scholarly journals Preventing postnatal depression: a causal mediation analysis of a 20-year preconception cohort

2021 ◽  
Vol 376 (1827) ◽  
Author(s):  
Elizabeth A. Spry ◽  
Margarita Moreno-Betancur ◽  
Melissa Middleton ◽  
Louise M. Howard ◽  
Stephanie J. Brown ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Mediation Analysis ◽  
Postnatal Depression ◽  
Mental Health Problems ◽  
Perceived Social Support ◽  
Health Problems ◽  
Antenatal Depressive Symptoms ◽  
Causal Mediation Analysis

Postnatal depression (PND) is common and predicts a range of adverse maternal and offspring outcomes. PND rates are highest among women with persistent mental health problems before pregnancy, and antenatal healthcare provides ideal opportunity to intervene. We examined antenatal perceived social support as a potential intervention target in preventing PND symptoms among women with prior mental health problems. A total of 398 Australian women (600 pregnancies) were assessed repeatedly for mental health problems before pregnancy (ages 14–29 years, 1992–2006), and again during pregnancy, two months postpartum and one year postpartum (2006–2014). Causal mediation analysis found that intervention on perceived antenatal social support has the potential to reduce rates of PND symptoms by up to 3% (from 15 to 12%) in women with persistent preconception symptoms. Supplementary analyses found that the role of low antenatal social support was independent of concurrent antenatal depressive symptoms. Combined, these two factors mediated up to more than half of the association between preconception mental health problems and PND symptoms. Trialling dual interventions on antenatal depressive symptoms and perceived social support represents one promising strategy to prevent PND in women with persistent preconception symptoms. Interventions promoting mental health before pregnancy may yield an even greater reduction in PND symptoms by disrupting a developmental cascade of risks via these and other pathways. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

scholarly journals Spry_Preventing postpartum depression_Preprint

2021 ◽  
Author(s):  
Elizabeth Spry ◽  
Margarita Moreno-Betancur ◽  
Louise Howard ◽  
Stephanie Brown ◽  
Christopher Greenwood ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Mental Health Problems ◽  
Perceived Social Support ◽  
Health Problems ◽  
Antenatal Depressive Symptoms ◽  
Two Factors ◽  
Causal Mediation Analysis

Postnatal depression (PND) is common and predicts a range of adverse maternal and offspring outcomes. PND rates are highest amongst women with persistent mental health problems before pregnancy, and antenatal healthcare provides ideal opportunity to intervene. We examined antenatal perceived social support as a potential intervention target in preventing PND symptoms among women with prior mental health problems. A total of 398 Australian women (600 pregnancies) were assessed repeatedly for mental health problems before pregnancy (ages 14-29 years, 1992-2006), and again during pregnancy, 2 months postpartum, and 1 year postpartum (2006-2014). Causal mediation analysis found that intervention on perceived antenatal social support has the potential to reduce rates of PND symptoms by up to 3% (from 15% to 12%) in women with persistent preconception symptoms. Supplementary analyses found that the role of low antenatal social support was independent of concurrent antenatal depressive symptoms. Combined, these two factors mediated up to more than half of the association between preconception mental health problems and PND symptoms. Trialing dual interventions on antenatal depressive symptoms and perceived social support represents one promising strategy to prevent PND in women with persistent preconception symptoms. Interventions promoting mental health before parenthood may yield greater reduction in PND symptoms by disrupting a developmental cascade of risks via these and other pathways.

scholarly journals Attachment, perceived social support and mental health problems in women with primary infertility

2019 ◽  
Vol 8 (6) ◽  
pp. 2533 ◽  
Author(s):  
Sadia Saleem ◽  
Namra S. Qureshi ◽  
Zahid Mahmood
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Attachment Style ◽  
Attachment Styles ◽  
Mental Health Problems ◽  
Perceived Social Support ◽  
Health Problems ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Attachment Pattern

Background: Infertility is one of the fastest growing concerns when it comes to reproductive health and most often, women get the blame. Consequently, females suffer from major psycho-social and emotional problems that may lead to serious mental health concerns.Methods: To fill the gap in literature, a cross-sectional research design was used to measure the attachment styles with spouse, perceived social support, and predict mental health problems in women attending infertility clinics with ages ranging from 19-45 (M 27.21, SD 4.79). Adult Attachment Questionnaire, Multidimensional Perceived Social Support, and Depression Anxiety Stress Scale were used among experimental subjects selected through purposive sampling technique.Results: About 32% women reported themselves as secure, 49% as ambivalent, and 19% as avoidant in their attachment style with spouse. The results revealed that a significant negative correlation exists between perceived social support and mental health problems among women with infertility. Moreover, women who identify their attachment pattern as Ambivalent perceive less social support and experience more mental health problems.Conclusions: Education is one of the strongest predictors of how likely infertility is to cause mental health issues while Attachment style is another strong indicator since infertile women with secure attachment pattern have fewer mental health problems. However, the sample size was modest to make any wide-scale assumptions, so further trials with larger participant pools must be performed. Additionally, future studies should include both rural and urban samples with different psychological variables to find the similarities and differences between various groups of people with diverse backgrounds.

scholarly journals Mediating role of perceived social support on mental health problems in pre-operative patients

2021 ◽  
Vol 25 (1) ◽  
pp. 63-70
Author(s):  
Muhammad Rafiq ◽  
Saba Safdar
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Problems ◽  
Perceived Social Support ◽  
Health Problems ◽  
Major Surgery ◽  
Mediating Role ◽  
Self Compassion ◽  
Operative Recovery

Background: Pre-operative patients are not only suffering from physical and physiological symptoms but they might have psychological issues which may lead to mental health issues. However, different psychosocial factors may help in managing the mental health problems in pre-operative patients. Purpose: This study was aimed to investigate the mediating role of perceived social support on mental health problems in pre-operative patients. Methodology: The sample of the study consisted of 180 participants who were going to get their major surgery done in a week including 51% men and 49% women between the ages of 18-35 years. The participants were presented with a questionnaire including a demographics sheet and three Urdu translated scales as Self -Compassion Scale, Multidimensional Scale of Perceived Social Support, and Depression Anxiety and Stress Scale. Results: The results indicated that there was a significant negative correlation between self-compassion/perceived social support and mental health problems in pre-operative patients. The Pearson Product-Moment Correlation indicated a significant relationship among self-compassion, perceived social support, and mental health problems. Conclusion: The current study spotlighted the importance of the pre-operative time in young adults and the dire need for counseling services to be provided to the patients in this crucial time to enhance the chances of post-operative recovery and wellbeing of the patients. Key words: Self-compassion, Perceive Social Support, Mental Health problems, Pre-operative patients, Major Surgery, young adulthood Citation: Safdar S, Rafiq M. Mediating role of perceived social support on mental health problems in pre-operative patients. Anaesth. pain intensive care 2021;25(1):63–70; DOI: 10.35975/apic.v25i1.1442 Received: 2 December 2020, Reviewed: 1 January 2021, Accepted: 2 January 2021

scholarly journals Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China

2020 ◽  
Vol 29 ◽  
Author(s):  
Z. Ma ◽  
J. Zhao ◽  
Y. Li ◽  
D. Chen ◽  
T. Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
College Students ◽  
Depressive Symptoms ◽  
Mental Health Problems ◽  
Acute Stress ◽  
Health Problems ◽  
Senior Year ◽  
Increased Risk ◽  
The Impact

Abstract Aims Coronavirus disease 2019 (COVID-19) pandemic is a major public health concern all over the world. Little is known about the impact of COVID-19 pandemic on mental health in the general population. This study aimed to assess the mental health problems and associated factors among a large sample of college students during the COVID-19 outbreak in China. Methods This cross-sectional and nation-wide survey of college students was conducted in China from 3 to 10 February 2020. A self-administered questionnaire was used to assess psychosocial factors, COVID-19 epidemic related factors and mental health problems. Acute stress, depressive and anxiety symptoms were measured by the Chinese versions of the impact of event scale-6, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Univariate and hierarchical logistic regression analyses were performed to examine factors associated with mental health problems. Results Among 821 218 students who participated in the survey, 746 217 (90.9%) were included for the analysis. In total, 414 604 (55.6%) of the students were female. About 45% of the participants had mental health problems. The prevalence rates of probable acute stress, depressive and anxiety symptoms were 34.9%, 21.1% and 11.0%, respectively. COVID-19 epidemic factors that were associated with increased risk of mental health problems were having relatives or friends being infected (adjusted odds ratio = 1.72–2.33). Students with exposure to media coverage of the COVID-19 ≥3 h/day were 2.13 times more likely than students with media exposure <1 h/day to have acute stress symptoms. Individuals with low perceived social support were 4.84–5.98 times more likely than individuals with high perceived social support to have anxiety and depressive symptoms. In addition, senior year and prior mental health problems were also significantly associated with anxiety or/and depressive symptoms. Conclusions In this large-scale survey of college students in China, acute stress, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Multiple epidemic and psychosocial factors, such as family members being infected, massive media exposure, low social support, senior year and prior mental health problems were associated with increased risk of mental health problems. Psychosocial support and mental health services should be provided to those students at risk.

scholarly journals Social capital and mental health problems among Syrian refugee adolescents: The mediating roles of perceived social support and post-traumatic symptoms

2020 ◽  
pp. 002076402094535
Author(s):  
Rahşan Duren ◽  
Özgen Yalçın
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Social Capital ◽  
Mental Health Problems ◽  
Social Trust ◽  
Perceived Social Support ◽  
Health Problems ◽  
Event Scale ◽  
Syrian Refugee ◽  
Post Traumatic

Background: Social capital is one of the prominent components of refugee mental health. However, its role on mental health is poorly understood. Aims: The aim of the present study was to investigate the nature of the association between social capital and mental health problems in refugee adolescents. Method: A cross-sectional study with three hundred twenty-one 12- to 18-year-old Syrian refugee adolescents was conducted in Turkey. We administered the Arabic versions of the following instruments in school settings: The Social Trust, Multidimensional Scale of Perceived Social Support (MSPSS), The Children’s Impact of Event Scale (CRIES-8) and The Strengths and Difficulties Questionnaire (SDQ). Results: The mediation analyses with Hayes’ PROCESS Macro revealed that perceived social support and the intensity of post-traumatic stress disorder (PTSD) symptoms fully mediated the relationship between social capital and mental health problems. Conclusion: The results suggested social trust’s two distinct functions which impair the likelihood of mental health problems: (a) social trust might help to facilitate perceived social support from family and friends and (b) social trust might impair the intensity of traumatic experiences.

scholarly journals Emerging Adults’ Mental Health During the COVID-19 Pandemic: A Prospective Longitudinal Study on the Importance of Social Support

2021 ◽  
pp. 216769682110399
Author(s):  
Yvonne H. M. van den Berg ◽  
William J. Burk ◽  
Antonius H. N. Cillessen ◽  
Karin Roelofs
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Emerging Adults ◽  
Mental Health Problems ◽  
Health Problems ◽  
Best Friends ◽  
General Psychological Distress

The aim of this longitudinal study was to investigate emerging adults’ mental health before and during the COVID-19 pandemic, and whether social support from mothers, fathers, and best friends moderated the change in mental health. Participants were 98 emerging adults (46% men) who were assessed prior to COVID-19 ( Mage = 20.60 years) and during the first lockdown ( Mage = 22.67 years). Results indicated that the pandemic did not uniformly lead to elevated levels of mental health problems, but instead depended on level of mental health problems prior to COVID-19 and the source of support. For emerging adults who already experienced more problems prior to COVID-19, more maternal support was related to decreases in general psychological distress and depressive symptoms, whereas more paternal support was related to increases in general psychological distress and depressive symptoms. Support from best friends were not associated with (changes in) mental health.

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