Maternal Mental Illness and Early Parenting Interventions

2017 ◽  
Vol 41 (S1) ◽  
pp. S64-S64
Author(s):  
A.L. Sutter-Dallay
Keyword(s):  
Mental Health ◽  
Transition To Parenthood ◽  
Stressful Life Event ◽  
Perinatal Care ◽  
Critical Time ◽  
Well Being ◽  
Perinatal Period ◽  
Transitional Period ◽  
Perinatal Mental Health ◽  
Competing Interest

The importance of the “1001 critical days” (conception to age 2) underlies the need to act early in life to enhance children's developmental outcomes. Lack of intervention is likely to affect the children of today but also the generations to come. For adults, transition to parenthood is a major stressful life event. The strong emotional load of this experience can make this transitional period much more challenging for adults with psychological, social and economic vulnerabilities, and lead to unadjusted interactions.Then, applying the “transactional model of development” (Sameroff, 2009) to the early perinatal period helps us to understand how the needs of infants can easily affect a parent's mental state and induce inadequate parenting behaviors. These in turn make the infant's interactions more difficult and the infant's development more likely to be impaired. Perinatal mental health is thus an important public health challenge for it is essential to provide services to enhance maternal and infant emotional well-being at a moment that is simultaneously when the mother's social and emotional vulnerabilities are at their height and a critical time in the child's development.Perinatal mental health policies, including joint care of parents and infants, must provide positive support for the potential virtuous circle between the skills and vulnerabilities of the infant and the parents.This presentation will explore the different types of joined perinatal care for parents and infants that cover a range of services, from parent-infant psychotherapies to joint mother-baby hospitalizations.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

2019 ◽  
Vol 165 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Lauren Rose Godier-McBard ◽  
L Ibbitson ◽  
C Hooks ◽  
M Fossey
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Well Being ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Adverse Outcomes ◽  
Military Spouses ◽  
Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

scholarly journals A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

2020 ◽  
Vol 11 ◽  
pp. 215013272094407 ◽  
Author(s):  
Charlotte V. Farewell ◽  
Jennifer Jewell ◽  
Jessica Walls ◽  
Jenn A. Leiferman
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Pilot Study ◽  
Mood Disorders ◽  
Depressive Symptomatology ◽  
Perinatal Care ◽  
Well Being ◽  
Perinatal Period ◽  
Postpartum Women ◽  
Health And Well Being

Introduction/Objectives: National guidelines underscore the need for improvement in the detection and treatment of mood disorders in the perinatal period. Exposure to disasters can amplify perinatal mood disorders and even have intergenerational impacts. The primary aim of this pilot study was to use mixed-methods to better understand the mental health and well-being effects of the coronavirus disease 2019 (COVID-19) pandemic, as well as sources of resilience, among women during the perinatal period. Methods: The study team used a simultaneous exploratory mixed-methods design to investigate the primary objective. Thirty-one pregnant and postpartum women participated in phone interviews and were invited to complete an online survey which included validated mental health and well-being measures. Results: Approximately 12% of the sample reported high depressive symptomatology and 60% reported moderate or severe anxiety. Forty percent of the sample reported being lonely. The primary themes related to stress were uncertainty surrounding perinatal care, exposure risk for both mother and baby, inconsistent messaging from information sources and lack of support networks. Participants identified various sources of resilience, including the use of virtual communication platforms, engaging in self-care behaviors (eg, adequate sleep, physical activity, and healthy eating), partner emotional support, being outdoors, gratitude, and adhering to structures and routines. Conclusions: Since the onset of COVID-19, many pregnant and postpartum women report struggling with stress, depression, and anxiety symptomatology. Findings from this pilot study begin to inform future intervention work to best support this highly vulnerable population.

scholarly journals Perinatal Mental Health; The Role and the Effect of the Partner: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1572
Author(s):  
Evangelia Antoniou ◽  
Pinelopi Stamoulou ◽  
Maria-Dalida Tzanoulinou ◽  
Eirini Orovou
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Interpersonal Relationships ◽  
Perinatal Period ◽  
Transitional Period ◽  
Perinatal Mental Health ◽  
Psychological Status ◽  
Depression And Anxiety ◽  
Wide Range

Pregnancy is a transitional period involving the most complex experiences in a woman’s life, during which the woman’s psychological status can be affected by a wide range of psychosocial variables. However, positive interpersonal relationships appear to constitute a supportive network that significantly influences perinatal mental health. Therefore, the presence of a supportive partner works psycho-protectively against the difficulties and pressures created by the transition to maternity. The aim of this study was to review systematically the influence of the partner on the woman’s psychology during the perinatal period. Fourteen research articles from PubMed/Medline, Google Scholar and PsycINFO were included in the review from a total of 1846 articles. Most studies have shown a correlation between the support from the partner and prenatal depression and anxiety. Support from the spouse during childbirth is related to the extent to which women feel safe during labor as well as the stress during childbirth. The role of the partner is very important in the occurrence of perinatal mental disorders in women. Of course, more research needs to be done in the field of perinatal mental health. The risk factors that lead to mental disorders need to be clarified and the role of the partner in the perinatal period requires reinforcement and needs to be given the necessary importance.

scholarly journals Human–Animal Interaction and Perinatal Mental Health: A Narrative Review of Selected Literature and Call for Research

2021 ◽  
Vol 18 (19) ◽  
pp. 10114
Author(s):  
Shelby E. McDonald ◽  
Camie A. Tomlinson ◽  
Jennifer W. Applebaum ◽  
Sara W. Moyer ◽  
Samantha M. Brown ◽  
...  
Keyword(s):  
Mental Health ◽  
Stress Reduction ◽  
Maternal Mental Health ◽  
Perinatal Care ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Human Animal ◽  
Human Animal Interaction ◽  
Animal Interaction

There is a paucity of research exploring how relationships with household pets may impact maternal mental health. We are unaware of any study to date that has examined associations between individuals’ relationships with their pets and psychological adjustment in the perinatal period. Using a biobehavioral lens, this paper provides a narrative overview of the literature on perinatal mental health and human–animal interaction (HAI). We focus on the role of social relationships, stress, and stress reduction in relation to perinatal mental health; the role of HAI in perceptions of social support, stressors, and stress reduction; and gaps in empirical knowledge concerning the role of HAI in perinatal mental health. Finally, we integrate contemporary biobehavioral models of perinatal mental health and HAI (i.e., Comprehensive Model of Mental Health during the Perinatal Period and the HAI–HPA Transactional Model) to propose a new conceptual framework that depicts ways in which HAI during the perinatal period may influence maternal and child health and wellbeing. To our knowledge, this is the first paper to consider the role of HAI in biobehavioral responses and mental health during the perinatal period. We conclude with recommendations for future research and improved perinatal care.

scholarly journals Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Shefaly Shorey ◽  
Yvonne Peng Mei Ng ◽  
An Ling Siew ◽  
Joanne Yoong ◽  
Evalotte M�relius
Keyword(s):  
Social Support ◽  
Randomized Controlled Trial ◽  
Self Efficacy ◽  
Transition To Parenthood ◽  
Controlled Trial ◽  
Well Being ◽  
Perinatal Period ◽  
Educational Programs ◽  
Parenting Program ◽  
Randomized Controlled

BACKGROUND Supportive educational programs during the perinatal period are scarce in Singapore. There is no continuity of care available in terms of support from community care nurses in Singapore. Parents are left on their own most of the time, which results in a stressful transition to parenthood. There is a need for easily accessible technology-based educational programs that can support parents during this crucial perinatal period. OBJECTIVE The aim of this study was to describe the study protocol of a randomized controlled trial on a technology-based supportive educational parenting program. METHODS A randomized controlled two-group pretest and repeated posttest experimental design will be used. The study will recruit 118 parents (59 couples) from the antenatal clinics of a tertiary public hospital in Singapore. Eligible parents will be randomly allocated to receive either the supportive educational parenting program or routine perinatal care from the hospital. Outcome measures include parenting self-efficacy, parental bonding, postnatal depression, social support, parenting satisfaction, and cost evaluation. Data will be collected at the antenatal period, immediate postnatal period, and at 1 month and 3 months post childbirth. RESULTS Recruitment of the study participants commenced in December 2016 and is still ongoing. Data collection is projected to finish within 12 months, by December 2017. CONCLUSIONS This study will identify a potentially clinically useful, effective, and cost-effective supportive educational parenting program to improve parental self-efficacy and bonding in newborn care, which will then improve parents’ social support–seeking behaviors, emotional well-being, and satisfaction with parenting. It is hoped that better supported and satisfied parents will consider having more children, which may in turn influence Singapore’s ailing birth rate. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 48536064; https://www.isrctn.com/ISRCTN48536064 (Archived by WebCite at http://www.webcitation.org/6wMuEysiO)

scholarly journals Neurodevelopment disorders in adolescence and transition into adulthood

2017 ◽  
Vol 41 (S1) ◽  
pp. 914-914
Author(s):  
A. Moscoso
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Strong Predictor ◽  
Psychiatric Morbidity ◽  
Later Life ◽  
Transitional Period ◽  
Adult Psychiatry ◽  
Competing Interest ◽  
Therapeutic Tools ◽  
Time Specific

The transitional period from adolescence into adulthood is an important developmental stage, known to be a risk factor for mental health problems. Neuropsychiatric disorders are the main cause of disability for young people aged 10–24 years and they seem to precede mental health disorders in adults. Since persistence of an adolescent episode is a strong predictor of outcome, giving proper care during critical stages might prevent later life psychiatric morbidity arising from adolescent-onset disorders. Mental health services for adolescents have evolved from non-specific secondary treatment to more extensive treatment goals, where prevention and early diagnosis take place; at the same time, specific therapeutic tools for adolescents are increasing and put into practice. In Europe, both child and adolescent psychiatrists (CAP) and adult psychiatrists treat adolescents, and for a few countries, the specialty of adolescent psychiatry exists. In this symposium, we propose to address new strategies to treat adolescents with defying pathologies that often pose problems; we will do it through the scope of CAP and adult psychiatry.Disclosure of interestThe author has not supplied his declaration of competing interest.

Protective and risk socio-economic – environmental factors affecting mental health

2017 ◽  
Vol 41 (S1) ◽  
pp. S572-S572
Author(s):  
M.I. Hussain
Keyword(s):  
Mental Health ◽  
Environmental Factors ◽  
Well Being ◽  
Psychological Services ◽  
Dynamic Interactions ◽  
Factors Affecting ◽  
Full Knowledge ◽  
Competing Interest ◽  
Health And Well Being ◽  
Socio Economic Factors

Over all generic, biological, environmental and socio-economic factors are attributing towards mental health and well being of a person. But among these socio-economic – environmental factors play a great role. It is very important to understand socio-economic – environmental protective and adverse factors affecting mental health. There is very dynamic interaction between individual attributes like socio-economic circumstances and environmental factors. The dynamic interactions of all these three factors determine the final outcome and status of mental health social well being. So, for our professionals particularly and community in general, it is very important to have full knowledge about all these factors. Because lack of managing and integrating of socio-economic-environmental factors, we will not be able to deliver quality psychiatric/psychological services. Community at large will also be ignorant of it and will not be able to play their roles towards healthy mental health formation. Moreover, these socio-economic – environmental factors are within our reach and can be modified.Disclosure of interestThe author has not supplied his declaration of competing interest.

Mental Health Improvement Through Physical Therapy: Polish Perspective

2016 ◽  
Vol 33 (S1) ◽  
pp. S487-S488
Author(s):  
A.R. Szczegielniak ◽  
J. Szczegielniak
Keyword(s):  
Mental Health ◽  
Media Coverage ◽  
Physical Therapists ◽  
Psychiatric Patients ◽  
Well Being ◽  
Health Improvement ◽  
Physical Medicine ◽  
Anxiety Management ◽  
Care Workers ◽  
Competing Interest

Among people suffering from mental conditions increased prevalence of diabetes, cardiovascular disease, hypertension and respiratory disease is observed, with considerably higher levels of morbidity and mortality. Still, mental conditions are neglected and not treated equally to other medical states in Poland. It is commonly believed that psychiatric patients are violent and unpredictable, even though they are more likely to be a victim of violence themselves. This attitude, reinforced by media coverage and observed also among health care workers, results in unwillingness to have any relations with mental patients due to fear of them being aggressive. Connection between physical well-being and mental health is well known. Physical therapists have necessary knowledge and skills to support development of individual independence, anxiety management and lifestyle control in order to keep patients healthier. It can be done by specially designed treatment programmes consisting of exercises, manual techniques and physical medicine procedures. Lack of understanding of this valuable connection results in insufficient emphasis on the presence of physiotherapist in the multidisciplinary therapeutic team on psychiatric wards nationwide. The study focuses on summary of the current situation in Poland and starts discussion on possible areas of improvements.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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