, Social environment, General Medicine, Mental health, Psychiatry and Mental health, Neurology, Feeling, Adolescent Behavior, personality, depression, School refusal, Female, Neurology (clinical), Psychology, school refusal, Clinical psychology
Abstract

School refusal is a phenomenon that first drew attention in Japan around 1960 and it remains one of the major issues in child psychiatry today. Moreover, it is now said that there exists a large group of latent school refusers currently attending school but harboring feelings of school avoidance. To address this issue, a questionnaire survey was conducted on students enrolled in a junior high and high school affiliated with the Nagoya University School of Education. The questionnaire consisted of the Children's Depression Inventory (CDI), a scale for evaluating feelings of school avoidance (School Avoidance Scale), and a scale for assessment of personality characteristics associated with school refusal (School Refusal Personality Scale). The subjects were 425 first-year junior high to second-year high school students. Factor analysis of each scale revealed the CDI to consist of three factors: 'core depression', 'feelings of interpersonal maladaptation', and 'self-revulsion', and the School Avoidance Scale to consist of two factors: 'school dislike', and 'school avoidance'. The School Refusal Personality Scale consisted of three factors: 'obsessive-compulsive', 'passive/unsocial', and 'socially introverted'. Mean CDI score and standard deviation (SD) was 19.44 +/- 7.49, and that for 'feelings of school avoidance' was 20.18 +/- 5.61. The two subordinate factors of the School Avoidance Scale were intimately associated with both 'feelings of interpersonal maladaptation' and 'core depression' of the CDI, and negatively correlated with the 'obsessive-compulsive' factor of the School Refusal Personality Scale.

Published
2003

24. Psychiatric features of seriously life-threatening suicide attempters

Author

Shuji Honjo, Shisei Ochiai, Masashi Ueyama, Satomi Murase, and Tatsuro Ohta

Subjects
medicine.medical_specialty, Suicide attempt, business.industry, Poison control, Emergency department, medicine.disease, Suicide prevention, Mental health, Psychiatry and Mental health, Clinical Psychology, Injury prevention, Medicine, business, Psychiatry, Borderline personality disorder, Depression (differential diagnoses)
Abstract

Objective: Although attempted suicide is one of the strongest predictors of completed suicide, few Japanese studies have described psychiatric differences between those who attempt suicide by overdose (OD) and those who use more violent methods (MV). Methods: A total of 22 consecutively admitted MVs were compared to 78 ODs. All patients were referred for psychiatric evaluation during the same 3-year period. Results: The MV group was predominantly male (68%), whereas the OD group was predominantly female (72%). Using DSM-IV criteria, depressive disorders were most common in both groups, followed by psychotic disorders. The OD group had significantly more borderline patients. Contrary to previous reports, prior psychiatric contact was low in the MV group. MVs were more likely to complain of financial problems and to retain a definite wish to die after the attempt. Conclusions: This study identified meaningful differences between the two groups of patients who attempted suicide.

Published
2003
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25. Polysymptomatic Conversion Disorder in Childhood and Adolescence in Japan

Author

Takashi Ishii, Rie Wakako, Toshiro Sugiyama, Tatsuro Ohta, and Satomi Murase

Subjects
medicine.medical_specialty, School age child, Social environment, General Medicine, medicine.disease, Psychiatry and Mental health, Clinical Psychology, El Niño, medicine, Somatization disorder, Age of onset, Psychiatry, Psychology, Conversion disorder, Applied Psychology
Abstract

Background: In conversion disorder in childhood and adolescence, polysymptomatic (PS) presentations are reportedly commoner than monosymptomatic (MS) ones. Somatization disorder is also associated with pseudoneurological symptoms, but is extremely rare in childhood. This occurs despite the age of onset peaking in the teens among adult somatization disorder patients. Method: We reviewed the records of 44 children and adolescents with pseudoneurological symptoms. They were categorized as MS cases (19) or PS cases (25), and their psychological backgrounds and clinical courses were compared. Results: PS patients had a poorer prognosis and more past psychiatric and family problems. While none met the DSM-IV criteria for somatization disorder, 2 PS patients met all but the sexual symptoms criteria. Conclusion: PS conversion disorder in childhood and adolescence may constitute a different entity from MS conversion disorder and may be an early manifestation or incomplete form of somatization disorder.

Published
2000
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26. Factor structure of the Japanese version of the Edinburgh Postnatal Depression Scale in the postpartum period

Author

Setsuko Goto, Tomoko Shiino, Naomi Banno, Branko Aleksic, Tokiko Morita, Mako Morikawa, Norio Ozaki, Shohko Kunimoto, Ai Tamaji, Atsuko Kanai, Yukako Nakamura, Tomoko Masuda, Masahiko Ando, Takashi Okada, Satomi Murase, Chika Kubota, and Harue Ohoka

Subjects
Postpartum depression, Maternal Health, Factor structure, Japan, Pregnancy, Medicine and Health Sciences, Medicine, Psychology, Depression (differential diagnoses), Language, Multidisciplinary, Obstetrics, Postpartum Period, Obstetrics and Gynecology, Middle Aged, Research Design, Physical Sciences, Female, Statistics (Mathematics), Research Article, Adult, medicine.medical_specialty, Psychometrics, Clinical Research Design, Science, Research and Analysis Methods, Models, Biological, Depression, Postpartum, Young Adult, Mental Health and Psychiatry, Humans, Screening tool, Statistical Methods, Psychiatry, Psychiatric Status Rating Scales, Survey Research, business.industry, Mood Disorders, Biology and Life Sciences, medicine.disease, Edinburgh Postnatal Depression Scale, Psychiatric status rating scales, Women's Health, business, Factor Analysis, Statistical, Postpartum period, Mathematics
Abstract

BackgroundThe Edinburgh Postnatal Depression Scale (EPDS) is a widely used screening tool for postpartum depression (PPD). Although the reliability and validity of EPDS in Japanese has been confirmed and the prevalence of PPD is found to be about the same as Western countries, the factor structure of the Japanese version of EPDS has not been elucidated yet.Methods690 Japanese mothers completed all items of the EPDS at 1 month postpartum. We divided them randomly into two sample sets. The first sample set (n = 345) was used for exploratory factor analysis, and the second sample set was used (n = 345) for confirmatory factor analysis.ResultsThe result of exploratory factor analysis indicated a three-factor model consisting of anxiety, depression and anhedonia. The results of confirmatory factor analysis suggested that the anxiety and anhedonia factors existed for EPDS in a sample of Japanese women at 1 month postpartum. The depression factor varies by the models of acceptable fit.ConclusionsWe examined EPDS scores. As a result, "anxiety" and "anhedonia" exist for EPDS among postpartum women in Japan as already reported in Western countries. Cross-cultural research is needed for future research.

Published
2014

27. Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant-mother attachment

Author

Harue, Ohoka, Takayoshi, Koide, Setsuko, Goto, Satomi, Murase, Atsuko, Kanai, Tomoko, Masuda, Branko, Aleksic, Naoko, Ishikawa, Kaori, Furumura, and Norio, Ozaki

Subjects
Adult, Depression, Postpartum, Pregnancy Complications, Young Adult, Depression, Pregnancy, Humans, Female, Prospective Studies, Self Report, Object Attachment, Mother-Child Relations
Abstract

Postnatal depression has demonstrated long-term consequences on child cognitive and emotional development; however, the link between maternal and child pathology has not been clearly identified. We conducted a prospective study using self-rating questionnaires to clarify the association between bonding disorder and maternal mood during pregnancy and after childbirth.A total of 389 women participated in this study and completed questionnaires. Participants were asked to complete the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale four times during pregnancy and the postpartum period.We found statistically significant weak to moderate correlations (r = 0.14-0.39) between the EPDS and Mother-to-Infant Bonding Scale scores at each testing period. Women who experienced low mood tended to have stronger bonding disorder. Furthermore, the effectiveness of attachment between the mother and child was closely related to the mood of the mother as measured by the EPDS.We observed different patterns of bonding and maternal mood. Distinct subtypes regarding maternal mood and formation of mother-to-infant attachment suggests that analysis of bonding disorder should be performed considering the course of maternal depressive symptoms.

Published
2013

28. Prospective Study on the Association between Harm Avoidance and Postpartum Depressive State in a Maternal Cohort of Japanese Women

Author

Atsuko Kanai, Kaori Furumura, Harue Ohoka, Yukako Nakamura, Naomi Banno, Satomi Murase, Naoko Ishikawa, Takayoshi Koide, Takashi Okada, Tokiko Morita, Tomoko Masuda, Branko Aleksic, Norika Hayakawa, Hinako Usui, Setsuko Goto, Tomoko Shiino, Norio Ozaki, and Ai Tamaji

Subjects
Postpartum depression, Adult, medicine.medical_specialty, Clinical Research Design, Science, Emotions, Neuropsychiatric Disorders, Cohort Studies, Depression, Postpartum, Asian People, Harm Reduction, Pregnancy, Risk Factors, medicine, Psychology, Humans, Prospective Studies, Risk factor, Psychiatry, Prospective cohort study, Depression (differential diagnoses), Behavior, Multidisciplinary, business.industry, Mood Disorders, Obstetrics and Gynecology, medicine.disease, Pregnancy Complications, Mental Health, Edinburgh Postnatal Depression Scale, Cohort, Harm avoidance, Medicine, Women's Health, Female, Postpartum Care, business, Cohort study, Research Article, Personality
Abstract

BackgroundRecent studies have displayed increased interest in examining the relationship between personality traits and the onset, treatment response patterns, and relapse of depression. This study aimed to examine whether or not harm avoidance (HA) was a risk factor for postpartum depression measured by the Edinburgh Postnatal Depression Scale (EPDS) and the state dependency of HA.MethodsPregnant women (n=460; mean age 31.9±4.2 years) who participated in a prenatal program completed the EPDS as a measure of depressive state and the Temperament and Character Inventory (TCI) as a measure of HA during three periods: early pregnancy (T1), late pregnancy (around 36 weeks), and 1 month postpartum (T2). Changes in EPDS and HA scores from T1 to T2 were compared between the non depressive (ND) group and the postpartum depressive (PD) group.ResultsThere was no significant difference in the level of HA between the ND and PD groups at T1. In the ND group, EPDS and HA scores did not change significantly from T1 to T2. In the PD group, both scores increased significantly from T1 to T2 (EPDS, pConclusionsThese results suggest that HA cannot be considered a risk factor for the development of postpartum depression measured by EPDS. Furthermore, HA may be state dependent.

Published
2012

29. The postpartum depressive state in relation to perceived rearing: a prospective cohort study

Author

Harue Ohoka, Norio Ozaki, Takashi Okada, Ai Tamaji, Setsuko Goto, Satomi Murase, Tomoko Shiino, Branko Aleksic, Atsuko Kanai, Naomi Banno, Yukako Nakamura, Tokiko Morita, Norika Hayakawa, Kaori Furumura, Naoko Ishikawa, Hinako Usui, Takayoshi Koide, and Tomoko Masuda

Subjects
Adult, Postpartum depression, Child abuse, medicine.medical_specialty, Psychometrics, Clinical Research Design, Epidemiology, Science, Emotions, Biology, Social and Behavioral Sciences, Depression, Postpartum, Cohort Studies, Pregnancy, Risk Factors, Surveys and Questionnaires, medicine, Humans, Psychology, Clinical Epidemiology, Prospective Studies, Bipolar disorder, Risk factor, Maternal Behavior, Psychiatry, Paternal Behavior, Behavior, Multidisciplinary, Mood Disorders, Obstetrics, Obstetrics and Gynecology, medicine.disease, Mental Health, Mood disorders, Research Design, Psychoanalytic Theory, Edinburgh Postnatal Depression Scale, Women's Health, Medicine, Female, Pregnancy Trimesters, Postpartum Care, Research Article, Cohort study
Abstract

BackgroundThe relationship between perceived rearing and the postpartum depressive state remains unclear. We aimed to examine whether perceived rearing is a risk factor for postpartum depression as measured by the Edinburgh Postnatal Depression Scale (EPDS), and whether the score of perceived rearing is affected by depressive mood (the state dependency of perceived rearing).MethodsPregnant women (n = 448, mean age 31.8 ± 4.2 years) completed the EPDS as a measure of depressive state in early pregnancy (T1), late pregnancy (around 36 weeks), and at 1 month postpartum (T2), and the Parental Bonding Instrument (PBI) at T1 as a measure of perceived rearing. Changes in the EPDS and the PBI scores from T1 to T2 were compared between the non depressive (ND) group and the postpartum depressive (PD) group.ResultsThere were no significant differences in any PBI category for perceived rearing between the ND and PD groups at T1. EPDS scores did not change significantly from T1 to T2 in the ND group but increased significantly in the PD group. The PBI maternal care score increased significantly in the ND group (pConclusionsThe present study suggests that perceived rearing is not a strong risk factor for postpartum depression as measured by the EPDS. Furthermore, the results indicated the state dependency of the PBI maternal care score.

Published
2012

30. Prospective study of maternal depressive symptomatology among Japanese women

Author

Tomoko Masuda, Setsuko Goto, Norio Ozaki, Branko Aleksic, Satomi Murase, Atsuko Kanai, Naoko Ishikawa, and Hinako Usui

Subjects
Postpartum depression, Adult, medicine.medical_specialty, Longitudinal study, Mothers, Depression, Postpartum, Japan, Pregnancy, Surveys and Questionnaires, medicine, Humans, Longitudinal Studies, Prospective cohort study, Psychiatry, Psychiatric Status Rating Scales, business.industry, Obstetrics, Depression, Maternity blues, Odds ratio, medicine.disease, Pregnancy Complications, Psychiatry and Mental health, Clinical Psychology, Mood, Edinburgh Postnatal Depression Scale, Female, business
Abstract

Background The primary objective of this study was to analyze the pattern of depressive moods related to pregnancy and postpartum in a dataset collected prospectively. A secondary objective was to assess the association between (1) low moods during pregnancy and postpartum depressive symptoms, and (2) maternity blues and postpartum depressive symptom. Method Three hundred eighty-seven women completed self-administered questionnaires. The participants were asked to respond to Stein's Maternity Blues Scale (Stein's Scale) on five consecutive days after delivery and to the Edinburgh Postnatal Depression Scale (EPDS) during both pregnancy and postpartum. Results 32.0% of the women were identified as having a score of more than 9 on EPDS during pregnancy and postpartum. 21.6% of the women scored above the Stein's Scale cut-off point for at least 1 day during the 5-day period following delivery. The odds ratio (95% CI) for postpartum low mood if the women experienced low mood during pregnancy was 4.46 (2.48–8.04), while the odds ratio for postpartum depressive symptoms if the women experienced symptoms of maternity blues was 5.48 (2.74–10.98). In logistic regression analysis, the number of days in which women scored over the cut-off point by Stein's Scale proved to be the more significant predictor of scoring over the EPDS cutoff (8/9) [OR (95% CI)=2.74 (1.89–3.96)]. Conclusion The rate of maternity blues in our findings was similar to the rates previously reported in Japan, but lower than the rates observed in Western countries. Furthermore, our longitudinal study confirms the likelihood of subsequent postpartum depressive symptoms if low moods during pregnancy and/or maternity blues are present.

Published
2010

31. Reliability and validity of the Parenting Scale of Inconsistency

Author

Takashi Murakami, Jiro Takai, Takahiro Yoshizumi, and Satomi Murase

Subjects
Adult, Male, Parents, Periodicity, Depression scale, Health Status, 050109 social psychology, Affect (psychology), Developmental psychology, 03 medical and health sciences, 0302 clinical medicine, Cronbach's alpha, Surveys and Questionnaires, Humans, 0501 psychology and cognitive sciences, Parent-Child Relations, Child, General Psychology, Reliability (statistics), Parenting, Depression, 05 social sciences, Construct validity, Reproducibility of Results, Mental health, 030227 psychiatry, Affect, Scale (social sciences), Female, General Health Questionnaire, Psychology, Clinical psychology
Abstract

The purposes of the present study were to develop a Parenting Scale of Inconsistency and to evaluate its initial reliability and validity. The 12 items assess the inconsistency among parents' moods, behaviors, and attitudes toward children. In the primary study, 517 participants completed three measures: the new Parenting Scale of Inconsistency, the Parental Bonding Instrument, and the Depression Scale of the General Health Questionnaire. The Parenting Scale of Inconsistency had good test-re-test reliability of .85 and internal consistency of .88 (Cronbach coefficient a). Construct validity was good as Inconsistency scores were significantly correlated with the Care and Overprotection scores of the Parental Bonding Instrument and with the Depression scores. Moreover, Inconsistency scores' relation with a dimension of parenting style distinct from Care and Overprotection suggested that the Parenting Scale of Inconsistency had factorial validity. This scale seems a potential measure for examining the relationships between inconsistent parenting and the mental health of children.

Published
2006

32. [Support for the family from infancy]

Author

Shuji, Honjo, Satomi, Murase, Hitoshi, Kaneko, Shiori, Arai, Ohiko, Hashimoto, and Kenji, Nomura

Subjects
Adult, Male, Pregnancy Complications, Borderline Personality Disorder, Depression, Pregnancy, Humans, Female, Puerperal Disorders, Mother-Child Relations
Abstract

A rising tendency has been reported for child abuse in our country in recent years, and the need to provide support for child-care capabilities in the home has been raised. In this context, attention has turned to the mother-child relationship and the mother's mental health from early on, in pregnancy and the antenatal period. In particular, it has become clear that the incidence of post-partum maternity blues and puerperal depression is higher than hitherto believed, drawing focus upon the effects of the mother's depression on the mother-child relationship. This report outlines the research and clinical intervention we have been undertaking for the mother's depression in pregnancy and the puerperium in relation to maternal attachment. 1) Results from studies in the puerperium on a group of mothers with children admitted to the NICU and a control group of mothers, and a 1-year follow-up study on the control group of mothers have revealed a relationship between a mother's depression and maternal attachment in the puerperium with depression and maternal attachment after 1 year, indicating the importance of focusing on the mother's depression and maternal attachment from the puerperium in thinking about maternal mental health and the mother-child relationship. 2) We have been attempting clinical intervention for the mother's psychological problems through the obstetric clinic, obstetric ward, and NICU, since 1998. The number of subjects, interviews, interview content, and other such data are reported. 3) A borderline personality disorder case we have been involved with clinically from age 19 is presented, for discussion of problems arising in the mother-child relationship from pregnancy through the child-rearing years.

Published
2004

33. Transient eating disorder in early childhood--a case report

Author

Yasuko Sasaki, Kenji Nomura, Hitoshi Kaneko, Shuji Honjo, and Satomi Murase

Subjects
Adult, Male, medicine.medical_specialty, Time Factors, Anorexia nervosa, Developmental psychology, Feeding and Eating Disorders, Play therapy, Developmental and Educational Psychology, medicine, Child and adolescent psychiatry, Humans, Family, Early childhood, Psychiatry, digestive, oral, and skin physiology, Social environment, General Medicine, Feeding Behavior, medicine.disease, Mother-Child Relations, Psychiatry and Mental health, Eating disorders, El Niño, Mother child interaction, Child, Preschool, Pediatrics, Perinatology and Child Health, Family Therapy, Female, Psychology
Abstract

Although children in infancy present eating problems of multifarious nature, the diagnostic classification of infant eating disorders remains markedly deficient. The authors present a case exhibiting transient eating disorder in early childhood, alongside discussion of some considerations relevant to this age group. The subject was a boy aged 5 years 6 months at first presentation. Starting with an inability to swallow “sushi” at dinner, he was brought to the clinic for inability to ingest food or liquids. Treatment was planned as play therapy for the patient, and psychological interviews for the mother. The child’s symptoms were improved in five sessions, but interviews of the mother revealed eating disorders such as bulimia and vomiting, and sexual problems in the marital relationship, necessitating long-term therapy.

Published
2004

34. Poster

Author

Olivera Aleksic, Milica Pejovic-Milovancevic, Smiljka Popovic-Deusic, Biljana Pirgic, Ivana Sojic, Christoph Correll, Umesh Parikh, Vladimir Olshanskiy, Bhrigu Chopra, John M. Kane, Anil K. Malhotra, Sonja Sieslack, Gottfried Maria Barth, Gunther Klosinski, Sheila Sadigorsky, Sefi Kronenberg, Amos Frisch, Nicola Williams, Bruce Tonge, Neville King, Glenn Melvin, Amanda Dudley, Michael Gordon, Ester Klimkeit, Simon Hatch, John Breddy, Heleen DeCory, Sara Cameron, Mary Solanto, Maria Serra-Pinheiro, Isabella Sousa, Paulo Mattos, Fernanda Gomes, Giuseppe Pastura, Desna Milinkovic, Oliver Bilke, Sibille Kühnel, Bernhard Winterfeld, John Campo, James Perel, David Axelson, Jeff Bridge, Boris Birmaher, Neal Ryan, David Brent, Edmund J. S. Sonuga-Barke, Dorothea Y. Sanchez, Mani Pavuluri, David B. Henry, Julie A. Carbray, Gwendolyn Sampson, Michael W. Naylor, Philip G. Janicak, Stefan Gebhardt, Frank Theisen, Michael Haberhausen, Monika Heinzel-Gutenbrunner, Peter Wehmeier, Jürgen-Christian Krieg, Wolfgang Kühnau, Jörg Schmidtke, Helmut Remschmidt, Johannes Hebebrand, Hans-Willi Clement, Christian Fleischhaker, Klaus Hennighausen, Eberhard Schulz, Reiner Frank, Belda Karamete, Gunnel Löndahl, Peik Gustafsson, Anneli Parnegdrd, Giancarlo Rigon, Simona Chiodo, Alessandra Mancaruso, Daniele Giovanni Poggioli, Stefano Costa, Pedro Pires, Isabel Brito, Isabel Carvalho, Sara Almeida, Paula Zaragoza, Yury Shevchenko, Vasilisa Korneeva, Miodrag Stankovic, Aneta Lakic, Vesna Milovanovic, Sandra Stankovic, Bernard Hobrücker, Filip Caby, Jean Chambry, Stéphane Laudrin, Catherine Graindorge, Arata Oiji, Yukiko Morioka, Ami Murata, Madoka Sato, Yume Hashizume, Katarina Müller, Willigis Werner, Matthias Martin, Eva Mattejat, Myriam Olivieri, Annalisa Simoncini, Sonia Marchegiani, Marco Lazzorotto Muratori, Gabriele Borsetti, Shewikar Farrag, Riccardo Coltrinari, Doa Habib, Daniel Fung, Nelson Lee, Susanne Ohmann, C. Popow, M. Lanzenberger, H. Herzog, S. Schuch, S. Miksch, Fatemeh Abdollahy, S. Khani, B. Shabankhani, Joao Guerra, Claudia Fontes, Vania Martins, Ana Teles, Corina Rodrigues, Zulmira Correia, Gereon Becht-Jördens, Catherine McElearney, Michael Fitzgerald Henry Marsh, Alexander Naumann, Dirk Holst, Annette Engbarth, Tiberiu Mircea, Ashima Nehra, Savita Malhotra, Subho Chakrabarti, Shashi Kiran, Srinath Shoba, Allan Hvolby, Jan Ib Jorgensen, Marco Medeiros, Ariete Correia, Maria Gabilondo, Pedro Caldeira da Silva, Augusto Carreira, Jae-Won Yang, Yeoung-Rang Kim, Sung-Do David Hong, Sang-Sin Lee, Seong-Hu Lim, Jeoung-Hwan Park, Vera Trbic, Danica Boskovic, Jan Pauschardt, Fritz Mattejat, Kurt Quaschner, Erika Lischka, Mechthild Bauer, Franka Petzke, Britta Wehrmann, Sigita Lesinskiene, Laura Paskauskaite, Luisa Garcia-Giralda Bueno, Juana Montiel Gonzales, Javier Gallego Cumbres, Francisco Gutierrez Asensio, Susanne Denoix, Franz Kimmig, Marc Weinhardt, Peter Greven, Stefan Buchmann, Nurgül Atas, Ute Jonkanski, Bodo Pisarsky, Silvia Treuter, Josep Cornellà, Alex Llusent, Lara Condesso, António Trigueiros, Klaus Schütz, Michael Tarren-Sweeney, Philip Hazell, Luigi Mazzone, Diego Mugno, Liliana Ruta, Valentina Genitori D’Arrigo, Perrotta Concetta Simona, Teresa Mattina, Domenico Mazzone, Ralf Nordbeck, Wolfgang Gierow, Frank Haessler, Johannes Buchmann, Lucia Bliznakova, Yvonne Grimmer, H. J. Roth, Christine Jennen-Steinmetz, Martin H. Schmidt, Katja Becker, Andrea G. Ludolph, Alexander Storch, Tobias Boeckers, Joachim Kirsch, Jörg M. Fegert, Oksana Drevitska, Carlo Cianchetti, Simona Corona, Maria Foscoliano, Daniela Contu, Giuseppina Sannio Fancello, Anna Costa, Mara Roello, Angela Romano, Anna Fabrizi, Andrea Pelliccia, Maria Matricardi, Nickola Matthias, Timo Lesnick, Matthias Gass, Linyan Su, Jishui Zhang, Dazing Wu, Xuerong Luo, Ignazio Ardizzone, Paola D’Oto, Francesca Priskich, Elvira Rigillo, Nadia Tomassetti, Francesca Vagnoni, Beate Sabisch, Anja Hahne, Lisa Glass, Angela D. Friederici, Waldemar von Suchodoletz, Carlo Di Brina, Andrea Pagnacco, Flavia Capozzi, Roberta Penge, Fabio Bocci, Laura Cantonetti, Alessandra De Carlo, Barbara Scanferla, Teresa Sebastiani, Cristina Vagnoni, Xueping Gao, Yasong Du, Fabio Lorenzetti, Michael von Aster, Martin Schweiter, Karin Kucian, Thomas Loenneker, Thomas Dietrich, Ernst Martin-Fiori, Hesham Abuhegaz, Hashem Bahary, Dae-Hwan Lee, Bong-Seog Kim, Seong-Ill Jeon, Sun-Lu Chung, Maria Conceicao Taborda da Simoes, Maria Luz Vale da Dias, Ulf Engqvist, Per-Anders Rydelius, Maria Dores das Formosinho, Ana Monica Pinto, Luiza Nobre Lima, Tobias Edbom, Jan-Olov Larsson, Paul Lichtenstein, Bernardo Perez, Macarena Marin, Su-Jin Yang, Helen Lee, Kyung-Sun Noh, Ferdinand Keller, Lutz Goldbeck, Ghizlane Benjelloun, Dirk Dhossche, Sara Stanfill, Akiko Takahara, Minemitsu Kusu, Sumiko Watanabe, Tatsuya Matsui, Kengo Ikeda, Hiroe Matsuda, Hiie Allik, Hans Smedje, Sadaaki Shirataki, Bonko Murakami, Rawheya Ahmad Mohamed, Fiona Dunbar, Sarah Shea, Mariko Atsumi, Hideo Matsumoto, Akitoshi Ooya, Seiji Koishi, Yutaka Aoki, Youichi Enseki, Yuri Nakamura, Kostas Francis, Vassilis Kazaridis, Panagiota Kirillidou, Sofia Koukouvinou, Sobharani Paliwal, Parkview Clinic, William Whitehouse, Margo Edwards, Ayliffe Edwards, Sunita Pandit, Judith Powell, Mehdi Tehrani-Doost, Mitra Sepasi, Javad Alaghband-Rad, Reza Rad Goodarzi, Masaki Kodaira, Andrea Viertler, Katja Elpel, Olaf Reis, Melda Ayse Akçakn, Gulsen Erden, Efser Kerimoglu, Eric Lemonnier, Toshio Munesue, Kouhei Mutoh, Kazunori Shimoda, Hideo Nakatani, Yoshifumi Koshino, Isabell Germerott, Eman Galal Sadek, A. G. Litvinov, Froylan Calderón-Castaneda, Alberto Enrique Nuno-Licona, Efren Alatorre-Miguel, Kirstin Goth, Klaus Schmeck, Sibylle Winter, Anja Wiegard, Günter Hinrichs, Denis Köhler, Martin Kammerer, Diana Adams, Brida von Castelberg, Alyx Taylor, Maj-Britt Posserud, Kjell Morten Stormark, Astri J. Lundervold, Christopher Gillberg, Maaike Steijnen, Sophie Verhoeven, Ivana Francula, Igor Prpic, Rena Volga, Stefania Di Biasi, Francesca Piperno, Filomena Puleo, Sara Cerracchio, Roberta Giacchè, Zoé Rein, Nathalie Godart, Fabienne Perdereau, Florence Curt, Philippe Jeammet, Jacques Fermanian, Emine Ozgur Bayman, Yesim Taneli, Neslim Guvendeger, Bulent Ediz, Suna Taneli, Ismet Kan, Angela Plaß, Claus Barkmann, B. Mack, K. Mittenzwei, Peter Riedesser, Michael Schulte-Markwort, Veit Roessner, Andreas Becker, Nicola Hagenberg, Matthias Berking, Tobias Banaschewski, Aribert Rothenberger, Nathalie Coulon, Daniela Tardiola, Stefano Balsamo, Nadia Capriotti, Tanveer Sandhu, Tuula Tamminen, Nina Iovchuk, Ivona Milacic, Oliver Vidojevic, Ayse Kilincaslan, Nahit Motavalli Mukaddes, Gokce Sozen, Ayla Umut, Kenji Yamamoto, Shinko Koishi, Noriko Natsume, Kosuke Yamazaki, Eiji Nanba, Fabienne Naber, Emma van Daalen, Jan Buitelaar, Marinus van IJzendoorn, Sophie Willemsen-Swinkels, Marian J. BakermansKranenburg, Herman van Engeland, Maretha de Jonge, Chantal Kemner, Andrea Caby, Stefan Bendt, Vera Bashina, Maria Krasnoperova, Jan Croonenberghs, Sonja Sliwinski, Armand Christophe, Dirk Deboutte, Michael Maes, Alessia Tosco, Emanuela Giorgi, Monica Lazzarini, M. Liliana Iorio, Mercedes Becciu, Bung-Nyun Kim, Jeong In-Hyoung, Dong-Hyun Ahn, Boong-Nyun Kim, Yun-O Shin, Kang-E Hong, Michal Hrdlicka, Jiri Neuwirth, Vladimir Komarek, Marketa Havlovicova, Zdenek Sedlacek, Marek Blatny, Tomas Urbanek, Masataka Ohta, Yukiko Kano, Yoko Nagai, Anne Wintgens, Jean-Yves Hayez, Seoung-Hu Lim, Ji-Hye Ha, Hee-Jung Byun, Ji-Hae Kim, Rebecca Lee, Eric Fombonne, Eric Taylor, Füsun Çuhadaroôlu Çetin, Deborah James, Maria Lawlor, Nick Sofroniou, Kiyoko Kamibeppu, Lori Sato, Yasutaka Hoshi, Jezdimir Zdravkovic, Petar Kostic, Khalid Murafi, Michael Ries, Rainer Georg Siefen, Martin Jelinek, Helena Klimusova, Jaroslava Blizkovska, C. Burke, B. Doody, Carole Müller Nix, Ayala Nicole, Markus Wilken, Marguerite Dunitz-Scheer, Alexandra Krasnovsky, Anastasia Dressler, Valentina Perelli, Francesca Tinelli, Valentina Rafanelli, Stefania Bargagna, Gerhard Libal, Paul Plener, Jórg M. Fegert, Fumiko Enokido, Masako Higuchi, Istuki Jibiki, Martina Tomori, Hee-Jeong Yoo, Su-Yeon Kim, In-Hee Cho, Sook-Kyeong Yune, In-Kyoon Lyoo, Ji-Hyun Ha, Barbara Haas, Lyudmila Danilova, Kanita Dervic, Janos Csorba, Sandor Rozsa, Marjorie Kleinman, Laszlo Tringer, Max Friedrich, Madelyn Gould, Tuerkan Akkaya-Kalayci, Gerhard Lenz, Elisa Lapponi, Maria Carla Filipponi, Felicia Lauria, Carla Sogos, Akihide Kitamura, Bjoern Albrecht, Xianghui Zhang, Xuerong Li, Vesna Hercigonja-Novkovim, Dubravka Kocijan-Hercigonja, Stephen Ralston, Maria Lorenzo, Asmaa Amin Abdel Aziz, Joseph Biederman, Thomas Spencer, Rodney Moore, Haitao Gao, Josep Cornelld, Natasa Potocnik Dajcman, Rok Holnthaner, Guangrong Xie, Ulrike Sühlfleisch-Thurau, Frank Häßler, Margaret Tiffin-Richards, Michael Richards, Marcus Hasselhorn, Alper Bayrak, R. Rodrigues Pereira, W. Brussel, L. Vlasveld, H. G. Tuynman-Qua, M. J. Lorenzo, Dong-Ho Song, Eun-Hye Ha, Eun-Sik Lee, Young-Min Yu, Hans-Theo Weiler, Heike Hellrung, Caro Grünling, Stephan Overmeyer, Markus Ligges, Bernhard Blanz, Armin Claus, Susanne Walitza, Peter Scheuerpflug, Christoph Wewetzer, Manfred Gerlach, Andreas Warnke, Mieko Aoki, Shozo Aoki, Masato Takii, Yasuko Uchigata, Takehiro Nozaki, Keisuke Kawai, Shu Takakura, Chikako Koreeda, Chiharu Kubo, Hitoshi Saino, Kenzo Denda, Kouichi Ito, Satoshi Asakura, Yukiya Sasaki, Fumi Sasaki, Seishiro Inoue, Sonja Werneck-Rohrer, Ernst Eveline, Heidrun Eichberger, Carolin Prause, Bibiana Schuch, Andreas Lamerz, Jutta Kuepper-Nybelen, Christine Wehle, Gabriele Trost-Brinkhues, Hermann Brenner, Beate Herpertz-Dahlmann, Beata Pawlowska, Maria Chuchra, Marta Kaczynska-Haladyj, Ulrike Margarete Elisabeth Schulze, Simone Schuler, Dieter Schlamp, Peter Schneider, Christian Reiners, Chihiro Morita, Anatoly Severny, Victor Brutman, Irina Kireeva, Marc Schmid, Antje Zander, Marta Kaczynska-Haladyi, Nicole Bruning, Gabriele TrostBrinkhues, Christian Popow, Andreas Karwautz, Sylvia Eimecke, Kristian Holtkamp, Anna Capasso, Masaki Seki, Yu Wakabayashi, Ken Takaoka, Marc G. Schmid, Claudia Zerahn-Hartung, Kayo Morioka, Jan Nedoschill, Peter Leiberich, Thomas Loew, Jae-Suk Jung, Young-Sik Lee, Sun-Ju Chung, Tae-Won Park, Alba Sunshine Bettoschi, Pasquale Carboni, Soo-Churl Cho, Jeong-Mee Ahn, Kang-E. Hong, Jan Elena Kassubek, Sylvia Quiner, Michaela Seyering, Max H. Friedrich, Ana Radojkovic, Ana Velimirovic, Sherese Ali, Kevin Parker, Zarko Martinovic, Nadezda Krstic, Nevenka Buder, Veronika Ispanovic, Ewa Mojs, Maria Danuta Glowacka, Junko Hayashi, Syunichi Funakosi, Takamichi Kamiyama, Takashi Ueno, Tomohiro Ishii, Yutaka Hayashi, Hiroo Matsuoka, William Gardner, Amanda Lucas, David Kolko, Kelly Kelleher, Maria Claustre Jané Ballabriga, Sergi Ballespi Sola, Montse Dorado, Natalia Diaz Reganon, Maite Gonzalez Alonso, Maria Dolores Riba, Edelmira Domenech Llaberia, Kayano Ishii, Kayo Inoko, Aya Nishizono-Maher, Makiko Osawa, Mari Kasahara, Kazuhiko Saitou, Satomi Murase, Risa Oga, Takashi Murakami, Shuji Honjo, Hitoshi Kaneko, Shiori Arai, Sabine Völkl-Kernstock, Sonja Bauch-Prater, Martha Feucht, Paula Vilariça, Isadora Pereira, Olivia Pastor, Susana Farinha, Pedro Caldeira, Maria Antónia Silva, Caterina Gawrilow, Peter M. Gollwitzer, Keun-Ah Cheon, Young-Hoon Ryu, Jae-won Kim, Alceu Gomes Correia Filho, Luis Augusto Rohde, Tatiana Silva, Rafael Bodanese, Michael Aman, W. Boudewijn Gunning, Manfred Laucht, Mahha El-Faddagh, Martin Schmidt, Jakob Nützel, Juliane Ball, Cornelia Elben, Halina Kadziela-Olech, Taewon Park, Myung Ho Im, Daehee Kang, Hee Jeong Yoo, David Michelson, Shuyu Zhang, Dustin Ruff, Peter Feldman, Niels Bilenberg, Jurgen Jensen, Azar Moradi, Vahed Alaey, Christopher Kratochvil, Timothy Wilens, Laurence Greenhill, Douglas Gelowitz, Leon Patrice Celestin, Smadar Celestin-Westreich, Somnath Banerjee, M. Chandola, S. Venables, Hideki Negoro, Junzo Lida, Hidemi Iwasaka, Masanori Kyo, Tatsushi Nagano, Kanae Kishino, Toshihumi Kishimoto, Bong-Suk Kim, Jun-Won Hwang, Masanori Kyoh, Lida Junzo, Negoro Hideki, Nagano Tatsushi, Kishino Kanae, Iwasaka Hidemi, Kishimoto Toshifumi, Rael Strous, Simion Kertzman, Z. Ben Nachum, Moshe Kotler, Roni Hegesh, David Coghill, Quentin Spender, Joanne Barton, Chris Hollis, Cammy Yuen, Irina Cleemput, Lieven Annemens, Susanne Eschmann, Karl Christoph Käppler, Maycoln M. L. Teodoro, Eva Stieger, Anouk Mugier, Stephanie Stüttler, Cord Alexander Heise, Henrik Uebel, Charlotte Hanisch, Kerstin Konrad, Ralph Radach, Dagmar Horn, Noa Tsujii, Akira Okada, Noriko Kuriki, Junko Matsuo, Kazushi Hanada, Takeshi Kusube, Kazuhiko Hitomi, Marcelo Schmitz, Daniel Denardin, Tatiana da Silva, Thiago Pianca, Tatiana Roman, Mara Hutz, Asma Bouden, Ines Dengezli, Mohamed Halayem, Oscar Herreros, Francisco Sanchez, Belen Rubio, Ramon Gracia, Simone Henrike Weber, Alex Wolters, Albert J. Allen, Roger Kurlan, Donald Gilbert, David Dunn, F. Randy Sallee, Christine Thomason, Virginia Sutton, Denai Milton, Dorthe Petersen, Solvejg Kristensen, Jörg Kinkelbur, Juliane Hellwig, Martin Hellwig, Eckert Rüther, Olayinka Omigbodun, O. Esan, K. Bakare, B. O. Yusufi, F. Nuhu, A. Adesokan, Marie Kopecky-Wenzel, Mark-Peter Steenhuis, Ruud Minderaa, Marie-Louise Körlof, Margit Wängby, Lars R. Bergman, Suwei Yu, Petteri Multimäki, Kai Parkkola, Andre Sourander, Georgios Nikolakaros, Hans Helenius, Carina Freitas, Assunçâo Rocha, Lídia Pocinho, Shinichi Arai, Hironobu Ichikawa, Ikuko Hirosawa, Maria Elena Mdrquez-Caraveo, Verónica Pérez-Barrón, Merete Juul Sorensen, Ole Mors, Per Hove Thomsen, Kai von Klitzing, Sonja Perren, Agnes von Wyl, Dieter Burgin, Han-Ik Yoo, Min-Sup Shin, Kang E. Hong, Ehsan Syed, Sobia Haqqi, Michail Semago, Sigita Girdzijauskiene, Dainius Puras, Grazina Gintiliene, Dovile Cerniauskaite, Christiane Bormann-Kischkel, Rosemarie Schmoetzer, Diana Frischholz, Martin Linder, Catharina Ganseforth, Daniela Rödder, Angela Kribs, Frank Pillekamp, Alexander von Gontard, Bernhard Roth, Tjhin Wiguna, Cristina Maria Ribeiro Marques, Teresa Goldschmidt, Teresa Cepeda, Ayse Arman, Refika Ersu, Dilsad Save, Goksin Karaman, Koray Karabekiroglu, Bulent Karadag, Meral Berkem, Lene Ruge Moller, Parathasarathy Biswas, Anil Malhotra, Nitin Gupta, Tord Ivarsson, Oeystein Litlere, Per Svalander, Yelena Yelikova, Petar Nastasic, Snezana Filipovic, Roza Panoski, Goran Lazetic, Nataliya Zvereva, Monika Strauss, A. Graf, R. Zollinger, Tanja Brückl, Michael Höfler, Lena Schwenden, Hans-Ulrich Wittchen, Roselind Lieb, Angelika Schweitzer, Jane Edwards, Monika Schlögelhofer, Paul G. Amminger, Maria Giuseppina Ledda, A. Zuddas, T. Piroddi, M. Abis, A. Mereu, Fabian Härtling, Ralf Tepest, Tanja Goncharova, David E. D. Linden, Peter Falkei, Kai Vogeley, Fritz Poustka, Miriam Spinner, Julian Dobranowski, Duncan MacCrimmon, Jim Gibson, Susan Fawcett, Margarita Criollo, Brigitte Ramsauer, Nina Janke, Danica Boskovic Djukic, Fabiola Napoli, Raffaella Valente, Valeria Neri, Mauro Ferrara, Carla D’Agostini Costa, Christian Veronesi, Sergio Melogno, Achille Gigliotti, Bruna Mazzoncini, Antonio Fonseca, Eva Maid, Erika Hohm, Claudia Mehler-Wex, J. Catharina Duvigneau, Romana T. Hartl, Dorit Ben-Shachar, Harvey Kranzier, Sanjiv Kumra, Ginny Gerbino-Rosen, David Roofeh, Courtney De Thomas, Carolyn Dombrowski, Marjorie McMeniman, Hsueh-Ling Chang, Sue-Huei Chen, Keh-Chiang Yu, Michael Kölch, Reinhild Bücheler, Christoph H. Gleiter, Stephanie P. Bohne, Frank M. Häßler, Bärbel Gierow, Julie Carbray, Sampson Gwen, Michael Naylor, Anja Taanila, Katri Hautala, Päivi Kemppainen, Arto Kotimaa, Hanna Ebeling, Irma Moilanen, Monica Biscaldi, Bettina Wagner, Ute Dürrwächter, Susanne Trauzettel-Klosinski, Jens Reinhard, Ellen Plume, Gerd Schulte-Körne, Branko Aleksic, Regula Blaser, Ulrich Preuss, Claudia Meusel, Georg Macharey, Ulrich Strehlow, Johann Haffner, Jürgen Bischof, Volker Gratzka, Peter Parzer, Franz Resch, Steffi Sachse, Beatrice Anke, Monika Adamski, Angelika Pecha, Dragana Macesic-Petrovic, Svetlana Slavnic, Chie Hatagaki, Hanna Swaab, P. Cohen-Kettenis, Roberta Di Scipio, Ester Patruno, Sylvia Reinelt-Straka, Liselotte Hoffmann, Max H. Friedrich Dragana, Macesic Petrovic, Monique Nesa, David Hay, Clare Roberts, Mairead McCoy, Harriet Salbach, Uta Klopfer, Swantje Hagen, Bürger Arne, Ulrike Lehmkuhl, Bradley Smith, Judith Sinzig, Martin Hohmann, Takayo Mukai, Pia Enebrink, Niklas Ldngström, Henrik Andershed, Louis Richer, Lise Lachance, Claude Dubé, Serge Saintonge, Matti Virkkunen, Jyrki Liesivuori, Risto Bloigu, Jari Tiihonen, Alasdair Vance, Chidambaram Prakash, Magali Reyes-Harde, Krisztina Csaba, Marielle Eerdekens, Roza Olah, Ilse Augustyns, Ulrike Hellmann, Astrid Matei, Ji Hyun Ha, In Hee Cho, Mee Gyeong Kim, Sook Kyeong Yune, In Kyoon Lyoo, Bruce Barbro, Guilherme Polanczyk, Zineb Iraqi, Nadia Kadri, Driss Moussaoui, Kamal Raddaoui, Karl Titze, Susanne Wollenweber, Verena Nell, Andreas Wiefel, Margarita Forcada Guex, Basaran Sezer, Farshid Shamsaei, Fatemeh Cheraghi, Oytun Hasturk, Mehmet Okan, Naoko Sato, Aya Sato, Eleonora Camillo, Viviana Porcari, Maria Patrizia Salatiello, Sabrina Chifari, Valentina Dell’Oglio, Militello Rosanna, Carmela Scrò, Lisette Hart-Kerkhoffs, A. Ph. van Wijk, L. M. C. Jansen, Robert Vermeiren, Theodore Doreleijers, Shi Ji Zhang, Reija Latva, Liisa Lehtonen, Raili Salmelin, Emmanouel Tsalamanios, Gerasimos Kolaitis, Elena Paliokosta, Stauroula Diareine, Sofia Anasontzi, Alkis Tsiantis, Irini Limbinaki, John Tsiantis, Leontina Dreana-Ianciu, Miriana Vrajitoriu, Laura Lebedeva, Yasemen Taner, Betul Bakkaloglu, Füsun Çuhadaroâlu Çetin, Cengiz Ozbesler, Mihriban Erturk, Sandra Sebre, Audrey Keller, Ayala Borghini, Blaise Pierrehumbert, François Ansermet, Adrian Furnham, Peter Noack, Bruce Kirkcaldy, Michaela Felber, Stefan Puig, James Swain, James Leckman, Linda Mayes, Ruth Feldman, Robert Constable, Robert Schultz, Evgeny Koren, Umaporn Trangkasombat, Michael Karle, Marina Belianchikova, Galina Scoblo, Valentin Fadeev, Lyne Jaunin, Francois Ansermet, Tatsuo Ujiie, Kenji Nomura, Yasuko Sasaki, Vaska Stancheva-Popkostadinova, Meglena Achkova, Emine Kilic, Gönül Erdogan, Rami Gaber, Areej Qasqas, Martin Aßhauer, Hubertus Adam, Lynne Jones, Linda Rachidi, Kawtar Halty, Omar Battas, Agnes Leor, Shmuel Tyano, Schaul Shreiber, Nan Hosogane, Kyoto Watanabe, Makiko Okuyama, Young-Shin Kim, Bennett Leventhal, Yun-Joo Koh, W. Thomas Boyce, Sonja Liptai, Marianne Clauß, Petra Heuer, Abdul Nasser Kaadan, Samuel Menahem, Frances Salo-Thompson, Bizhan Shabankhani, Christoph Hoeger, Seong-Shim Jeong, Jeong-Hwan Park, Eduardo Szaniecki, Lise Roll-Pettersson, Patrick Ehnis, Maria Trosse, Piedade Van Rebelo, Eva Heimdahl Mattson, Giulietta Cucchiaro, Mariadonatella Cocuzza, Giada Morales, Nataliya Bobrova, Fernando Asbahr, Renato Ramos, André Costa, Roberto Sassi, Maaike Nauta, Sonila Tomori, Valbona Alikaj, A. Como, Lisa Snider, Marjorie Garvey, Dirce Zanetta, Helio Elkis, Susan Swedo, Pinar Vural, Kai Wang, Yan Zhu, Osman Sabuncuoglu, Viktoryia Krasavina, Nina Pykhtareva, Bianca Venuti, Naohiko Tachi, Naomi Kodoi, Naoko Sakamoto, Michiko Watanabe, Motiko Goto, Frank Geller, J. Reinlein, Nikolaus Barth, F. Hahn, Anke Hinney, Monika Robatzek, Rosa Calvo, Lazaro Luisa, Lucrezia Cirigliano, Loredana Lucarelli, Uwe Ratz, Thomas Stegemann, Ulla Breuer, Susanne von Widdern, Leonie Fricke, Alexander Mitschke, Alfred Wiater, Gerd Lehmkuhl, Kyoichi Honda, Muhmmad Lafta, Secil Oktem Kurultak, S. Tomori, and E. Petrela

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2004
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35. Symposia

Author

Christoph Correll, Stanley P. Kutcher, John McClellan, Jan Buitelaar, Elizabeth Pappadopulos, Aribert Rothenberger, Fritz Mattejat, Stephen Scott, John Weisz, Eberhard Schulz, Wilhelm Felder, Christian Fleischhaker, R. Böhme, B. Sixt, Rutger Jan van der Gaag, Laurence Y. Katz, Brian J. Cox, Shiny Gunasekara, Alec L. Miller, Nathaniel Laor, Peter Riedesser, Ernesto Caffo, James Leckman, Massimo Ammaniti, Giampaolo Nicolais, Mario Speranza, Hans Steiner, Laura Delizonna, Astrid Schallauer, Margo Thienemann, Alexander C. McFarlane, Miranda van Hooff, Michael Sawyer, Carlo Cianchetti, Naoufel Gaddour, Mokni Sana, Mechri Anouar, Letaief Mondher, Gaha Lotfi, Fabian Härtling, Robert Bittner, Corinna Haenschel, Marcus Cap, Tanja Goncharova, David E. J. Linden, Ralf Dittmann, Anneliese Maestele, Claudia Mehler, Eberhard Meyer, Jack A. Jenner, Leonie Boeing, Val Murray, Anthony Pelosi, Robert McCabe, Douglas Blackwood, Robert Wrate, S. Pellerano, M. Pintor, G. L. Mellis, T. Piroddi, Alan Flisher, Monique Nesa, Rosanna Rooney, Clare Roberts, Robert Kane, Sven Silburn, Lisbeth Pike, Helge Staby Deaton, Stuart Lustig, Michelle Funk, Anne Rickards, Dinah Reddihough, Roslyn Wright-Rossi, Jacqui Simpson, Dieter David Seuthe, H. Vielhaber, Kinderklinik Dritter Orden, H. Backmund, M. Gerlinghoff, Mary Schwab-Stone, Ine Jespers, Robert Vermeiren, Vladislav Ruchkin, Marek Blatny, Michal Hrdlicka, Tomas Urbanek, Martin Jelinek, Veronika Balastikova, Philippe Jeammet, Alain Frottin, Andjelka Filipovic, Eric Albert, Dora Musetti Schelotto, Mladen Knezevic, Milivoj Jovancevic, Jonathan Hill, Maria Lawlor, Christian Kienbacher, Carolin Prause, Margit Stöckl, Gertrude Bogyi, Max H. Friedrich, Michael Klein, Katrin Kürschner, Lynne Murray, Victoria Leidecker, Helen Sharp, Ilona Luoma, Pälvi Kaukonen, Tuula Tamminen, Barry Nurcombe, Graham Martin, Brett McDermott, Franz Resch, Benno Graf Schimmelman, Jane Edwards, Patrick D. McGorry, Martin Lambert, Philippe Conus, Ulrich Preuss, Dieter Bürgin, Monika Strauss, Peter Parzer, Georg Spiel, C. von Korff, H.-A. Ballin, R. Gößler, M. Günter, G. Sange, Heiner Meng, Eginhard Koch, Klaus Minde, Mary True, L. Pisani, F. Oumar, J. Padilla, Jean-François Bouville, Wendy Vogel, Klaus Schmeck, Kirstin Goth, Diane Purper-Ouakil, Véronique Dessons, Catherine Doyen, Fernando Perez-Diaz, Marie-Christine Mouren-Simeoni, Andreas Karwautz, Gudrun Wagner, Klaus Schwienbacher, Maria Haidvogl, Gerald Nobis, Janet Linda Treasure, David Andrew Collier, Romuald Brunner, A. Hueg, Johann Haffner, Marc Schmid, Lutz Goldbeck, Jakob Nützel, Volkmar Höfling, Karin Schermelleh-Engel, Helfried Moosbrugger, Josep Tomàs, Josep Cornellà, Alex Llusent, Anna Bielsa, Myron Belfer, Brian Robertson, Custodia Mandlhate, Birama Seck, Barbara Zwirs, Huib Burger, Tom Schulpen, A. Karem Salman Al-Obedy, Oleh Romanchuk, Irena Namyslowska, Björn S. 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Fegert, William Friedrich, Smadar Celestin-Westreich, Leon Patrice Celestin, Ingrid Ponjaert-Kristoffersen, Keizo Nagao, M. Kisida, E. Shindo, Helmer Baying Larsen, Karin Helweg-Larsen, Ramón Lindauer, Jan Booij, Miranda Olff, Gerard den Heeten, Berthold Gersons, Frits Boer, Eric Schoentjes, Sarah Bal, Michael Schulte-Markwort, Tytti Solantaus, Sini Toikka, Maarit Alasuutari, Barbara Steck, Andrea Grether, M. Ehrensperger, Felix Amsler, L. Kappos, Rina Saha, Bela Paschen, Christiane Baldus, Miriam Haagen, Martina Pott, Georg Romer, Yoshiro Ono, H. Homma, Y. Ishida, H. Ide, M. Okamoto, S. Kameoka, Hiroshi Nakayama, A. Yamamoto, Nahit Motavalli Mukaddes, Sam Tyano, Tamar Mozes, R. Caplan, Savita Malhotra, Maria Giuseppina Ledda, Al Fratta, S. Mannino, Simona Corona, A. Zuddas, Macarena Marin Olalla, Ruth Garcia, Bernardo Perez Ramirez, Ross Campion, Peter Hindley, Nitin Gupta, Anish Bhattacharaya, Mehak Kapoor, G. van de Willge, Silke Klemm, S. Smesny, M. Stockebrand, S. 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Proske, Rainer Semmelbeck, Marc Walther, Matthias Schmelzle, Monika Egli-Alge, Richard Beckett, Constanze Gerhold, Lieselotte Turkmen-Barta, Colette Chiland, Heino Meyer-Bahlburg, Domenico Di Ceglie, Ulrike Lehmkuhl, Orlando Uccellini, Mario Bertolini, Francesca Neri, Delia Albanese, Raffaella Bertola, Maartje Snoek, Martien Kas, Ulrike Margarete Elisabeth Schulze, Silke Calame, Ferdinand Keller, Stephanie Santel, Kerstin Krauel, Michael Rotte, Thomas F. Münte, Annemarie van Elburg, Fritz Poustka, Sven Bölte, Sabine Feineis-Matthews, Sven Boite, D. Hubl, D. Prvulovic, T. Dierks, Sabine Klauck, Irma Moilanen, M. Mattila, J. Laurila, K. Jussila, A. Pyper, S. L. Linna, Hanna Ebeling, D. Pauls, Pirjo Korpilahti, Soile Loukusa, Eira Jansson-Verkasalo, Johannes Hebebrand, Beate Herpertz-Dahlmann, Anke Hinney, Anne-Kathrin Wermter, Susann Friedel, Frank Geller, Helmut Schafer, Fernando Fernandez-Aranda, Joanna Holliday, Kristian Holtkamp, C. Mika, M. 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Sallas, Hubertus Adam, null Mozambique, Aferdita Goci-Uka, Susanne Schlüter-Müller, Umesh Bawa, Fakhri Khalik, Nima Forouher, Miyuki Sadamatsu, null Nanba, Nobumasa Kato, Kiyoto Kasai, Eiji Nanba, Martin H. Schmidt, Günter Esser, Herman van Engeland, Sophie Willemsen-Swinkels, Claudine Dietz, Anne Claire Beernink, Oliver Vidojevic, Ivona Milacic, Rael Strous, Roni Hegesh, Simion Kertzman, Z. Ben-Nahum, Moshe Kotler, Emma van Daalen, Mijke Zeegers, Hilleke Hulshoff Pol, Charles Williams, Jessica Sank, Martha Paulk, George Schwarz, Paul Wharton, Marija Raleva, Kamka Paketchieva, Angelina Filipovska, Carole Müller Nix, Margarita Forcada Guex, Abdel-Mohsen Daigham, Marit S. Indredavik, Torstein Vik, Siri Kulseng, Ann-Mari Brubakk, Marion Cuddy, Katharine Riley, Brigitte Vollmer, John Wyatt, Robin Murray, Mika Soininen, E. Juulia Paavonen, Mika Fjällberg, Juha Salmi, Almgvist Fredrik, Eeva T. Aronen, Olaf Reis, Stephanie P. 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Published
2004
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36. Psychiatric features of seriously life-threatening suicide attempters: a clinical study from a general hospital in Japan

Author

Satomi, Murase, Shisei, Ochiai, Masashi, Ueyama, Shuji, Honjo, and Tatsuro, Ohta

Subjects
Adult, Male, Depressive Disorder, Suicide, Attempted, Middle Aged, Violence, Diagnostic and Statistical Manual of Mental Disorders, Sex Factors, Japan, Psychotic Disorders, Risk Factors, Humans, Female, Drug Overdose
Abstract

Although attempted suicide is one of the strongest predictors of completed suicide, few Japanese studies have described psychiatric differences between those who attempt suicide by overdose (OD) and those who use more violent methods (MV).A total of 22 consecutively admitted MVs were compared to 78 ODs. All patients were referred for psychiatric evaluation during the same 3-year period.The MV group was predominantly male (68%), whereas the OD group was predominantly female (72%). Using DSM-IV criteria, depressive disorders were most common in both groups, followed by psychotic disorders. The OD group had significantly more borderline patients. Contrary to previous reports, prior psychiatric contact was low in the MV group. MVs were more likely to complain of financial problems and to retain a definite wish to die after the attempt.This study identified meaningful differences between the two groups of patients who attempted suicide.

Published
2003

37. Antenatal depression and maternal-fetal attachment

Author

Shiori Arai, Kayo Inoko, Shuji Honjo, Michie Ishihara, Yasuko Sasaki, Satomi Murase, Chie Hatagaki, Motoko Usui, Tatsuo Ujiie, Kikuko Miwa, Eri Inagaki, Atsuo Itakura, Kenji Nomura, Ohiko Hashimoto, Hitoshi Kaneko, and Haya Sechiyama

Subjects
Adult, medicine.medical_specialty, Pregnancy, Self-Assessment, Depression, medicine.disease, Mental health, Severity of Illness Index, Psychiatry and Mental health, Clinical Psychology, Social support, Surveys and Questionnaires, Severity of illness, Maternal-Fetal Relations, medicine, Antenatal depression, Maternal fetal, Humans, Female, Young adult, Psychiatry, Psychology, Depression (differential diagnoses)
Abstract

Background: In recent years, attention has been turned to maternal mental health in relation to the mother-child relationship accompanying a widening in focus, i.e. taking into account not only the puerperium, but also the stage of pregnancy. This applies to studies that have revealed a connection between depression and maternal attachment in the postpartum period and late pregnancy. This study, however, was designed to evaluate the maternal-fetal relationship in the first and second trimesters, being the first one to address this issue in these early stages. Sampling and Methods: Zung’s Self-Rating Depression Scale (ZSDS), the original Antenatal Maternal Attachment Scale (AMAS), and a questionnaire addressing peripheral factors were given to 216 pregnant women (3–6 months of gestation) who visited the Nagoya University Hospital between September 1998 and June 2001. Results: Contrary to reports on the latter stages of pregnancy, no direct association was observed between depression in mothers and maternal-fetal attachment before fetal movement was perceived. Conclusion: However, education, form of employment, planning of pregnancy, and premenstrual mood changes were found to be associated with the ZSDS score (mean: 41.9), while form of employment, feelings regarding pregnancy, and sources of support were extracted as factors associated with the AMAS, which are of interest in terms of the subsequent association between depression and maternal-fetal attachment in the peri- and postnatal periods.

Published
2003

38. Validation and factor analysis of mother-infant bonding questionnaire in pregnant and postpartum women in Japan.

Author

Masako Ohara, Takashi Okada, Chika Kubota, Yukako Nakamura, Tomoko Shiino, Branko Aleksic, Mako Morikawa, Aya Yamauchi, Yota Uno, Satomi Murase, Setsuko Goto, Atsuko Kanai, Tomoko Masuda, and Norio Ozaki

Subjects
FACTOR analysis, MOTHER-infant relationship, PREGNANT women, POSTPARTUM depression
Abstract

Background: The Mother-Infant Bonding Questionnaire (MIBQ) has been widely used to assess maternal emotional involvement with infants. Although the reliability and validity of the MIBQ in the postpartum period has been confirmed, it remains unclear whether the MIBQ is appropriate to assess maternal bonding in both pregnancy and the postpartum period over time. Our study were aimed to 1) examine the reliability and validity of the MIBQ for clinical use among pregnant and postpartum women; and 2) examine the factor structure of the items, create subscales, and confirm the stability of the MIBQ in the pregnancy and postpartum periods. Methods: Participants (n = 751, mean age 32.1 ± 4.4 years) completed the MIBQ and the Edinburgh Postnatal Depression Scale (EPDS) in early pregnancy (before week 25), in late pregnancy (around week 36), 5 days after delivery, and 1 month after delivery. We randomly divided participants into two sample sets. We conducted an exploratory factor analysis of the nine MIBQ items using data from one group of mothers (Group 1; n = 376) in all four periods. The factor structure derived from the exploratory factor analysis was confirmed by a confirmatory factor analysis in the second group (Group 2; n = 375) of mothers in all four periods. Results: Exploratory factor analysis yielded two factors: Lack of Affection (LA) and Anger and Rejection (AR). Confirmatory factor analysis demonstrated that LA and AR factors existed for the MIBQ in all periods. Cronbach's alpha coefficients were 0.879 and 0.584, respectively. The scores for LA and AR were significantly correlated over the four time periods. Mothers with higher AR scores on the MIBQ at any of the four periods had higher scores on the EPDS. Conclusions: The MIBQ has two subscales regardless of the timing of the assessment. The MIBQ is appropriate for pregnant as well as postpartum women to assess maternal bonding toward the fetus and infant. [ABSTRACT FROM AUTHOR]

Published
2016
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40. Subject Index Vol. 36, 2003

Author

José Alberto Del Porto, Jean-Michel Aubry, Femi Oyebode, Michel Reynaud, Shuji Honjo, Bernd Saletu, Alexandre Dayer, Emmanuelle Corruble, Marion Freidl, Philip McGuire, Motoko Usui, Bruno Falissard, Michie Ishihara, Michael Bach, Kikuko Miwa, Nicola M.J. Edelstyn, Louise Johns, Lars Vedel Kessing, Hitoshi Kaneko, Tatsuo Ujiie, Chie Hatagaki, Satomi Murase, Marianne Gex-Fabry, Emna Ragama Pardos, Kayo Inoko, Ohiko Hashimoto, Atsuo Itakura, Shiori Arai, Justine L. Drakeford, Nizar Hatem, Martin Aigner, Yasuko Sasaki, Gilles Bertschy, Julien-Daniel Guelfi, Eri Inagaki, Claire Damy, Lynsey Gregg, Loraine Roth, Barbara Kaup-Eder, Patrick Hardy, Wolfgang Prause, Chris Findlay, Patrícia Pinto Fonseca, Maria Weiss, Maria das Graças de Oliveira, N Vythelingum, André Graf, Kenji Nomura, Séverine Ducrey, and Haya Sechiyama

Subjects
Psychiatry and Mental health, Clinical Psychology, Index (economics), Subject (documents), Social science, Psychology
Published
2003
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41. Contents Vol. 36, 2003

Author

Loraine Roth, Julien-Daniel Guelfi, Michel Reynaud, Maria Weiss, Alexandre Dayer, Nicola M.J. Edelstyn, Jean-Michel Aubry, Femi Oyebode, Chie Hatagaki, Bernd Saletu, Chris Findlay, Patrícia Pinto Fonseca, Kikuko Miwa, Justine L. Drakeford, José Alberto Del Porto, Emmanuelle Corruble, Tatsuo Ujiie, Lars Vedel Kessing, Lynsey Gregg, Kayo Inoko, Eri Inagaki, Maria das Graças de Oliveira, Nizar Hatem, Louise Johns, Shuji Honjo, Patrick Hardy, Barbara Kaup-Eder, Hitoshi Kaneko, Philip McGuire, Motoko Usui, N Vythelingum, Wolfgang Prause, Kenji Nomura, Séverine Ducrey, Ohiko Hashimoto, Emna Ragama Pardos, Marianne Gex-Fabry, Bruno Falissard, André Graf, Martin Aigner, Michael Bach, Haya Sechiyama, Yasuko Sasaki, Satomi Murase, Gilles Bertschy, Michie Ishihara, Atsuo Itakura, Shiori Arai, Claire Damy, and Marion Freidl

Subjects
Psychiatry and Mental health, Clinical Psychology, Anthropology, Psychology
Published
2003
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42. SEPARATION ANXIETY LEADS TO NONPSYCHOTIC HALLUCINATIONS

Author

Satomi Murase, Shisei Ochiai, and Tatsuro Ohta

Subjects
Psychiatry and Mental health, Text mining, business.industry, Separation (statistics), Developmental and Educational Psychology, medicine, Anxiety, medicine.symptom, business, Psychology, Clinical psychology
Published
2000
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43. Obsessive-compulsive symptoms in childhood and adolescence

Author

Y. Takei, C. Hirano, Kayo Inoko, Shuji Honjo, K. Ohtaka, T. Aoyama, T. Kaneko, Satomi Murase, T. Sugiyama, and S. Wakabayashi

Subjects
Male, Parents, Obsessive-Compulsive Disorder, medicine.medical_specialty, Adolescent, Compulsive Personality Disorder, media_common.quotation_subject, Poison control, Violence, Sex Factors, Injury prevention, Humans, Medicine, Personality, Occupations, Child, Psychiatry, media_common, business.industry, Psychiatry and Mental health, Birth order, Child, Preschool, Compulsive behavior, School refusal, Female, Temperament, Birth Order, Age of onset, medicine.symptom, business, Clinical psychology
Abstract

We investigated 61 patients (38 boys and 23 girls) under 18 years of age with obsessive-compulsive symptoms seen in the Department of Psychiatry, Nagoya University Hospital, from 1982 until 1986. In this period, a total of 1293 patients under 18 years of age visited the clinic. The percentage of patients with obsessive-compulsive symptoms was 5%. The earliest onset of symptoms was at age 3 years, and the average age of onset was 11.6 years. We found no particular tendency in terms of the number of siblings and the birth order of the patients. Obsessive traits were the fundamental personality traits of patients. Moreover, according to the other characteristics of personality, the patients were subdivided into schizothymic, viscous temperament, and cyclothymic. Parents of the patients were more apt than usual to have obsessive-compulsive personalities. Psychiatric disturbances and occupations were also investigated. Incidents related to school situations commonly triggered obsessive-compulsive symptoms. The most frequently noted obsessive thought was dirt phobia, and the most common compulsive behavior was washing. School refusal and violence at home were especially common as associated symptoms of obsessive-compulsive symptoms. We also describe the treatment regimen and the outcomes of the patients.

Published
1989
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