Symposium 73 - Sleep, stress, psychosis, and suicide: Novel findings in premenstrual and perinatal mental health

Chair(s)

• 

  Tiffany Hopkins, Ph.D. (she/her/hers)

  Assistant Professor; Perinatal DBT Program Director; Women’s Mood Internship Rotation Director
  University of North Carolina
  Chapel Hill, NC, United States

Discussant(s)

• CS

  Crystal E Schiller, Ph.D. (she/her/hers)

  Associate Director of Behavior Therapy and Reproductive Science
  University of North Carolina at Chapel Hill
  Chapel Hill, NC, United States

Presenter(s)

• RB

  Robin Brown, B.S. (she/her/hers)

  UNC Chapel Hill
  Carrboro, NC, United States
• MH

  Mariann Howland, M.A. (she/her/hers)

  University of North Carolina at Chapel Hill
  Chapel Hill, NC, United States
• LM

  Laura Martin, Ph.D. (she/her/hers)

  Children's National
  Chapel Hill, NC, United States
• 

  Tiffany Hopkins, Ph.D. (she/her/hers)

  Assistant Professor; Perinatal DBT Program Director; Women’s Mood Internship Rotation Director
  University of North Carolina
  Chapel Hill, NC, United States

Periods of hormone change have enormous implications for mental health, particularly among individuals experiencing pregnancy, postpartum, or premenstrual dysphoric disorder (PMDD). PMDD has an estimated prevalence of up to 7.7% (Tschudin, Bertea, & Zemp, 2010), whereas prevalence rates for Perinatal Mood and Anxiety Disorders (PMADs) are up to 39% for mothers (Leach, Pyser, & Fairweather-Schmidt, 2017) and 8.4% of fathers (Cameron, Sedov, Tomfohr-Madsen, 2016). Moreover, research suggests that diagnosis of PMDD confers additional risk for PMAD diagnosis (Pereira et al., 2022), with implications for a possible underlying risk factor of affective sensitivity to hormonal changes. This symposium examines novel research among aspects of hormonally-implicated mental health targets, describing possible novel forms of assessment, implications for parenting and relationship functioning, and intervention for high risk and acuity symptoms.

The first presentation examines use of wearable devices to track the association between sleep and PMDD symptoms, with the aim of better predicting symptom onset and severity. The second presentation examines the prevalence and course of dimensionally assessed perinatal mania and psychosis symptoms, as well as associations between these symptoms and mother-infant interaction and infant cognitive development. The third presentation examines the impact of childhood maltreatment on couples’ relationship quality and parenting adjustment during the perinatal period, as well as couple identified strategies for fostering resilience during the adjustment to parenting. The final presentation examines implementation and effectiveness of a perinatal comprehensive Dialectical Behavior Therapy program for individuals with high risk symptoms and behaviors.

Presenters bring experiences from several different programs across the United States which focus on assessment and intervention of mental health symptoms during times of hormonal change. The discussant will draw on her experience body of research on the role of hormones on behavior and brain functioning, as well as efforts to increase access to care for PMDD, perinatal, and perimenopause populations.

Presentations:

• 2:04 PM - 2:18 PM CST

  (SYM 73) The Use of Wearable Devices in Predicting Affective Switching via Sleep Behavior in Individuals with Premenstrual Dysphoric Disorder
  

  Speaker: Robin D. Brown, B.S. (she/her/hers) – UNC Chapel Hill

  Co-author: Gabriel Dichter, PhD – UNC

  Co-author: Juliana Prim, PhD – UNC

  Co-author: Crystal E Schiller, Ph.D. (she/her/hers) – University of North Carolina at Chapel Hill
• 2:18 PM - 2:32 PM CST

  (SYM 73) A Dimensional Approach to Perinatal Mania and Psychosis: Implications for Prevention and Intervention
  

  Speaker: Mariann Howland, M.A. (she/her/hers) – University of North Carolina at Chapel Hill

  Co-author: Hannah Klimas, MA – University of Minnesota

  Co-author: Megan Gunnar, PhD – University of Minnesota
• 2:32 PM - 2:46 PM CST

  (SYM 73) Couple's Adjustment to Parenthood in the Context of Childhood Maltreatment: A Mixed-methods Study
  

  Speaker: Laura Martin, Ph.D. (she/her/hers) – Children's National

  Co-author: Mark Feinberg, PhD – The Pennsylvania State University

  Co-author: Keith D. Renshaw, Ph.D. – George Mason University
• 2:46 PM - 3:00 PM CST

  (SYM 73) Implementation and Effectiveness of Comprehensive Dialectical Behavior Therapy in the Perinatal Period
  

  Speaker: Tiffany Hopkins, Ph.D. (she/her/hers) – University of North Carolina

  Co-author: Samantha N. Hellberg, M.A. (she/her/hers) – UNC Chapel Hill; VA Puget Sound, Seattle

  Co-author: Danielle Swales, PhD – UNC - Chapel Hill

  Co-author: Laura Martin, Ph.D. (she/her/hers) – Children's National

  Co-author: Parisa Kaliush, PhD – UNC - Chapel Hill

  Co-author: Amanda Jones, BS – UNC - Chapel Hill