title: Post partum depression and thyroid function.
abstract: OBJECTIVE
  Risk of depression is particularly high for women during the prenatal period. Various investigators have attempted to establish a link between thyroid function and post partum depression. This study aimed to investigate whether thyroid function differs in women with postpartum depression compared to a control group.
  
  
  METHODS
  In this case-control study, subjects were selected from Obstetrics & Gynecology and Psychiatric clinics of Kermanshah University of Medical Sciences. Forty eight patients suffering from postpartum depression according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition totally revised (DSM-IV-TR), and 65 normal controls underwent diagnostic evaluation by one trained psychiatrist using Structured Clinical Interview for DSM-IV-TR. Then, the demographic questionnaire and the Persian version of Edinburgh Postnatal Depression Scale (EPDS) were completed by the participants. Finally, their thyroid functions were assessed. Data analyses were done using the SPSS program 13.
  
  
  RESULTS
  No statistically significant differences were observed between thyroid function tests and postpartum depression. According to multiple regression analysis with stepwise method, subjects with lower serum TSH, T3RU, T3 levels, younger age and longer period after delivery tended to have higher EPDS scores (P-value=0.008).
  
  
  CONCLUSIONS
  The present study reports that those women with postpartum depression had a no greater prevalence of thyroid dysfunction than the control subjects. It seems that thyroid dysfunction should be considered in women with postpartum depression individually, but the role of thyroid as an important cause of this condition is not yet established. This suggests that future studies should concentrate on this concept in postpartum depression.
authors.affiliation: Department of Obstetrics & Gynecology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Farahnaz
authors.initials: F
authors.lastname: Keshavarzi
authors.forename: Katayoun
authors.initials: K
authors.lastname: Yazdchi
authors.forename: Mehrali
authors.initials: M
authors.lastname: Rahimi
authors.forename: Mansour
authors.initials: M
authors.lastname: Rezaei
authors.forename: Vahid
authors.initials: V
authors.lastname: Farnia
authors.forename: Omran
authors.initials: O
authors.lastname: Davarinejad
authors.forename: Nasrin
authors.initials: N
authors.lastname: Abdoli
authors.forename: Mahmood
authors.initials: M
authors.lastname: Jalili