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Incidence of Depressive Symptoms in Users of the Oral Contraceptive

Published online by Cambridge University Press:  29 January 2018

O. Fleming
Affiliation:
General Practitioner, The Health Centre, Adwick Road, Mexborough, South Yorkshire S64 0BY
C. P. Seager
Affiliation:
Department of Psychiatry, University of Sheffield, Whiteley Wood Clinic, Woofindin Road, Sheffield S10 3TL

Summary

Evidence is presented that the incidence of depression among users of oral contraceptives is no higher than that among matched controls not taking such medication. There is an association between high depression scores and high neuroticism scores, more marked in controls than takers. Intensity of depression is related more to age, personality and occupation than to the use of oral contraceptives. A higher proportion of users than of controls experience sexual satisfaction. Past takers include a large number of individuals with a high neuroticism score. The incidence of depressive symptoms in women increases with age. A higher proportion of housewives than of women going out to full-time work show depressive symptoms.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Bakker, C. B. & Dightman, C. R. (1966) Side effects of oral contraceptives. Obstetrics and Gynaecology, 28, 373–9.Google ScholarPubMed
Brown, G. W., Bhrolchain, M. N. & Harris, T. (1975) Social class and psychiatric disturbance among women in an urban population. Sociology, 9, 225–54.CrossRefGoogle Scholar
Cullberg, J. (1972) Mood changes and menstrual symptoms with different progestagen/estrogen combinations. Acta Psychiatrica Scandinavica, Suppl. 236.Google Scholar
Eysenck, H. J. & Eysenck, S. B. G. (1963) Eysenck Personality Inventory. London: University of London Press.Google Scholar
Goldzieher, J. W., Moses, L. E., Averkin, E., Scheel, C. & Taber, B. Z. (1971) A placebo-controlled double-blind crossover investigation of the side effects attributed to oral contraceptives. Fertility and Sterility, 22, 609–23.Google Scholar
Goldzieher, J. W., Moses, L. E., Averkin, E., Scheel, C. & Taber, B. Z. (1971) Nervousness and depression attributed to oral contraceptives: a double-blind, placebo-controlled study. American Journal of Obstetrics and Gynaecology, 111, 1013–20.Google Scholar
Grant, E. C. G. & Pryse-Davies, J. (1968) Effect of oral contraceptives of depressive mood changes and on endometrial monoamine oxidase and phosphates. British Medical Journal, iii, 777–80.Google Scholar
Kaye, M. B. (1963) Oral contraceptives and depression. Journal of the American Medical Association, 522, 186.Google Scholar
Kutner, J. S. & Brown, W. L. (1972) Types of oral contraceptives, depression, and premenstrual symptoms. Journal of Nervous and Mental Disease, 155, 153–62.Google Scholar
Leeton, J. (1973) The relationship of oral contraception to depressive symptoms. Australian and New Zealand Journal of Obstetrics and Gynaecology, 13, 115–20.Google Scholar
Lewis, A. & Hoghugi, M. (1969) An evaluation of depression as a side effect of oral contraceptives. British Journal of Psychiatry, 115, 697701.CrossRefGoogle ScholarPubMed
Negandhi, D. B. (1976) The pill—and your job. Doctor, 14 October, p 18.Google Scholar
Nilsson, A., Jacobson, L. & Ingemanson, C. A. (1967) Side-effects of an oral contraceptive with particular attention to mental symptoms and sexual adaptation. Acta Obstetrica Gynaecologica Scandinavica, 46, 537–56.CrossRefGoogle Scholar
Pincus, E., Rock, J., Garcia, C.-R., Rice-Wray, E., Paniagua, M. & Rodriguez, I. (1958) Fertility control with oral medication. American Journal of Obstetrics and Gynaecology, 75(2), 1333–46.CrossRefGoogle ScholarPubMed
Richman, N. (1976) Depression in mothers of pre-school children. Journal of Child Psychology and Psychiatry, 17, 75–8.CrossRefGoogle Scholar
Royal College of General Practitioners (1974) Oral Contraceptives and Health. London: Pitman Medical.Google Scholar
Vessey, M., Doll, R., Peto, R., Johnson, B. & Wiggins, P. (1976) A long-term follow-up study of women using different methods of contraception: an interim report. Journal of Biosocial Science, 8, 373427.CrossRefGoogle ScholarPubMed
Waxman, D. (1968) Mood and the pill. British Medical Journal, iv, 188.Google Scholar
Watts, C. A. H. (1977) Personal communication.Google Scholar
Wearing, M. P. (1963) The use of norethindrone (2 mg) with mestranol (0md1 mg) in fertility control. Canadian Medical Association Journal, 89, 239–41.Google Scholar
Zell, J. R. & Crisp, W. E. (1964) A psychiatric evaluation of the use of oral contraceptives. Obstetrics and Gynaecology, 23, 657–61.Google Scholar
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