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Biological and hormonal risk factors for postpartum depression

Clinical significance and emerging research directions

Bibliographic Data

ID22129341
AuthorsJulia Buszek (Rzeszów University), Michał Medygrał (Medical University of Silesia), Piotr Czerniak, Małgorzata Dydoń-Pikor (0009-0009-1976-1516, Medical University of Silesia), Adrianna Antoszewska (Rzeszów University), Weronika Bargiel (Rzeszów University), Filip Baran (0009-0003-6491-3001, Rzeszów University), Dominika Bąk (0009-0008-0411-9064, Rzeszów University), Halszka Wajdowicz (Rzeszów University), Mateusz Warzocha (Rzeszów University)
Year2025
Volume13
Issue2
Pages309-315
Publication date2025-12-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHumanities & Social Sciences Reviews (JOURNAL)
Journal identifiersISSN: 2395-6518 • E-ISSN: 2395-6518
PublisherMaya Global Education Society (PUBLISHER)
DOI10.18510/hssr.2025.13242
OpenAlexW7117239978
LanguageEN
References cited31

Research objective: The objective of the study was to present and systematize current knowledge on the biological and hormonal mechanisms associated with postpartum depression, highlighting their pathophysiological relevance and potential diagnostic and therapeutic implications. Methodology: A literature review was conducted using the PubMed database. Keywords included: postpartum depression, HPA axis, allopregnanolone, brexanolone, zuranolone, estrogen, progesterone, prolactin, serotonin transporter, 5-HTTLPR, OXTR, neurosteroids, GABA receptors, epigenetics, biomarkers. Main conclusions: Postpartum depression is closely linked to rapid postpartum hormonal fluctuations, reduced neurosteroid activity, dysregulation of GABAergic signaling, and altered HPA axis function. Genetic and epigenetic factors — including variants of 5-HTTLPR and OXTR — further modulate susceptibility. Novel neurosteroid-based treatments, such as brexanolone and zuranolone, offer promising therapeutic potential. Application of the study: The findings may contribute to improved early identification of women at high risk of PPD and support the development of individualized treatment approaches, especially those targeting neurosteroid and GABAergic pathways. Originality/Novelty of the study: The study integrates up-to-date evidence on hormonal, neurosteroid, and genetic determinants of postpartum depression, emphasizing cutting-edge therapeutic advancements and emerging biomarker-based diagnostic perspectives

Clinical significance · Epigenetics · Hormone · Neuroactive steroid · Postpartum depression · Postpartum period · Maternal Mental Health During Pregnancy and Postpartum · Neuroendocrine regulation and behavior · Tryptophan and brain disorders

  • Perinatal mental illness

    Open Access•Michael W O’hara, Michael W O'Hara et al.•Best Practice & Research Clinical…•2014

  • Perinatal mental health

    Open Access•Louise M Howard, Hind Khalifeh•World Psychiatry•2020

  • Prevalence and incidence of postpartum depression among healthy mothers

    Open Access•Shefaly Shorey, Cornelia Yin Ing Chee et al.•Journal of Psychiatric Research•2018

  • Consequences of maternal postpartum depression

    Open Access•Justine Slomian, Germain Honvo et al.•Women's Health•2019

  • Long-Term Effects of Maternal Depression during Postpartum and Early Parenthood Period on Child Socioemotional Development

    Open Access•Anna Suarez, Liubov Shraibman et al.•Children•2023

  • Economic and Health Predictors of National Postpartum Depression Prevalence

    Open Access•Jennifer Hahn-Holbrook, Jennifer Hahn‐Holbrook et al.•Frontiers in Psychiatry•2018

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Highly citedNo

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