Parent-Infant Psychotherapy and Postpartum Depression: The Fathers Participation

Given the specificities of postpartum maternal depression, the literature recommends that fathers become involved in psychological interventions within this context. This study presents an investigation of the participation of fathers in parent-infant psychotherapy in the context of maternal postpartum depression. Two families participated in this study, both with a child aged between 7 and 8 months old, whose mothers showed depressive symptoms. These families participated in parent-infant psychotherapy lasting approximately 12 sessions. Analysis of the fathers’ participation in psychotherapy showed that their presence during sessions enables the therapy to address aspects of parenthood, and also reduce the feeling of mothers as being the only ones responsible for the family’s process of change. In regard to the technique, the presence of fathers during sessions allows the therapist to see and address the issues concerning mother-father-infant during sessions.

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The association of maternal postpartum depression with infant weight growth: a prospective birth cohort study

10.21203/rs.3.rs-852252/v1 ◽

2021 ◽

Author(s):

Qiong He ◽

Gang Cheng ◽

Simin He ◽

Gang Tian ◽

Xiaowei Xie ◽

...

Keyword(s):

Postpartum Depression ◽

Maternal Depression ◽

Birth Cohort ◽

Mixed Models ◽

Linear Mixed Models ◽

Estimating Equation ◽

Generalized Estimating Equation ◽

Weight Growth ◽

Prospective Birth Cohort ◽

Maternal Postpartum Depression

Abstract Background Untreated maternal postpartum depression has consequences for infant weight, which may vary with infant growth time and postpartum depression duration. Dynamic assessment of the association between maternal postpartum depression and infant weight growth is crucial for early detection of the suspicious abnormal effects of maternal postpartum depression on infant weight growth and taking corresponding intervention measures. But, none of published studies continuously and dynamically evaluated these effect changes on infant weight growth. This study was aimed to evaluate the dynamic effects of maternal postpartum depression on infant weight growth at a prospective birth cohort. Methods 960 mother-infant pairs between 2015 to 2018 in Changsha, China were followed up at ages of 1, 3, 6, 8, and 12 months. Data were obtained through household surveys. Depression of mothers was assessed at 1 month postpartum. Linear mixed models and generalized estimating equation models were used to test the connection and its changes between maternal postpartum depression and infant weight growth at five different periods of 1–12 months. Results 8.0% of mothers reported postpartum depression. Adjusted linear mixed models showed a negative association between maternal depression at 1-month postpartum and infant weight at 1 month, 1–3 months, 1–6 months, 1–8 months, and 1–12 months, in which infants with depressed mothers were the lighter weight of 0.14kg (95%CI:0.02, 0.25), 0.13kg (95%CI:0.02, 0.24), 0.13kg (95%CI:0.02, 0.24), 0.13kg (95%CI:0.02, 0.24), and 0.16kg (95%CI:0.04, 0.27) relative to not depressed respectively. Generalized estimating equation models showed a positive association between maternal depression at 1-month postpartum and infant underweight at 1 month and 1–3 months, in which infants of maternal depression had higher risk ratio of underweight in 3.19 (95%CI:1.38, 7.34) and 3.19(95%CI:1.32, 7.70) compared to those mothers were not depressed accordingly. Conclusions Maternal postpartum depression was continuously associated with a lighter weight of ifants from 1 to 12 months and higher risk of being underweight in infants from 1 to 3 months. It seems important to put early prevention, screening, diagnosis, and treatment of maternal depression into practice as soon as possible to avoid adverse consequences.

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Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape

Translational Psychiatry ◽

10.1038/s41398-021-01270-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Divya Mehta ◽

Karen Grewen ◽

Brenda Pearson ◽

Shivangi Wani ◽

Leanne Wallace ◽

...

Keyword(s):

Gene Expression ◽

Depressive Symptoms ◽

Postpartum Depression ◽

Expression Profiles ◽

Depression Scale ◽

Well Being ◽

Health Concern ◽

Genome Wide ◽

A Genome ◽

Genome Wide Gene Expression

AbstractMaternal postpartum depression (PPD) is a significant public health concern due to the severe negative impact on maternal and child health and well-being. In this study, we aimed to identify genes associated with PPD. To do this, we investigated genome-wide gene expression profiles of pregnant women during their third trimester of pregnancy and tested the association of gene expression with perinatal depressive symptoms. A total of 137 women from a cohort from the University of North Carolina, USA were assessed. The main phenotypes analysed were Edinburgh Postnatal Depression Scale (EPDS) scores at 2 months postpartum and PPD (binary yes/no) based on an EPDS cutoff of 10. Illumina NextSeq500/550 transcriptomic sequencing from whole blood was analysed using the edgeR package. We identified 71 genes significantly associated with postpartum depression scores at 2 months, after correction for multiple testing at 5% FDR. These included several interesting candidates including TNFRSF17, previously reported to be significantly upregulated in women with PPD and MMP8, a matrix metalloproteinase gene, associated with depression in a genome-wide association study. Functional annotation of differentially expressed genes revealed an enrichment of immune response-related biological processes. Additional analysis of genes associated with changes in depressive symptoms from recruitment to 2 months postpartum identified 66 genes significant at an FDR of 5%. Of these genes, 33 genes were also associated with depressive symptoms at 2 months postpartum. Comparing the results with previous studies, we observed that 15.4% of genes associated with PPD in this study overlapped with 700 core maternal genes that showed significant gene expression changes across multiple brain regions (P = 7.9e-05) and 29–53% of the genes were also associated with estradiol changes in a pharmacological model of depression (P values range = 1.2e-4–2.1e-14). In conclusion, we identified novel genes and validated genes previously associated with oestrogen sensitivity in PPD. These results point towards the role of an altered immune transcriptomic landscape as a vulnerability factor for PPD.

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Trajectories of maternal depressive symptoms and offspring’s risk behavior in early adolescence: data from the 2004 Pelotas birth cohort study

BMC Psychiatry ◽

10.1186/s12888-020-03026-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ana Beatriz Bozzini ◽

Jessica Mayumi Maruyama ◽

Tiago N. Munhoz ◽

Aluísio J. D. Barros ◽

Fernando C. Barros ◽

...

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Alcohol Use ◽

Maternal Depression ◽

Risk Behavior ◽

Birth Cohort ◽

Depression Scale ◽

Self Report ◽

Birth Cohort Study ◽

Maternal Depressive Symptoms

Abstract Background This longitudinal study explored the relationship between trajectories of maternal depressive symptoms and offspring’s risk behavior in adolescence contributing to an extremely scarce literature about the impacts of maternal depression trajectories on offspring risk behaviors. Methods We included 3437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Trajectories of maternal depressive symptoms were constructed using Edinburgh Postnatal Depression Scale (EDPS) from age 3 months to 11 years. We identified five trajectories of maternal depressive symptoms: “low” “moderate low”, “increasing”, “decreasing”, and “chronic high”. The following adolescent outcomes were identified via self-report questionnaire and analyzed as binary outcome –yes/no: involvement in fights and alcohol use at age 11. We used logistic regression models to examine the effects of trajectories of maternal depressive symptoms on offspring’s risk behavior adjusting for potential confounding variable. Results Alcohol use and/or abuse as well as involvement in fights during adolescence, were not significantly associated with any specific trajectory of maternal depressive symptoms neither in the crude nor in the adjusted analyses. Conclusion Alcohol use and involvement in fights at age 11 were not associated with any specific trajectory of maternal depression.

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

Psychological Medicine ◽

10.1017/s003329171500015x ◽

2015 ◽

Vol 45 (9) ◽

pp. 1999-2012 ◽

Cited By ~ 27

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.

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The role of intimate partner violence victimization during pregnancy on maternal postpartum depression in Eastern Ethiopia

SAGE Open Medicine ◽

10.1177/2050312121989493 ◽

2021 ◽

Vol 9 ◽

pp. 205031212198949

Author(s):

Wondimye Ashenafi ◽

Bezatu Mengistie ◽

Gudina Egata ◽

Yemane Berhane

Keyword(s):

Intimate Partner Violence ◽

Postpartum Depression ◽

Confidence Interval ◽

Partner Violence ◽

Prevalence Ratio ◽

Intimate Partner ◽

Eastern Ethiopia ◽

Physical Intimate Partner Violence ◽

Violence During Pregnancy ◽

Maternal Postpartum Depression

Background: Intimate partner violence during pregnancy is a strong predictor of maternal postpartum depression. In Ethiopia, evidence on the association of intimate partner violence during pregnancy with postpartum depression is very limited. To design appropriate intervention, it is thus important to understand how postpartum depression varies as a function of the type and severity of intimate partner violence victimization during pregnancy. The aim of this study is to explore the association of different types of intimate partner violence during pregnancy and its severity with postpartum depression in Eastern Ethiopia. Method: A community-based cross-sectional study was conducted from January to October 2018. The study included a sample of 3015 postpartum women residing in Eastern Ethiopia. The cutoff point for postpartum depression was defined as ⩾13 points according to the Edinburgh Postnatal Depression Scale. The prevalence ratio with 95% confidence intervals was calculated, and the association between the main predictor (i.e. intimate partner violence during pregnancy) and the outcome variable (postpartum depression) was determined using log binomial regression model. Results: 16.3% (95% confidence interval: 14.9–17.7) of women experienced postpartum depression. After controlling potential confounding factors, the prevalence of postpartum depression among women exposed to severe physical intimate partner violence during pregnancy was 1.98 times higher as compared to those not exposed to physical intimate partner violence during pregnancy (adjusted prevalence ratio = 1.98; 95% confidence interval: 1.53–2.54). Exposure to psychological intimate partner violence during pregnancy was found to increase the prevalence of postpartum depression by 1.79 as compared to non-exposure to psychological intimate partner violence during pregnancy (adjusted prevalence ratio = 1.79; 95% confidence interval: 1.48–2.18). Conclusion: The study provides evidence that psychological and severe physical intimate partner violence during pregnancy were significantly associated with maternal postpartum depression. Screening of pregnant women for intimate partner violence and providing them the necessary support can minimize the risk to postpartum depression.

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Infants' Temperament and Health Problems according to Maternal Postpartum Depression

Journal of Korean Academy of Nursing ◽

10.4040/jkan.2011.41.4.444 ◽

2011 ◽

Vol 41 (4) ◽

pp. 444 ◽

Cited By ~ 15

Author(s):

Kyung-Sook Bang

Keyword(s):

Postpartum Depression ◽

Health Problems ◽

Maternal Postpartum Depression

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Maternal Postpartum Depression and Communication Development in Infants: Is There a Role for the Speech-Language Pathologist?

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig1.175 ◽

2016 ◽

Vol 1 (1) ◽

pp. 175-181

Author(s):

Nancy Hall

Keyword(s):

Cognitive Development ◽

Postpartum Depression ◽

Speech Language Pathologists ◽

Communication Development ◽

Speech Language Pathologist ◽

Question Survey ◽

Maternal Postpartum Depression

Objective To survey speech-language pathologists (SLPs) regarding their involvement in treating infants whose mothers experience postpartum depression. Method SIG 1 members were invited to participate in an 8-question survey examining their involvement with infant-mother pairs, including mothers diagnosed with postpartum depression (PPD). Results Results indicate that, while some SLPs frequently work with infant-mother pairs, few have knowledge regarding the diagnosis of PPD in the mothers. Conclusions It is likely that many SLPs are working with infant-mother pairs that include mothers who are experiencing PPD. Suggestions regarding the role of the SLP are offered, including providing support for these mothers in terms of obtaining services and helping these mothers use appropriate infant-directed speech to facilitate communication and cognitive development in their infants.

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Associations between maternal depressive symptoms, children’s behavioral problems and perceptions regarding family interactions

Estudos de Psicologia (Campinas) ◽

10.1590/1982-0275202037e190048 ◽

2020 ◽

Vol 37 ◽

Author(s):

Claudia Mazzer RODRIGUES-PALUCCI ◽

Fernanda Aguiar PIZETA ◽

Sonia Regina LOUREIRO

Keyword(s):

Depressive Symptoms ◽

Maternal Depression ◽

Behavioral Problems ◽

School Age Children ◽

Family Interactions ◽

Maternal Depressive Symptoms ◽

School Age ◽

The Family ◽

Mothers And Children ◽

Patient Health

Abstract The aim of this study was to verify possible associations between maternal depressive symptoms, children’s behavioral problems and perceptions regarding the family interactions, considering the reports of mothers and children. A total of 60 mothers and their school-age children were divided into two equal groups, according to the presence or absence of maternal depression indicators, and evaluated using the following instruments: Sociodemographic Questionnaire, Patient Health Questionnaire-9, Strengths and Difficulties Questionnaire, and scales of family interaction (Escalas de Qualidade nas Interações Familiares). The results indicate that maternal depressive symptoms were associated with children’s behavioral problems and with family interactions reported by mothers and children. Maternal depression and positive family interactions reported by the mothers predicted behavioral problems in children. Positive family interactions reported by the mothers also mediated the association between maternal depression and children’s behavioral problems, highlighting the relevance of interventions with mothers with depression indicators that have school-age children.

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