scholarly journals Realigning Expectations With Reality: A Case Study on Maternal Mental Health During a Difficult Breastfeeding Journey

2021 ◽  
pp. 089033442110311
Author(s):  
Mason Elder ◽  
Lorann Murphy ◽  
Stacy Notestine ◽  
Ashley Weber
Keyword(s):  
Mental Health ◽  
Support Groups ◽  
Maternal Mental Health ◽  
Bottle Feeding ◽  
Perineal Pain ◽  
Physical Trauma ◽  
Difficult Decision ◽  
History Of ◽  
Nutritional Benefits

Introduction: Many mothers have the goal to breastfeed. However, more than 50% will have breastfeeding difficulty by the 3rd day of life. Mothers who are unable to meet their breastfeeding goals are at higher risk for anxiety, depression, embarrassment, and guilt. Those who stop breastfeeding need support and help resolving these feelings. This case study aims to describe one woman’s difficulty with mental health surrounding breastfeeding, her decision to bottle feed, and her successful transition back to direct breastfeeding. Main Issue: Barriers to the participant’s success with breastfeeding were pre-existing history of depression/anxiety, forceps delivery, uncontrolled perineal pain, infant physical trauma, and nipple/flow confusion. The decision to discontinue direct breastfeeding and start bottle feeding came after 2 months of anxiety, frustration, and persistence. Management: The participant followed her healthcare team’s recommendations of triple feeding, lactation support groups, pediatric chiropractic adjustments, and prescribed galactagogues. After 2 months of exhaustion and deliberation, she made the difficult decision to stop breastfeeding for nutritional benefits and switched to breastfeeding only for her infant’s pleasure and comfort. Lowered expectations allowed the dyad to heal and her son to transition to nearly exclusive breastfeeding at 4 months of life. Conclusion: Clinicians must be aware of the delicate balance between promoting breastfeeding for its nutritional value and health benefits and supporting a struggling mother with mental health needs.

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

Creating Capabilities through Maternal Mental Health Interventions: A Case Study at Hanover Park, Cape Town

2015 ◽  
Vol 27 (2) ◽  
pp. 234-250 ◽  
Author(s):  
Ingrid Meintjes ◽  
Sally Field ◽  
Thandi Van Heyningen ◽  
Simone Honikman
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Cape Town ◽  
Health Interventions ◽  
Mental Health Interventions

scholarly journals Del hospital de pobres a la cultura hospitalo-céntrica. Economía política y cambio cultural en el sistema hospitalario catalán / From the poor hospital to the hospital-centric culture. Political economy and cultural change in the Catalan hospital system

2017 ◽  
pp. 57
Author(s):  
Josep Maria Comelles Esteban ◽  
Elisa Alegre Agís ◽  
Josep Barceló Prats
Keyword(s):  
Mental Health ◽  
Health System ◽  
Cultural Change ◽  
Hospital System ◽  
Palabras Clave ◽  
El Sistema ◽  
Salud Mental ◽  
History Of ◽  
Hospital Institution

Resumen: En el presente artículo se describe la evolución del sistema sanitario catalán utilizando, para ello, el desarrollo de un concepto cultural –el hospitalo-centrismo– clave para entender la hegemonía de la institución hospitalaria en los dispositivos de salud actuales. A tales efectos y utilizando dos perspectivas complementarias como son la historia antropológica y la antropología médica, el artículo analiza un case study a partir de tres ejemplos: la demanda de urgencias hospitalarias asociadas a una concepción cultural de lo que es “grave” y al embodiment de su eficacia por los ciudadanos; la necesidad del rol de asilo en las enfermedades crónicas o terminales; y la conversión del cuidado doméstico como “hospitalización doméstica” en el caso de la salud mental. Palabras clave: hospital-centrismo, sistema sanitario, historia de hospitales, urgencias, cuidados crónicos, salud mental. Abstract: This article describes the evolution of the Catalan Health System, using the development of a key cultural concept –hospital-centrism– to understand the hegemony of the hospital institution in the current health devices. To this purpose, and using two complementary perspectives such as anthropological history and medical anthropology, the article analyzes a case study from three examples: the demand for hospital emergencies related with a cultural conception of what is “severe”, and with its effectiveness embodied by the citizens; the need of the asylum role in chronic or terminal diseases; and the transformation of domestic care to “domestic hospitalization” in mental health cases. Keywords: hospital-centrism, health system, history of hospitals, emergencies, chronic care, mental health.

scholarly journals Prevalence of Cannabis Residues in Psychiatric Patients: A Case Study of Two Mental Health Referral Hospitals in Uganda

2014 ◽  
Vol 8 ◽  
pp. SART.S13254 ◽  
Author(s):  
Epaenetus A. Awuzu ◽  
Emmanuel Kaye ◽  
Patrick Vudriko
Keyword(s):  
Mental Health ◽  
Medical Records ◽  
Psychiatric Patients ◽  
Strong Association ◽  
Diagnostic Kits ◽  
Referral Hospitals ◽  
Other Substances ◽  
History Of ◽  
Diagnostic Capacity

Various studies have reported that abuse of cannabis is a risk factor for psychosis. The aims of this study were to determine the prevalence of delta 9-tetrahydrocanabinol (Δ 9 -THC), a major metabolite of cannabis, in psychiatric patients in Uganda, and to assess the diagnostic capacity of two referral mental health hospitals to screen patients for exposure to cannabis in Uganda. Socio-demographic characteristics of the patients were collected through questionnaires and review of medical records. Urine samples were collected from 100 patients and analyzed using Δ 9 -THC immunochromatographic kit (Standard Diagnostics®, South Korea). Seventeen percent of the patients tested positive for Δ 9 -THC residues in their urine. There was strong association ( p < 0.05) between history of previous abuse of cannabis and presence of Δ 9 -THC residues in the urine. Alcohol, cocaine, heroin, pethidine, tobacco, khat and kuber were the other substances abused in various combinations. Both referral hospitals lacked laboratory diagnostic kits for detection of cannabis in psychiatric patients. In conclusion, previous abuse of cannabis is associated with occurrence of the residues in psychiatric patients, yet referral mental health facilities in Uganda do not have the appropriate diagnostic kits for detection of cannabis residues as a basis for evidence-based psychotherapy.

Prevention of Postpartum Disorders

2020 ◽  
pp. 99-104
Author(s):  
Leena P. Mittal
Keyword(s):  
Mental Health ◽  
Good Health ◽  
Mental Health Disorder ◽  
Bottle Feeding ◽  
Support Networks ◽  
Personal History ◽  
Previous Pregnancy ◽  
Postpartum Disorders ◽  
History Of ◽  
History Of Depression

This chapter on prevention of postpartum disorders reviews the factors that can decrease the risks of developing a postpartum psychiatric disorder. The primary risk for postpartum or perinatal depression is a personal history of depression during or after a previous pregnancy. Maintenance during pregnancy of treatment for a pre-existing mental health disorder is essential. Building support networks is also important. Ensuring good health practices during the postpartum such as getting adequate exercise, eating well, and exposure to light can all be helpful. Sleep is an important component in reducing risks. Working with a partner who can help with some overnight bottle feeding can also be very beneficial.

scholarly journals Maternal mental health and internalizing and externalizing psychopathology in extremely low birth weight adults

2019 ◽  
Vol 11 (6) ◽  
pp. 632-639
Author(s):  
Meena Rangan ◽  
Megan Banting ◽  
Lindsay Favotto ◽  
Louis A. Schmidt ◽  
Saroj Saigal ◽  
...  
Keyword(s):  
Mental Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Extremely Low Birth Weight ◽  
Maternal History ◽  
Modifiable Factors ◽  
History Of

AbstractThe mental health of adult extremely low birth weight (ELBW) (<1000 g) survivors is poorer than their normal birth weight (NBW) peers. An understanding of the modifiable factors that affect this risk could provide targets for intervention. We set out to determine the extent to which a maternal history of mental health problems influenced mental health in ELBW and NBW offspring in adulthood. A total of 85 ELBW and 88 NBW individuals born between 1977 and 1982 in central west Ontario, Canada self-reported on internalizing (depression, anxiety) and externalizing (attention-deficit hyperactivity and antisocial) problems using the Diagnostic and Statistical Manual of Mental Disorders (DSM) scales of the Young Adult Self-Report at ages 22–26 and 30–35. They also reported on their mother’s maternal mental health using the Family History Screen. An interaction was found between birth weight status and maternal history of an anxiety disorder such that ELBW survivors showed a greater increase in internalizing scores than NBW participants at 22–26 (β = 10.27, p = 0.002) and at 30–35 years of age (β = 12.65, p = 0.002). An interaction was also observed between birth weight and maternal history of mood disorder, with higher externalizing scores in ELBW survivors than NBW adults at 22–26 (β = 7.21, p < 0.0001). ELBW adults appear to be more susceptible to the adverse mental health effects of exposure to maternal mood and anxiety disorders than those born at NBW. These links further highlight the importance of detecting and treating mental health problems in the parents of preterm survivors as a means of attempting to reduce the burden of psychopathology in this population.

scholarly journals Stepped Care for Maternal Mental Health: A Case Study of the Perinatal Mental Health Project in South Africa

PLoS Medicine ◽  
2012 ◽  
Vol 9 (5) ◽  
pp. e1001222 ◽  
Author(s):  
Simone Honikman ◽  
Thandi van Heyningen ◽  
Sally Field ◽  
Emily Baron ◽  
Mark Tomlinson
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Maternal Mental Health ◽  
Stepped Care ◽  
Perinatal Mental Health ◽  
Health Project

Maternal Depression and the Emotional Development of the Child

1989 ◽  
Vol 154 (6) ◽  
pp. 818-822 ◽  
Author(s):  
H. L. Caplan ◽  
S. R. Cogill ◽  
Heather Alexandra ◽  
Kay Mordecai Robson ◽  
R. Katz ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Development ◽  
Cognitive Abilities ◽  
Postnatal Depression ◽  
Maternal Mental Health ◽  
Longitudinal Survey ◽  
Current Health ◽  
Behavioural Difficulties ◽  
History Of ◽  
Psychiatric Problems

Ninety-two women and their first-born children took part in a longitudinal survey of maternal mental health. When the children were four years old, their mothers were interviewed by means of the Behavioural Screening Questionnaire, and the children's problems were rated by a psychiatrist, who was unaware of the mothers' psychiatric histories or of assessments of their current health. As expected, mothers who were concurrently depressed reported significantly more behavioural difficulties in their children. Marital disharmony during pregnancy and a history of paternal psychiatric problems were also associated with later childhood behavioural difficulties. Children who scored below average on the McCarthy scales of cognitive abilities were also reported by their mothers to have more behavioural problems, but the children's behavioural difficulties at four showed no clear links with postnatal depression.

Group Experiences and Individual Differences in Stuttering

2019 ◽  
Vol 62 (12) ◽  
pp. 4335-4350 ◽  
Author(s):  
Seth E. Tichenor ◽  
J. Scott Yaruss
Keyword(s):  
Individual Differences ◽  
Support Groups ◽  
Support Group ◽  
Affective States ◽  
Life Outcomes ◽  
Self Help ◽  
Wide Range ◽  
Group Experiences ◽  
History Of ◽  
Adults Who Stutter

Purpose This study explored group experiences and individual differences in the behaviors, thoughts, and feelings perceived by adults who stutter. Respondents' goals when speaking and prior participation in self-help/support groups were used to predict individual differences in reported behaviors, thoughts, and feelings. Method In this study, 502 adults who stutter completed a survey examining their behaviors, thoughts, and feelings in and around moments of stuttering. Data were analyzed to determine distributions of group and individual experiences. Results Speakers reported experiencing a wide range of both overt behaviors (e.g., repetitions) and covert behaviors (e.g., remaining silent, choosing not to speak). Having the goal of not stuttering when speaking was significantly associated with more covert behaviors and more negative cognitive and affective states, whereas a history of self-help/support group participation was significantly associated with a decreased probability of these behaviors and states. Conclusion Data from this survey suggest that participating in self-help/support groups and having a goal of communicating freely (as opposed to trying not to stutter) are associated with less negative life outcomes due to stuttering. Results further indicate that the behaviors, thoughts, and experiences most commonly reported by speakers may not be those that are most readily observed by listeners.

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