Time for a new zeitgeist in perinatal mental health

2017 ◽  
Vol 52 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Fiona Judd ◽  
Louise Kathryn Newman ◽  
Angela A Komiti
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Developmental Disorders ◽  
Perinatal Depression ◽  
Maternal Mental Health ◽  
Research Effort ◽  
Depression And Anxiety ◽  
Developmental Experiences ◽  
Severe Personality Disorder ◽  
Made In

Perinatal depression, and to a lesser extent anxiety, has been the focus of interest for perinatal psychiatrists for several decades. Policy and substantial funding has supported this. We argue that it is now time to change this focus and to invest greater funding to support clinical and research effort in ‘high-risk’ caregivers and their infants. We define high-risk caregivers as those who are likely to have attachment and relationship difficulties with their infant as a result of their own developmental experiences, personality difficulties and/or trauma-related mental disorders, often complicated by substance abuse, depression and anxiety. We propose that early intervention with such caregivers, focussing on both maternal mental health and on the needs of the infant for responsive and sensitive interaction and emotional care, would contribute to prevention of infant developmental disorders, with real gains to be made in breaking the transgenerational cycle of development of severe personality disorder.

scholarly journals Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety

2017 ◽  
Vol 46 (2) ◽  
pp. 272-281 ◽  
Author(s):  
Susan Kendig ◽  
John P. Keats ◽  
M. Camille Hoffman ◽  
Lisa B. Kay ◽  
Emily S. Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Perinatal Depression ◽  
Maternal Mental Health ◽  
Depression And Anxiety

scholarly journals Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety

2017 ◽  
Vol 62 (2) ◽  
pp. 232-239 ◽  
Author(s):  
Susan Kendig ◽  
John P. Keats ◽  
M. Camille Hoffman ◽  
Lisa B. Kay ◽  
Emily S. Miller ◽  
...  
Keyword(s):  
Mental Health ◽  
Perinatal Depression ◽  
Maternal Mental Health ◽  
Depression And Anxiety

Speaking of State of Mind: Maternal Mental Health Predicts Children's Home Language Environment and Expressive Language

2021 ◽  
pp. 1-17
Author(s):  
Brandon Neil CLIFFORD ◽  
Laura A. STOCKDALE ◽  
Sarah M. COYNE ◽  
Vanessa RAINEY ◽  
Viridiana L. BENITEZ
Keyword(s):  
Mental Health ◽  
Maternal Depression ◽  
Maternal Mental Health ◽  
Expressive Language ◽  
Home Language ◽  
Depression And Anxiety ◽  
Negatively Associated ◽  
Children's Home ◽  
Language Environment ◽  
Home Language Environment

Abstract Maternal depression and anxiety are potential risk factors to children's language environments and development. Though existing work has examined relations between these constructs, further work is needed accounting for both depression and anxiety and using more direct measures of the home language environment and children's language development. We examined 265 mother-infant dyads (49.6% female, Mage = 17.03 months) from a large city in the Western United States to explore the relations between self-reports of maternal depression and anxiety and observational indices of the home language environment and expressive language as captured by Language Environment Analysis (LENA) and parent-reported language comprehension and production. Results revealed maternal depressive symptoms to be negatively associated with home language environment and expressive language indices. Maternal anxiety symptoms were found to be negatively associated with children's parent-reported language production. These findings provide further evidence that maternal mental health modulates children's home language environments and expressive language.

scholarly journals When the Bough Breaks: A Systematic Review and Meta-Analysis of Mental Health Symptoms in Mothers of Young Children during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Nicole Racine ◽  
Rachel Eirich ◽  
Jessica Cookee ◽  
Jenney Zhu ◽  
Paolo Pador ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Children ◽  
Maternal Mental Health ◽  
Meta Analysis ◽  
Random Effect ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Study Quality ◽  
Depression And Anxiety ◽  
Meta Analyses

Parents have experienced considerable challenges and stress during the COVID-19 pandemic, which may impact their well-being. This meta-analysis sought to identify: 1) the prevalence of depression and anxiety in parents of young children (< age 5) during the COVID-19 pandemic, and 2) sociodemographic (e.g., parent age, minority status) and methodological moderators (e.g., study quality) that explain heterogeneity among studies. A systematic search was conducted across four databases from January 1st, 2020 to March 3st, 2021. A total of 18 non-overlapping studies (9,101 participants), all focused on maternal mental health, met inclusion criteria. Random-effect meta-analyses were conducted. Pooled prevalence estimates for clinically significant depression and anxiety symptoms for mothers of young children during the COVID-19 pandemic were 27.4% (95% CI: 21.5-34.3) and 43.5% (95% CI:27.5-60.9), respectively. Prevalence of clinically elevated depression and anxiety symptoms were higher in Europe and North America and among older mothers. Clinically elevated depressive symptoms were lower in studies with a higher percentage of racial and ethnic minority individuals. In comparison, clinically elevated anxiety symptoms were higher among studies of low study quality and in samples with highly educated mothers. Policies and resources targeting improvements in maternal mental health are essential.

scholarly journals ‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

2019 ◽  
Vol 16 (21) ◽  
pp. 4253 ◽  
Author(s):  
Emma Carlin ◽  
David Atkinson ◽  
Julia V Marley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Western Australia ◽  
Perinatal Depression ◽  
Perinatal Period ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Aboriginal Women ◽  
Anxiety Screening ◽  
Mood Scale

Despite high rates of perinatal depression and anxiety, little is known about how Aboriginal women in Australia experience these disorders and the acceptability of current clinical screening tools. In a 2014 study, the Kimberley Mum’s Mood Scale (KMMS) was validated as an acceptable perinatal depression and anxiety screening tool for Aboriginal women in the Kimberley region of Western Australia. In the current study, we explored if it was appropriate to trial and validate the KMMS with Aboriginal women in the Pilbara. Yarning as a methodology was used to guide interviews with 15 Aboriginal women in the Pilbara who had received maternal and child health care within the last three years. Data were analysed thematically, the results revealing that this cohort of participants shared similar experiences of stress and hardship during the perinatal period. Participants valued the KMMS for its narrative-based approach to screening that explored the individual’s risk and protective factors. While support for the KMMS was apparent, particular qualities of the administering health care professional were viewed as critical to the tool being well received and culturally safe. Building on these findings, we will work with our partner health services in the Pilbara to validate the KMMS with Pilbara Aboriginal women.

scholarly journals Prevalence and Associated Factors of Perinatal Depression in Ethiopia: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Amanual Getnet Mersha ◽  
Sileshi Ayele Abebe ◽  
Lamessa Melese Sori ◽  
Tadesse Melaku Abegaz
Keyword(s):  
Mental Health ◽  
Associated Factors ◽  
Perinatal Depression ◽  
Maternal Mental Health ◽  
Unplanned Pregnancy ◽  
Statistical Tests ◽  
Meta Analysis ◽  
Start Date ◽  
Pooled Prevalence ◽  
Modifiable Factors

Background. There is no pooled evidence regarding the prevalence and potential associated factors of perinatal depression in Ethiopian community. Hence, the current review aimed to examine the prevalence and associated factors of perinatal depression in Ethiopia. Method. A computerized systematic literature search was made in MEDLINE, Scopus, PubMed, ScienceDirect, and Google Scholar. Each database was searched from its start date to January 2018. All included articles were published in English, which evaluated prevalence and associated factors of perinatal depression in Ethiopia. Pooled estimations with 95% confidence interval (CI) were calculated with DerSimonian-Laird (DL) random-effects model. Publication bias was evaluated by using inspection of funnel plots and statistical tests. Result. Eight observational studies with an overall sample size of 4624 mothers were included in the review. The pooled prevalence of perinatal depression from these studies reported that the prevalence of perinatal depression in Ethiopia is 25.8% [95% CI, 24.6%-27.1%]. A pervious history of depression [RR: 3.78 (95% CI, 2.18-6.57), I2 = 41.6%], poor socioeconomic status [RR: 4.67 (95% CI, 2.89-7.53), I2 = 0%], not living with spouse [RR: 3.76 (95% CI, 1.96-7.38), I2 = 36.4%], having obstetric complications in previous and/or this pregnancy [RR: 2.74 (95% CI, 1.48-5.06), I2 = 67.7%], and having unplanned pregnancy [RR: 2.73 (95% CI, 2.11-3.53), I2 = 0%] were the major factors associated with perinatal depression. Conclusion. The pooled prevalence of perinatal depression in Ethiopia is far above most developed as well as developing countries. Hence, to realize the sustainable development goals (SDGs) outlined by united nation, much attention should be given to improve maternal mental health through reduction of identified modifiable factors. Maternal health programs, polices, and activities should incorporate maternal mental health as a core component.

scholarly journals Adjusting an Available Online Peer Support Platform in a Program to Supplement the Treatment of Perinatal Depression and Anxiety

2016 ◽  
Vol 3 (1) ◽  
pp. e11 ◽  
Author(s):  
Amit Baumel ◽  
Stephen M Schueller
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mood Disorders ◽  
Emotional Support ◽  
Perinatal Depression ◽  
Health Resources ◽  
Depression And Anxiety ◽  
Study Results ◽  
Health Products ◽  
The Impact

Background Perinatal depression and anxiety are common and debilitating conditions. Novel, cost effective services could improve the uptake and the impact of mental health resources among women who suffer from these conditions. E-mental health products are one example of such services. Many publically available e-mental health products exist, but these products lack validation and are not designed to be integrated into existing health care settings. Objective The objective of the study was to present a program to use 7 Cups of Tea (7Cups), an available technological platform that provides online peer (ie, listener) based emotional support, to supplement treatment for women experiencing perinatal depression or anxiety and to summarize patient’s feedback on the resultant program. Methods This study consisted of two stages. First, five clinicians specializing in the treatment of perinatal mood disorders received an overview of 7Cups. They provided feedback on the 7Cups platform and ways it could complement the existing treatment efforts to inform further adjustments. In the second stage, nine women with perinatal depression or anxiety used the platform for a single session and provided feedback. Results In response to clinicians’ feedback, guidelines for referring patients to use 7Cups as a supplement for treatment were created, and a training program for listeners was developed. Patients found the platform usable and useful and their attitudes toward the trained listeners were positive. Overall, patients noted a need for support outside the scheduled therapy time and believed that freely available online emotional support could help meet this need. Most patients were interested in receiving support from first time mothers and those who suffered in the past from perinatal mood disorders. Conclusions The study results highlight the use of 7Cups as a tool to introduce accessible and available support into existing treatment for women who suffer from perinatal mood disorders. Further research should focus on the benefits accrued from such a service. However, this article highlights how a publicly available eHealth product can be leveraged to create new services in a health care setting.

scholarly journals EFFECT OF PHYSICAL EXERCISE PARTICIPATION ON SELECTED INDICES OF MENTAL HEALTH BETWEEN STUDENT ATHLETES AND NON-ATHLETES OF OBAFEMI AWOLOWO UNIVERSITY, ILE-IFE, NIGERIA

2021 ◽  
Vol 6 (10) ◽  
Author(s):  
Festus A. Adegoju ◽  
Joseph Kolawole Abon
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Physical Exercise ◽  
Student Athletes ◽  
Research Effort ◽  
Depression And Anxiety ◽  
Exercise Participation ◽  
Increased Risk ◽  
Research Questions ◽  
Level Of Significance

Participation in physical exercise is regarded as a healthy behaviour that promotes both physical and mental health among students. It is a preventive and therapeutic measure for mental health illness. However, despite the positive relationship between participation in physical exercise and mental health, many students of the Obafemi Awolowo University, Ile Ife, Nigeria still engage in sedentary life style which increases their vulnerability to mental health issues. Several studies have been carried out on students and mental health, behavioural health risks such as substance use, unsafe sexual behaviour, violence and increased risk of communicable and non-communicable diseases, injury and mortality and anxiety as the most prevalent disorder found in men and women but little research effort has been directed towards the influence of exercise participation on these selected indices of mental health between student athletes and non-athletes of Obafemi Awolowo University. Correlation survey research design was used for this study. Data obtained were coded and analyzed using descriptive statistics of frequency count, simple percentage, mean, standard deviation and bar chart for the demographic variables and research questions. Chi square (CRAMMER V) and multiple regression were used to test hypotheses at 0.05 alpha level of significance. The population for this study comprises of male and female student athletes and non-athletes of Obafemi Awolowo University, Ile-Ife, as participants. Multi-stage sampling technique was used to select Two hundred (200) respondents from five (5) faculties. A standardised questionnaire on depression and anxiety scale was used as instrument for data collection with reliability co-efficient (r) of 0.71. Two research questions were answered and five hypotheses tested at 0.05 level of significance. Findings from this study showed significance on depression between student athletes and non-athletes (X2=58.791, df=12, p<0.05), anxiety disorder (X2=50.974, df=12, p<0.05), gender difference (F=12.67, df=198, p< 0.05), joint contribution of exercise, gender and course of study (F(3,195)= 19.877) and independent contributions of Exercise 55.5% (ß=.555, t=29.452, p<0.05), gender 30.8% (ß=.308, t=15.616, p<0.05) and study 19.9% (ß=.199, t=14.519, p<0.05). It was concluded that those students who participate in exercise (athletes) show better mental health in terms of depression and anxiety disorder than non-athletes. Also, it was recommended that the Obafemi Awolowo University, Ile Ife must see it as a point of importance to give students ample opportunity to engage in physical exercise. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0780/a.php" alt="Hit counter" /></p>

scholarly journals Association Between Birth Circumstances and Prenatal Maternal Mental Health – A Retrospective Study of Intergenerational Transmission

2021 ◽  
Author(s):  
Vahideh MoghaddamHosseini ◽  
Neda Mahdavifar ◽  
Alexandra Makai ◽  
Katalin Varga ◽  
Annick Bogaerts ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Short Form ◽  
Depression And Anxiety ◽  
Medical Interventions ◽  
Biological Mothers ◽  
Long Duration ◽  
Mode Of Birth ◽  
Positive Effect ◽  
Experience Questionnaire

Abstract Background:The evidence on long-lasting effects of certain specific aspects of birth circumstances on the maternal mental health later during pregnancy in offspring is scares. Aim: This study aimed to investigate the association between birth circumstances and prenatal maternal mental health in offspring. Method: In this retrospective survey, 380 pregnant women completed the Hungarian translation of Wijma Delivery Expectancy/Experience Questionnaire A, Beck Depression Inventory-Short Form, Beck Anxiety Inventory to measure prenatal fear of childbirth (FOC), depression, and anxiety, respectively. Information on peri and postnatal events were obtained from participants’ biological mothers through Mother’s Birth Circumstances Questionnaire. This included questions regarding mode of birth, administered medical interventions during labor, early life care, and breastfeeding during infancy. Multiple Linear regression was performed for statistical analysis.Results: After adjusting for potencial confounders, administration of Oxytocin (OT) induction during labor was significantly associated with higher levels of prenatal FOC (β= 0.14; 95% CI, 0.59, 14.70), depression (β= 0.18; 95% CI, 0.47, 2.73), and anxiety (β= 0.15; 95% CI, 0.50, 6.95). Moreover, being breast fed for more than 12 months was significantly associated with lower level of prenatal FOC in offspring (β= -0.12; 95% CI, -18.42, -1.36). Conclusion: Poor prenatal mental health might be rooted in administered OT induction as a common medical practice during labor while long duration of breast feeding can have a positive effect on improving prenatal maternal mental health in offspring. Further studies of prospective design are on demand to explore the biological trajectories of these findings in humans.

A meta-analysis examining the association between maternal perfectionism and perinatal depression and anxiety

2021 ◽  
Author(s):  
Clare Evans ◽  
Jana Kreppner ◽  
Peter J Lawrence
Keyword(s):  
Mental Health ◽  
Perinatal Depression ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Depression And Anxiety ◽  
Eligibility Criteria ◽  
Prior Review ◽  
Mental Health Difficulties

Background: Perfectionism is an important feature of adult psychopathology. In the absence of a prior review of the role of perfectionism in perinatal psychopathology, we aimed to ascertain whether perfectionism was associated with symptoms of maternal perinatal depression and anxiety. Method: We followed PRISMA guidance (PROSPERO: 42019143369 ), estimated weighted effect sizes and tested possible moderators: timing (pre or post- natal), scales used to measure constructs, infant gender, temperament and age; and rated study quality. Results: 14 studies met eligibility criteria. Perfectionism as a whole, and the perfectionistic concerns dimension, were moderately correlated with common maternal perinatal mental health difficulties r= 0.32 (95% Confidence Interval = 0.23 to 0.41). In sub-group analyses, perfectionistic concerns were associated with depression (r=.35, 95% CI = 0.26 – 0.43). We found no evidence of significant moderation of associations. Limitations: Included studies had methodological and conceptual limitations. Studies inconsistently examined both perfectionistic concerns and strivings, nor anxiety as well as depression. Conclusions: Perfectionism, especially perfectionistic concerns, appears to be an important feature of common maternal perinatal mental health problems. While further research is warranted, screening and identification of perfectionism in the perinatal period may help focus resources for intervention, reducing the prevalence of perinatal mental health difficulties.

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