scholarly journals Association Between Obstetric Violence and Symptoms Suggestive of Postpartum Depression

2021 ◽  
Author(s):  
Janini Cristina Paiz ◽  
Stela Maris Jezus Castro ◽  
Elsa Regina Justo Giugliani ◽  
Sarah Maria Santos Ahne ◽  
Camila Bonalume Dall'Aqua ◽  
...  
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Postpartum Depression ◽  
Mental Health Problems ◽  
Health Problems ◽  
Inverse Association ◽  
Obstetric Violence ◽  
Maternity Hospitals ◽  
Pregnancy And Postpartum ◽  
History Of

Abstract Background: Postpartum depression is a common condition in the pregnancy and postpartum cycle. The development of this condition is multifactorial and can be influenced by previous traumas. This study sought to verify whether there is an association between having been exposed to obstetric violence and presenting symptoms suggestive of postpartum depression.Methods: This is a cross-sectional study, with the inclusion of 287 women without complications in childbirth, randomly selected from two maternity hospitals of Porto Alegre, southern Brazil, in 2016. Four weeks after delivery, the postpartum women answered a face-to-face interview about socioeconomic aspects, obstetric history, health history, and childbirth experience (practices and interventions applied) and completed the Edinburgh Postnatal Depression Scale (EPDS). From the perception of women regarding the practices performed in the context of childbirth care, a composite variable was created, using item response theory, to measure the level of obstetric violence. The items that made up this variable were: absence of a companion during delivery, feeling insecure and not welcome, lack of privacy, lack of skin-to-skin contact after delivery, not having understood the information shared with them, and not having felt comfortable to ask questions and make decisions about their care. To define symptoms suggestive of postpartum depression, reflecting on increased probability of this condition, the EPDS score was set at ≥8. Poisson Regression with robust variance estimation was used for modeling.Results: Women who experienced obstetric violence had a higher prevalence of symptoms suggestive of postpartum depression (PR 1.55 95% CI 1.07-2.25), as well as those with a history of mental health problems (PR 2.41 95% CI 1.15-5.05), while higher socioeconomic status (A and B) had an inverse association (PR 0.38 95% CI 0.19-0.78).Conclusions: Symptoms suggestive of postpartum depression seems to be more prevalent in women who have suffered obstetric violence, of low socioeconomic status, and with a history of mental health problems. Thus, qualifying care for women during pregnancy, childbirth and postpartum and reducing social inequalities are challenges to be faced in order to reduce the occurrence of postpartum depression.

scholarly journals Predictors of clinical deterioration in patients with suspected COVID-19 managed in a ‘virtual hospital’ setting: a cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045356
Author(s):  
Nick A Francis ◽  
Beth Stuart ◽  
Matthew Knight ◽  
Rama Vancheeswaran ◽  
Charles Oliver ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Hospital Setting ◽  
Health Problems ◽  
Clinical Deterioration ◽  
Care Services ◽  
Increased Risk ◽  
Remote Assessment ◽  
History Of

ObjectiveIdentify predictors of clinical deterioration in a virtual hospital (VH) setting for COVID-19.DesignReal-world prospective observational study.SettingVH remote assessment service in West Hertfordshire NHS Trust, UK.ParticipantsPatients with suspected COVID-19 illness enrolled directly from the community (postaccident and emergency (A&E) or medical intake assessment) or postinpatient admission.Main outcome measureDeath or (re-)admission to inpatient hospital care during VH follow-up and for 2 weeks post-VH discharge.Results900 patients with a clinical diagnosis of COVID-19 (455 referred from A&E or medical intake and 445 postinpatient) were included in the analysis. 76 (8.4%) of these experienced clinical deterioration (15 deaths in admitted patients, 3 deaths in patients not admitted and 58 additional inpatient admissions). Predictors of clinical deterioration were increase in age (OR 1.04 (95% CI 1.02 to 1.06) per year of age), history of cancer (OR 2.87 (95% CI 1.41 to 5.82)), history of mental health problems (OR 1.76 (95% CI 1.02 to 3.04)), severely impaired renal function (OR for eGFR <30=9.09 (95% CI 2.01 to 41.09)) and having a positive SARS-CoV-2 PCR result (OR 2.0 (95% CI 1.11 to 3.60)).ConclusionsThese predictors may help direct intensity of monitoring for patients with suspected or confirmed COVID-19 who are being remotely monitored by primary or secondary care services. Further research is needed to confirm our findings and identify the reasons for increased risk of clinical deterioration associated with cancer and mental health problems.

The Effect of Postpartum Depression and Current Mental Health Problems of the Mother on Child Behaviour at Eight Years

2017 ◽  
Vol 21 (7) ◽  
pp. 1563-1572 ◽  
Author(s):  
R. Closa-Monasterolo ◽  
M. Gispert-Llaurado ◽  
J. Canals ◽  
V. Luque ◽  
M. Zaragoza-Jordana ◽  
...  
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Mental Health Problems ◽  
Health Problems ◽  
Child Behaviour

The History, Justification, and Purpose of Mental Health Law

2021 ◽  
pp. 34-52
Author(s):  
Kay Wilson
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Common Law ◽  
Health Problems ◽  
Systemic Reform ◽  
Health Law ◽  
Mental Health Law ◽  
Incremental Change ◽  
History Of ◽  
The Common

Chapter 2 examines the historical development of mental health law in England (which is similar to the rest of the common law world, including America, Canada, and Australia) and uses that history to consider the justification, purpose, and need for mental health law from Ancient Greece to the present. Contrary to the claims of abolitionists that mental health law has essentially always stayed the same, it demonstrates a history of continuous legal and systemic reform in mental health law. Rather than an over-zealous and interfering state keen to exercise social control over persons with mental impairment, it instead depicts a state which for the most part reluctantly only became involved in the care of persons with mental health problems when informal care by family and friends failed or was non-existent, to prevent abuses by private operators, and as an incident of its administration of the criminal law. When set against the background of the fashions, cycles, and recurring themes of mental health law, the call of abolition can be conceptualized as simply the latest fad in its evolution. Further, many of the issues which arise from mental health problems will continue to exist even without mental health law. Mental health law can be positive and negative, including defining and protecting rights and allocating resources. The chapter cautions against being too optimistic about the promises of sweeping revolutionary changes which have never really delivered (deinstitutionalization or the ‘abolition’ of the asylum being the most poignant example), in favour of solid incremental change.

scholarly journals Maternal mental health and infant emotional reactivity: a 20-year two-cohort study of preconception and perinatal exposures

2019 ◽  
Vol 50 (5) ◽  
pp. 827-837 ◽  
Author(s):  
Elizabeth Spry ◽  
Margarita Moreno-Betancur ◽  
Denise Becker ◽  
Helena Romaniuk ◽  
John B. Carlin ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Emotional Reactivity ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Prior Exposure ◽  
Differential Sensitivity ◽  
Perinatal Mental Health ◽  
Pregnancy And Postpartum

AbstractBackgroundMaternal mental health during pregnancy and postpartum predicts later emotional and behavioural problems in children. Even though most perinatal mental health problems begin before pregnancy, the consequences of preconception maternal mental health for children's early emotional development have not been prospectively studied.MethodsWe used data from two prospective Australian intergenerational cohorts, with 756 women assessed repeatedly for mental health problems before pregnancy between age 13 and 29 years, and during pregnancy and at 1 year postpartum for 1231 subsequent pregnancies. Offspring infant emotional reactivity, an early indicator of differential sensitivity denoting increased risk of emotional problems under adversity, was assessed at 1 year postpartum.ResultsThirty-seven percent of infants born to mothers with persistent preconception mental health problems were categorised as high in emotional reactivity, compared to 23% born to mothers without preconception history (adjusted OR 2.1, 95% CI 1.4–3.1). Ante- and postnatal maternal depressive symptoms were similarly associated with infant emotional reactivity, but these perinatal associations reduced somewhat after adjustment for prior exposure. Causal mediation analysis further showed that 88% of the preconception risk was a direct effect, not mediated by perinatal exposure.ConclusionsMaternal preconception mental health problems predict infant emotional reactivity, independently of maternal perinatal mental health; while associations between perinatal depressive symptoms and infant reactivity are partially explained by prior exposure. Findings suggest that processes shaping early vulnerability for later mental disorders arise well before conception. There is an emerging case for expanding developmental theories and trialling preventive interventions in the years before pregnancy.

Psychological distress among Vietnamese adults attending Vietnamese-speaking general practices in South Western Sydney: prevalence and associations

2016 ◽  
Vol 22 (4) ◽  
pp. 354 ◽  
Author(s):  
Thi Nguyen ◽  
Sarah Dennis ◽  
Huy An ◽  
Sanjyot Vagholkar ◽  
Siaw Teng Liaw
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Problems ◽  
Past History ◽  
Health Problems ◽  
High Exposure ◽  
Increased Risk ◽  
History Of ◽  
General Practices ◽  
Exposure To Trauma

Objective The aim of the present study was to determine the prevalence of psychological distress among Vietnamese adults attending Vietnamese-speaking general practices and explore possible risk factors in this population. Methods A cross-sectional survey of Vietnamese adult patients was conducted at 25 general practices with Vietnamese-speaking general practitioners (GPs) in south-western Sydney between October 2012 and February 2013. Patients completed the Kessler (K10) scale and a demographic questionnaire, available in Vietnamese or English. Data were analysed using SPSS version 21. Results Of the 350 patients invited to participate, 247 completed surveys (response rate 71%). One-quarter (25%) of participants had a very high K10 score for psychological distress, nearly twice that reported in the NSW Health Survey. Participants with high exposure to trauma were at increased risk of psychological distress (odds ratio 5.9, 95% confidence interval 2.4–14.4; P < 0.0001) compared with those with mild or no trauma exposure. Similarly, risk was increased if there was a past history of mental health problems and a lack of personal and social support. Conclusion The high prevalence of mental health problems in adult Vietnamese people attending Vietnamese-speaking general practices is associated with exposure to trauma. This highlights the importance of personal, social and professional support in effective management. Vietnamese-speaking GPs who see Vietnamese or similar refugee groups should actively seek out a history of exposure to trauma, a past history of mental illness and the existence of support systems.

A history of mental health problems may predict maternal distress in women postpartum

Midwifery ◽  
2013 ◽  
Vol 29 (2) ◽  
pp. 122-131 ◽  
Author(s):  
Louise Seimyr ◽  
Barbara Welles-Nyström ◽  
Eva Nissen
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Maternal Distress ◽  
History Of

scholarly journals Net worth and Mental Health Problems

2021 ◽  
Vol 2 (3) ◽  
pp. 095-096
Author(s):  
Jaewon Lee ◽  
Jennifer Allen
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Socioeconomic Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Net Worth ◽  
Over Time

Assets and debts and other accumulated wealth should be considered to understand one’s mental health because they influence quality of life over time. Researchers acknowledge limitations of previous studies regarding mental health, which did not consider net worth [1]. Previous studies have mainly addressed Socioeconomic Status (SES) as an indicator influencing mental health [2,3], rather than considering net worth. As a result, the importance of net worth (Wealth and debt) has been growing, and these factors should be included to deeply understand mental health [1].

scholarly journals Prevalence of Mental Health Problems and Its Associated Factors Among Recovered COVID-19 Patients During the Pandemic: A Single-Center Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Mojgan Khademi ◽  
Roya Vaziri-Harami ◽  
Jamal Shams
Keyword(s):  
Mental Health ◽  
Associated Factors ◽  
Mental Health Problems ◽  
Female Gender ◽  
Health Problems ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Care Workers ◽  
Patient Health ◽  
History Of

Introduction: The coronavirus disease 2019 (COVID-19), is profoundly affecting the mental health status. Although the burden of mental health problems has been reported in the general population and health care workers, little is known about the prevalence of mental health disorders among recovered COVID-19 patients and their associated factors.Methods: A cross-sectional telephonic-study of recovered COVID-19 patients with and without a history of hospitalization was conducted from April 20 to June 20, 2020, in Tehran, Iran. We assessed the anxiety symptoms, depression, and post-traumatic stress disorder (PTSD) among participants, using the Patient Health Questionnaire (PHQ-4) and PTSD checklist for DSM-5 (PCL-5). Logistic regression analyses were used to explore the risk factors associated with mental health problems.Results: A total of 602 individuals with a mean age of 53.2 years (SD: 14.7), completed the study. The rates of mental health symptoms among the respondents were 5.8% (95% CI: 4.2–7.8%) for anxiety, 5.0% (95% CI: 3.5–7.0%) for depression, and 3.8% (95% CI: 2.3–5.3%) for PTSD disorders. Moreover, being younger than 50 years and female gender was significantly associated with a higher probability of reporting anxiety (p &lt; 0.01), and depression (p &lt; 0.001 for being younger than 50 years, p &lt; 0.02 for female gender).Conclusions: The current study indicated that patients with COVID-19 presented features of anxiety, depression, and PTSD. These results may help implement appropriate mental health intervention policies for those at risk and minimize the mental health consequences of the COVID-19.

scholarly journals Mood and neural responses to social rejection do not seem to be altered in resilient adolescents with a history of adversity

2019 ◽  
Vol 32 (2) ◽  
pp. 411-423
Author(s):  
Jessica Fritz ◽  
Jason Stretton ◽  
Adrian Dahl Askelund ◽  
Susanne Schweizer ◽  
Nicholas D. Walsh ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Childhood Adversity ◽  
Health Problems ◽  
Social Rejection ◽  
Anterior Cingulate ◽  
Neural Responses ◽  
Social Feedback ◽  
Dorsal Anterior Cingulate Cortex ◽  
History Of

AbstractChildhood adversity (CA) increases the risk of subsequent mental health problems. Adolescent social support (from family and/or friends) reduces the risk of mental health problems after CA. However, the mechanisms of this effect remain unclear, and we speculate that they are manifested on neurodevelopmental levels. Therefore, we investigated whether family and/or friendship support at ages 14 and 17 function as intermediate variables for the relationship between CA before age 11 and affective or neural responses to social rejection feedback at age 18. We studied 55 adolescents with normative mental health at age 18 (26 with CA and therefore considered “resilient”), from a longitudinal cohort. Participants underwent a Social Feedback Task in the magnetic resonance imaging scanner. Social rejection feedback activated the dorsal anterior cingulate cortex and the left anterior insula. CA did not predict affective or neural responses to social rejection at age 18. Yet, CA predicted better friendships at age 14 and age 18, when adolescents with and without CA had comparable mood levels. Thus, adolescents with CA and normative mood levels have more adolescent friendship support and seem to have normal mood and neural responses to social rejection.

scholarly journals Adolescent Socioeconomic Status and Mental Health Inequalities in the Netherlands, 2001–2017

2019 ◽  
Vol 16 (19) ◽  
pp. 3605 ◽  
Author(s):  
Dominic Weinberg ◽  
Gonneke W. J. M. Stevens ◽  
Elisa L. Duinhof ◽  
Catrin Finkenauer
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Life Satisfaction ◽  
Educational Level ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Health Problems ◽  
Socioeconomic Inequalities ◽  
Negatively Associated ◽  
Subjective Ses

Even in wealthy countries there are substantial socioeconomic inequalities in adolescent mental health. Socioeconomic status (SES) indicators—parental SES, adolescent subjective SES and adolescent educational level—are negatively associated with adolescent mental health problems, but little is known about the interplay between these SES indicators and whether associations have changed over time. Using data from the Dutch Health Behaviour in School-Aged Children (HBSC) studies (n = 27,020) between 2001 and 2017, we examined associations between three SES indicators and six indicators of adolescent mental health problems. Linear regressions revealed that adolescent subjective SES and adolescent educational level were independently negatively associated with adolescent mental health problems and positively associated with adolescent life satisfaction, but parental SES had negligible independent associations with adolescent mental health problems and life satisfaction. However, when interactions between SES indicators were considered, high adolescent subjective SES was shown to buffer the negative association between parental SES and adolescent mental health problems and the positive association between parental SES and life satisfaction. Despite societal changes between 2001 and 2017, socioeconomic inequalities in adolescent mental health were stable during this period. Findings suggest that all three SES indicators—parental SES, adolescent subjective SES and adolescent educational level—are important for studying socioeconomic inequalities in adolescent mental health.

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