scholarly journals Maternal postnatal depression and offspring emotional and behavioural development at age 7 years in a UK-birth cohort: the role of paternal involvement

2021 ◽  
Author(s):  
Iryna Culpin ◽  
Gemma Hammerton ◽  
Alan Stein ◽  
Marc H Bornstein ◽  
Henning Tiemeier ◽  
...  
Keyword(s):  
Birth Cohort ◽  
Postnatal Depression ◽  
Depression Scale ◽  
Paternal Involvement ◽  
Behavioural Development ◽  
Offspring Development ◽  
Parents And Children ◽  
Behavioural Difficulties ◽  
Increased Risk ◽  
Emotional And Behavioural Difficulties

Background: There is considerable variability in emotional and behavioural outcomes of children whose mothers experience depression. Few longitudinal studies have examined potential contributions of dimensions of paternal involvement in the association between maternal postnatal depression (PND) and offspring development. Methods: We examined pathways from maternal PND at 8 weeks postnatally (assessed using the Edinburgh Postnatal Depression Scale) to offspring emotional and behavioural development at 7 years (assessed using the Strengths and Difficulties Questionnaire) through behavioural, affective and cognitive child-focused and mother-influenced dimensions of paternal involvement in 3,434 members of the UK-based birth cohort, the Avon Longitudinal Study of Parents and Children. Analyses were adjusted for a range of baseline confounders and paternal postnatal depression (PND) as an intermediate confounder. Results: Maternal PND was associated with higher levels of some aspects of child-focused and mother-influenced paternal involvement in models accounting for paternal PND, however these pathways were not associated with offspring emotional and behavioural development at age 7 years. There was strong evidence of direct effect from maternal PND to offspring development, but no evidence of mediation through the combination of all indirect pathways through child-focused and mother-influenced paternal involvement. However, higher levels of father-child conflict were associated with increased risk of offspring emotional and behavioural difficulties, and this pathway mediated a proportion of the maternal PND to offspring risk. Additionally, maternal PND was associated with paternal PND, which, in turn, was associated with lower levels of child-focused and mother-influenced paternal involvement. Conclusions: The positive associations between maternal PND and some aspects of paternal involvement suggest that non-depressed fathers may engage in 'compensatory' parenting strategies in response to maternal PND, which although important may not be sufficient in reducing the adverse impact of maternal PND on offspring emotional and behavioural development. Conflictual father-child relationships emerged as a risk factor for adverse offspring development and as an explanatory mechanism in the association between maternal PND and offspring development. These results suggest that interventions that reduce father-child conflict may reduce the risk of emotional and behavioural difficulties in offspring of depressed mothers.

Postnatal depression and elation among mothers and their partners: Prevalence and predictors

1997 ◽  
Vol 171 (6) ◽  
pp. 550-555 ◽  
Author(s):  
Abbie Lane ◽  
Rita Keville ◽  
Mary Morris ◽  
Anthony Kinsella ◽  
Michael Turner ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Unplanned Pregnancy ◽  
Depression Scale ◽  
Bottle Feeding ◽  
Mood Disturbance ◽  
Antenatal Visit ◽  
Factors Associated ◽  
Public Status ◽  
Increased Risk

BackgroundCorrelates and predictors of mood disturbance at 3 days and 6 weeks postpartum were assessed in Irish mothers and their partners.MethodThe Edinburgh Postnatal Depression Scale (EPDS) and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and obstetric data were collected at patients' first antenatal visit. Factors associated with EPDS scores of ≥ 13 and Highs scores of ≥ 8 were examined.ResultsOn the EPDS 11.4% of mothers scored ≥ 13 at 3 days postpartum and 11% at 6 weeks, while 18.3% of mothers scored ≥ 8 on the Highs Scale at 3 days and 9% at 6 weeks. Scores on the EPDS and Highs Scale were interrelated. Factors associated with EPDS scores of ≥ 13 at 6 weeks were single status, unemployment, unplanned pregnancy, public status and bottle-feeding. The best predictors of EPDS ≥ 13 at 6 weeks were mothers' scores on the EPDS and the Highs Scale at 3 days. Three per cent of partners scored ≥ 13 on the EPDS at 3 days postpartum and 1.2% at 6 weeks.ConclusionsFactors associated with mothers' mood disturbance were readily identifiable and collected routinely at antenatal intake. Mothers' mood within 3 days of delivery was the best predictor of later postnatal depression. Paternal mood disturbance was rare. Certain women may be at increased risk for postnatal mood disturbance and may be amenable to early identification and intervention.

scholarly journals Maternal postnatal depression and offspring depression at age 24 years in a UK-birth cohort: the mediating role of maternal nurturing behaviours concerning feeding, crying and sleeping

2021 ◽  
Vol 6 ◽  
pp. 187
Author(s):  
Iryna Culpin ◽  
Gemma Hammerton ◽  
Marc H. Bornstein ◽  
Jon Heron ◽  
Jonathan Evans ◽  
...  
Keyword(s):  
Birth Cohort ◽  
Indirect Effect ◽  
Postnatal Depression ◽  
Early Adulthood ◽  
Depression Scale ◽  
Adverse Outcomes ◽  
Birth Cohort Study ◽  
Adult Offspring ◽  
Probit Regression

Background: Maternal postnatal depression (PND) is a risk factor for offspring depression in adulthood. However, few longitudinal studies have examined the role of maternal nurturing parenting behaviours in the association between maternal PND and offspring depression in adulthood. Methods: We examined pathways from maternal PND measured using self-reported Edinburgh Postnatal Depression Scale at 8 weeks to offspring ICD-10 depression diagnosed using the Clinical Interview Schedule-Revised computerised assessment at 24 years through maternal-reported nurturing behaviours concerning feeding, sleeping and crying measured from pregnancy to age 3 years 6 months in 5,881 members of the UK-based birth cohort study, the Avon Longitudinal Study of Parents and Children.   Results: The fully adjusted model revealed an indirect effect from PND to adult offspring depression through the combination of all parenting factors (probit regression coefficient [B]=0.038, 95% confidence interval [CI] 0.005, 0.071); however, there was no evidence of a direct effect from early maternal PND to offspring depression once the indirect effect via parenting factors was accounted for (B=0.009, 95%CI -0.075, 0.093). Specificity analyses revealed indirect effects through maternal worries about feeding (B=0.019, 95%CI 0.003, 0.035, p=0.010) and maternal perceptions and responses to crying (B=0.018, 95%CI 0.004, 0.032, p=0.012). Conclusions: The adverse impact of maternal PND on offspring depression in early adulthood was explained by maternal nurturing behaviours concerning feeding, crying and sleeping in early childhood. Residual confounding and measurement error likely limit reliable conclusions. If found causal, interventions providing support to reduce worries around maternal nurturing behaviours and treating depression could reduce adverse outcomes in adult offspring of depressed mothers.

scholarly journals Depressive symptoms measured using the Edinburgh Postnatal Depression Scale in mothers and partners in the ALSPAC Study: A data note

2020 ◽  
Vol 5 ◽  
pp. 108
Author(s):  
Elise Paul ◽  
Rebecca M. Pearson
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Repeated Measurements ◽  
Birth Cohort Study ◽  
Symptom Profiles ◽  
Parents And Children ◽  
Social Demographic ◽  
Avon Longitudinal Study

Depression is a leading cause of disability and is associated with a number of adverse offspring outcomes when it occurs in parents. Depression is present in men and women at different rates, and recent research suggests that symptom profiles between the sexes may differ. Longitudinal data are needed to answer remaining questions about the long-term course, gender differences, antecedents and outcomes of depression. The Avon Longitudinal Study of Parents and Children (ALSPAC) is a large birth cohort study in England which administered one of the most commonly used depression instruments, the Edinburgh Postnatal Depression Scale (EPDS) at 11 timepoints in mothers and at 10 timepoints in their partners. In addition to repeated measurements of the EPDS, ALSPAC has a wealth of participant data on biological, social, demographic, and lifestyle factors. The purpose of this data note is to introduce potential users of the data to the characteristics of the EPDS in ALSPAC, as well as some key considerations when using the data.

scholarly journals Factors associated with symptoms of anxiety and depression in five cohorts of community-based older people: the HALCyon (Healthy Ageing across the Life Course) Programme

2011 ◽  
Vol 41 (10) ◽  
pp. 2057-2073 ◽  
Author(s):  
C. R. Gale ◽  
A. Aihie Sayer ◽  
C. Cooper ◽  
E. M. Dennison ◽  
J. M. Starr ◽  
...  
Keyword(s):  
Older People ◽  
Life Course ◽  
Physical Function ◽  
Birth Cohort ◽  
Depression Scale ◽  
Later Life ◽  
Healthy Ageing ◽  
Anxiety And Depression ◽  
Increased Risk ◽  
The Life Course

BackgroundSymptoms of anxiety and depression are common in older people, but the relative importance of factors operating in early and later life in influencing risk is unclear, particularly in the case of anxiety.MethodWe used data from five cohorts in the Healthy Ageing across the Life Course (HALCyon) collaborative research programme: the Aberdeen Birth Cohort 1936, the Caerphilly Prospective Study, the Hertfordshire Ageing Study, the Hertfordshire Cohort Study and the Lothian Birth Cohort 1921. We used logistic regression to examine the relationship between factors from early and later life and risk of anxiety or depression, defined as scores of 8 or more on the subscales of the Hospital Anxiety and Depression Scale, and meta-analysis to obtain an overall estimate of the effect of each.ResultsGreater neuroticism, poorer cognitive or physical function, greater disability and taking more medications were associated in cross-sectional analyses with an increased overall likelihood of anxiety or depression. Associations between lower social class, either in childhood or currently, history of heart disease, stroke or diabetes and increased risk of anxiety or depression were attenuated and no longer statistically significant after adjustment for potential confounding or mediating variables. There was no association between birth weight and anxiety or depression in later life.ConclusionsAnxiety and depression in later life are both strongly linked to personality, cognitive and physical function, disability and state of health, measured concurrently. Possible mechanisms that might underlie these associations are discussed.

Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score

2020 ◽  
Vol 48 (5) ◽  
pp. 483-487
Author(s):  
Mikela M. Padilla ◽  
Dikea Roussos-Ross ◽  
Amie J. Goodin
Keyword(s):  
Pregnant Women ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
The State ◽  
Healthy Start ◽  
Behavioral Risk ◽  
Postpartum Visit ◽  
Prenatal Visit ◽  
Increased Risk

AbstractObjectiveTo examine the utility of the Healthy Start Screen (HSS), which is an assessment of health, environment, and behavioral risk factors offered to all pregnant women in the state of Florida, in identifying women at risk for developing postpartum depression (PPD).MethodsThe sample for this Institutional Review Board (IRB)-approved, retrospective study consisted of patients who presented to a women’s clinic for a new prenatal visit. Those patients who completed both the HSS at their prenatal visit and the Edinburgh Postnatal Depression Scale (EPDS) at their postpartum visit were included. We focused on items 1–10 of the HSS, where patients could respond with either “yes” or “no”, and identified a positive EPDS as any score greater than or equal to 12.ResultsWomen who identified as feeling down, depressed or hopeless, feeling alone when facing problems, to having ever received mental health services, or to having any trouble paying bills were more likely to have an EPDS score greater than or equal to 12.ConclusionThe HSS, currently mandated by the state of Florida to be offered to all pregnant women, is a useful tool for identifying women at increased risk of developing PPD.

Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort

2004 ◽  
Vol 19 (8) ◽  
pp. 459-463 ◽  
Author(s):  
A.L. Sutter-Dallay ◽  
V. Giaconne-Marcesche ◽  
E. Glatigny-Dallay ◽  
H. Verdoux
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Postnatal Depression ◽  
Depressive Disorders ◽  
Post Partum ◽  
Depression Scale ◽  
Maternity Hospital ◽  
Pregnancy Anxiety ◽  
Postnatal Depressive Symptoms ◽  
Increased Risk

AbstractObjective– Studies have suggested that women with pregnancy anxiety may be at greater risk of postnatal depression (PND). However, due to the high comorbidity between anxiety and depressive disorders, this finding may be confounded by the association between prenatal depression and postnatal depression. The aim of the present prospective study was to assess whether anxiety disorder (AD) during pregnancy is an independent predictor of intensity of postnatal depressive symptoms.Method.– The MATQUID cohort survey was conducted on pregnant women (n = 497) attending a state maternity hospital. Psychiatric status during pregnancy was assessed during the third trimester using a structured diagnostic interview. Intense postnatal depressive symptoms at 6 weeks post-partum were defined by a score >12 on the Edinburgh Postnatal Depression Scale (EPDS).Results.– Nearly one out of four women (24.1%) presented with at least one pregnancyAD, and 29 (5.8%) presented with a score >12 on the EPDS. After adjustment for presence of major depression during pregnancy and other confounding factors, women with pregnancy AD were nearly three times more likely to present with intense postnatal depressive symptoms (OR = 2.7, 95%CI 1.1-6.3, P = 0.03).Conclusion.– Promoting the recognition and management of AD in pregnant women may be of interest for the prevention of postnatal depression.

scholarly journals Parenting and the Emotional and Behavioural Adjustment of Young Children in Families with a Parent with Bipolar Disorder

2012 ◽  
Vol 40 (4) ◽  
pp. 425-437 ◽  
Author(s):  
Rachel Calam ◽  
Steven Jones ◽  
Matthew R. Sanders ◽  
Robert Dempsey ◽  
Vaneeta Sadhnani
Keyword(s):  
Bipolar Disorder ◽  
Self Report ◽  
Emotional Symptoms ◽  
Parenting Support ◽  
Household Organization ◽  
Self Help ◽  
Behavioural Difficulties ◽  
Increased Risk ◽  
Behavioural Adjustment ◽  
Emotional And Behavioural Difficulties

Background: Children of parents with bipolar disorder are at increased risk of disturbance. Aims: This study examined relationships between parental mood, parenting, household organization and child emotional and behavioural adjustment in families with a parent with bipolar disorder to determine areas of specific need for parenting support. Method: 48 parents were recruited through advertisements via self-help organizations. The study was conducted online. Parental mood and activity was assessed by self-report questionnaires (CES-D, ISS, MDQ and SRM); parenting was assessed using the Parenting Scale (PS). The SDQ was used to assess the parent's view of their child's emotional and behavioural difficulties. The Confusion, Hubbub and Order Scale (CHAOS) assessed household organization. Results: Parents reported high levels of difficulties across all measures and scores were above clinical cut-offs on most scales. Children were reported as showing high levels of disturbance on the SDQ, including all sub-scales. Parenting and depression scores were significantly positively correlated, as were depression, parenting and CHAOS score. Regression analyses indicated that CHAOS was the strongest predictor of Total Difficulties and Emotional Symptoms on the SDQ. Conclusions: Families are likely to benefit from interventions tailored to meet their parenting needs.

scholarly journals Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study

2007 ◽  
Vol 23 (11) ◽  
pp. 2577-2588 ◽  
Author(s):  
Iná S. Santos ◽  
Alicia Matijasevich ◽  
Beatriz Franck Tavares ◽  
Aluísio J. D. Barros ◽  
Iara Picinini Botelho ◽  
...  
Keyword(s):  
Cohort Study ◽  
Postpartum Depression ◽  
Birth Cohort ◽  
Health Care Professionals ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Structured Interview ◽  
Cutoff Point ◽  
Birth Cohort Study

The aim of this study was to evaluate the Edinburgh Postnatal Depression Scale (EPDS) for screening and diagnosis of postpartum depression. Three months after delivery, EPDS was administered to 378 mothers from the 2004 Pelotas Birth Cohort Study, Rio Grande do Sul State, Brazil. Up to 15 days later, mothers were re-interviewed by mental health care professionals using a semi-structured interview based on ICD-10 (gold standard). We calculated the sensitivity and specificity of each cutoff point, and values were plotted as a receiver operator characteristic curve. The best cutoff point for screening postpartum depression was > 10, with 82.6% (75.3-89.9%) sensitivity and 65.4% (59.8-71.1%) specificity. For screening moderate and severe cases, the best cutoff point was > 11, with 83.8% (73.4-91.3%) sensitivity and 74.7% (69.4-79.5%) specificity. For diagnosis, EPDS was valid only for prevalence of postpartum depression in the 20-25% range, with 60% PPV for the > 13 cutoff point (59.5% sensitivity; 88.4% specificity). The specificities and PPVs for all cutoff points were below those reported by other authors. Small numbers and the calculation of PPV in samples with overrepresentation of cases in the majority of studies appear to account for these differences.

scholarly journals Depressive symptoms measured using the Edinburgh Postnatal Depression Scale in mothers and partners in the ALSPAC Study: A data note

2020 ◽  
Vol 5 ◽  
pp. 108
Author(s):  
Elise Paul ◽  
Rebecca M. Pearson
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Repeated Measurements ◽  
Birth Cohort Study ◽  
Symptom Profiles ◽  
Parents And Children ◽  
Social Demographic ◽  
Avon Longitudinal Study

Depression is a leading cause of disability and is associated with a number of adverse offspring outcomes with it occurs in parents. Depression is present in men and women at different rates, and recent research suggests that symptom profiles between the sexes may differ. Longitudinal data are needed to answer remaining questions about the long-term course, gender differences, antecedents and outcomes of depression. The Avon Longitudinal Study of Parents and Children (ALSPAC) is a large birth cohort study in England which administered one of the most commonly used depression instruments, the Edinburgh Postnatal Depression Scale (EPDS) at 11 timepoints in mothers and at 10 timepoints in their partners. In addition to repeated measurements of the EPDS, ALSPAC has a wealth of participant data on biological, social, demographic, and lifestyle factors. The purpose of this data note is to introduce potential users of the data to the characteristics of the EPDS in ALSPAC, as well as some key considerations when using the data.

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