FC24-05 - Maternal transmission of borderline personality disorder (BPD): a prospective community-based cohort study

2011 ◽  
Vol 26 (S2) ◽  
pp. 1950-1950
Author(s):  
S. Barnow ◽  
E. Arens
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Parenting Style ◽  
Parenting Styles ◽  
Familial Risk ◽  
High Risk Group ◽  
Community Based ◽  
Maternal Parenting ◽  
Diagnostic Interviews ◽  
Associated Risk Factors

ObjectiveThis longitudinal, community based cohort study assessed the mother-offspring transmission of BPD and examined whether maternal parenting styles and offspring temperament are associated risk factors.MethodsAt baseline 315 mothers and 414 offspring of the general population were investigated. Five years later the offspring were followed up and diagnostic interviews were carried out. BPD risk in children of BPD-mothers was compared to the BPD risk in children of healthy mothers. The contribution of an anxious-impulsive temperament in offspring and invalidating maternal parenting style to the prediction of BPD features was analyzed.ResultsOffspring of mothers with BPD were 8.5 times more likely to exhibit the diagnosis of BPD than offspring of healthy mothers. Prediction analyses suggest that mother-offspring transmission of BPD may be partially mediated by reciprocal transactions between a vulnerable temperament and an overprotective maternal parenting style.ConclusionsGiven that offspring of mothers with BPD are not only at heightened familial risk of BPD but also other mental disorders, specificity of factors that are shared between mothers and their offspring is questioned. Early prevention needs to be provided to this high-risk group, especially if there are additional risk factors, as the transaction between vulnerable temperament and maladaptive parenting.

scholarly journals Incidence and Associated Factors of Type 2 Diabetes: A Community-Based Cohort Study in the Central Region of Rural Community in Thailand

2019 ◽  
Vol 31 (1) ◽  
pp. 72-83
Author(s):  
Annop Kittithaworn ◽  
Royal Dy ◽  
Panadda Hatthachote ◽  
Ram Rangsin ◽  
Mathirut Mungthin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Cohort Study ◽  
Rural Community ◽  
Community Based ◽  
Factors Associated ◽  
Obesity Hypertension ◽  
Associated Risk Factors

The present study aimed to evaluate the incidence of type 2 diabetes mellitus (T2DM) and associated risk factors among adults in a rural community of Thailand. A prospective cohort study was conducted in a rural community of Thailand. Among 1358 nondiabetics ≥18 years, fasting plasma glucose (FPG) was measured at baseline in 2008 to 2010 and at follow-up evaluation in 2015. After follow-up of 5213 person-years, 122 new cases of T2DM were ascertained corresponding to cumulative incidence of 23.40 per 1000 person-years. The independent factors associated with T2DM were age, male, prehypertension, hypertension, waist circumference, and impaired FPG. The incidence of T2DM in Thailand is high, and many risk factors are converging. The focus of public health efforts should be on abdominal obesity, hypertension, and impaired FPG. Special attention in terms of preventive strategies must be paid to individuals with impaired FPG, as this state is the most prominent predictor of developing T2DM.

scholarly journals Predictors of persistent maternal depression trajectories in early childhood: results from the EDEN mother–child cohort study in France

2015 ◽  
Vol 45 (9) ◽  
pp. 1999-2012 ◽  
Author(s):  
J. van der Waerden ◽  
C. Galéra ◽  
M.-J. Saurel-Cubizolles ◽  
A.-L. Sutter-Dallay ◽  
M. Melchior ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Cohort Study ◽  
Depressive Symptoms ◽  
Maternal Depression ◽  
Mental Health Problems ◽  
Birth Cohort Study ◽  
Preschool Period ◽  
Persistent Depression ◽  
Associated Risk Factors

BackgroundMaternal depression in the pre- and postpartum period may set women on a course of chronic depressive symptoms. Little is known about predictors of persistently elevated depressive symptoms in mothers from pregnancy onwards. The aims of this study are to determine maternal depression trajectories from pregnancy to the child's fifth birthday and identify associated risk factors.MethodMothers (N = 1807) from the EDEN mother–child birth cohort study based in France (2003–2011) were followed from 24–28 weeks of pregnancy to their child's fifth birthday. Maternal depression trajectories were determined with a semi-parametric group-based modelling strategy. Sociodemographic, psychosocial and psychiatric predictors were explored for their association with trajectory class membership.ResultsFive trajectories of maternal symptoms of depression from pregnancy onwards were identified: no symptoms (60.2%); persistent intermediate-level depressive symptoms (25.2%); persistent high depressive symptoms (5.0%); high symptoms in pregnancy only (4.7%); high symptoms in the child's preschool period only (4.9%).Socio-demographic predictorsassociated with persistent depression were non-French origin;psychosocial predictorswere childhood adversities, life events during pregnancy and work overinvestment;psychiatric predictorswere previous mental health problems, psychological help, and high anxiety during pregnancy.ConclusionsPersistent depression in mothers of young children is associated to several risk factors present prior to or during pregnancy, notably anxiety. These characteristics precede depression trajectories and offer a possible entry point to enhance mother's mental health and reduce its burden on children.

scholarly journals Breastfeeding exclusively and iron deficiency anemia during the first 6 months of age

2014 ◽  
Vol 60 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Rosa F.S.V. Marques ◽  
José A.A.C. Taddei ◽  
Fábio A. Lopez ◽  
Josefina A.P. Braga
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Exclusive Breastfeeding ◽  
Deficiency Anemia ◽  
Term Infants ◽  
Breastfed Infants ◽  
Growth Development ◽  
Associated Risk Factors

Objective The objective was to determine the prevalence of iron deficiency and iron deficiency anemia among exclusively breastfed infants from one to six months of life and to identify associated risk factors. Methods This is a cohort study of the hemoglobin and serum ferritin levels of 102 healthy full-term infants, weighing more than 2500 grams (5.5 pounds) at birth, evaluated for growth development and supported to promote exclusive breastfeeding. Hemoglobin and ferritin levels were measured in the first, fourth, and sixth months of life. The hemoglobin and ferritin levels of the mothers were also measured in the first month postpartum. Results At four months, 5.7% presented iron deficiency and 3.4% had iron deficiency anemia. At six months, the percentage of children with iron deficiency increased more than four times, reaching 26.1%, while iron deficiency anemia was present in 23.9% of the infants studied. Iron deficiency at six months of age was significantly correlated to growth velocity. Conclusion According to the results of this study, exclusive breastfeeding protects infants from iron deficiency and iron deficiency anemia for the first four months of life. After this age, in accordance with the literature, the findings of this study demonstrated an increase in anemia and iron deficiency rates, adding to evidence that supports the monitoring of iron levels in exclusively breastfed children presenting higher weight gains beginning at four months of age.

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