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.

scholarly journals A Review of the Involvement of Partners and Family Members in Psychosocial Interventions for Supporting Women at Risk of or Experiencing Perinatal Depression and Anxiety

2021 ◽  
Vol 18 (10) ◽  
pp. 5396
Author(s):  
Maria Noonan ◽  
Julie Jomeen ◽  
Owen Doody
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Family Relationships ◽  
Perinatal Depression ◽  
Family Members ◽  
Psychosocial Interventions ◽  
Assessment Tools ◽  
Perinatal Mental Health ◽  
Depression And Anxiety ◽  
Eligibility Criteria

A maternal experience of perinatal mental health conditions can have serious short- and long-term consequences for child development and family relationships. Women with perinatal depression and/or anxiety are primarily supported by their partner/spouse and family. The aim of this review was to synthesise data from studies that have examined the inclusion of partners or family members in psychosocial interventions for women at risk of or experiencing perinatal depression and/or anxiety. A systematic search of five databases was conducted to identify literature published between 2010 and 2020. Nine empirical studies met the eligibility criteria and were independently assessed by two authors using the National Heart, Lung and Blood Institute Quality Assessment Tools and data were extracted and narratively synthesised guided by TIDieR (Template for Intervention Description and Replication) checklist. Eligible studies detailed diverse interventions facilitated by a variety of programme facilitators, with no central model of intervention or study outcome measures evident across the studies. All studies except one reported a significant change in maternal depression and anxiety scores. The interventions had limited evaluation of the woman’s, partner’s or family member’s experiences of involvement in the intervention. Further research is required to firmly establish the effectiveness of co-designed interventions to support the sustainable integration of such interventions into routine perinatal mental health services.

scholarly journals The Role of Maternity Services in Reducing the Prevalence and Cost of Perinatal Depression and Anxiety during COVID-19 in England

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Rachael Maree Hunter
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Maternity Care ◽  
Perinatal Depression ◽  
Mental Health Problems ◽  
Perinatal Mental Health ◽  
Depression And Anxiety ◽  
Maternity Services ◽  
The Impact

In 2020 the novel coronavirus outbreak (COVID-19) was declared a global pandemic. Pregnant women have been recognised as a group specifically at risk during this time due to the impact that the COVID-19 infection may have on the health of the birthing person and the unknown impact of vertical transmission to the fetus. Pregnant women also have a recognised risk of perinatal mental health problems including depression and anxiety. The aim of this paper is to summarise the impact of the COVID-19 pandemic and associated infection control measures on perinatal depression and anxiety in England, the cost of the additional impact and the role of English National Health Service (NHS) trusts and maternity services in reducing the impact and cost. Studies including systematic reviews and meta-analyses have found a 3 to 5 fold increase in perinatal depression and anxiety during the COVID-19 pandemic compared to non-pandemic times. This increased prevalence, if also seen in England, is at a potential cost to society of £10.6 billion for depression and £6.9 billion for anxiety, including a cost to the health care sector of £649 million and £1.7 billion respectively. Health care Trusts and maternity services have an important role to play in reducing this cost, not just in providing maternity care, but also in monitoring the health of the population and referring onwards where needed. Modest improvements in the availability of social support including improved partner involvement during pregnancy and labour and support given by health care staff during maternity care have the potential to reduce the risk of perinatal depression and anxiety. Signposting to and provision of perinatal mental health services, particularly for women at risk, is also likely improve outcomes for birthing people and their infants and hence to reduce the total cost to society of perinatal mental health problems.

Prevalence of depression, anxiety and stress in china during COVID-19 pandemic: A systematic review with meta-analysis

2020 ◽  
pp. 009121742097800
Author(s):  
Syeda Beenish Bareeqa ◽  
Syed Ijlal Ahmed ◽  
Syeda Sana Samar ◽  
Waqas Yasin ◽  
Sani Zehra ◽  
...  
Keyword(s):  
Mental Health ◽  
Meta Analysis ◽  
Early Period ◽  
Depression And Anxiety ◽  
Health Issues ◽  
Eligibility Criteria ◽  
Pooled Prevalence ◽  
Care Workers ◽  
Prevalence Of Depression ◽  
Novel Coronavirus

Background The novel coronavirus disease which is believed to have initially originated in Wuhan city of China at the end of 2019 was declared as pandemic by March 2020 by WHO. This pandemic significantly impacted the mental health of communities around the globe. This project draws data from available research to quantify COVID-19 mental health issues and its prevalence in China during the early period of the COVID-19 crisis. It is believed that this pooling of data will give fair estimate of the effects of the COVID-19 pandemic on mental health. Methods We conducted this study in accordance with PRISMA guidelines 2009. The protocol for this review is registered and published in PROSPERO (CRD42020182893). The databases used were Pubmed, Medline, Google scholar and Scopus. The studies were extracted according to pre-defined eligibility criteria and risk of bias assessment was conducted. The Meta-analysis was done using OpenMeta [analyst]. Results Total of 62382 participants in nineteen studies fulfilled the eligibility criteria. Stress was the most prevalent (48.1%) mental health consequence of Covid-19 pandemic, followed by depression (26.9%) and anxiety (21.8%). After performing subgroup analysis, prevalence of depression and anxiety in both females and frontline health care workers were high as compared to the prevalence in general Chinese population. Conclusion The prevalence of depression and anxiety is moderately high whereas pooled prevalence of stress was found to be very high in Chinese people during this Covid-19 crisis.

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 A mother–baby psychiatric day hospital: History, rationale, and why perinatal mental health is important for obstetric medicine

2014 ◽  
Vol 7 (2) ◽  
pp. 66-70 ◽  
Author(s):  
Cynthia L Battle ◽  
Margaret M Howard
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Treatment Barriers ◽  
Day Hospital ◽  
Depression And Anxiety ◽  
Medical Issues ◽  
Obstetric Medicine ◽  
Pregnancy And Postpartum ◽  
Hospital History

Background Women frequently experience depression, anxiety, or other mental health concerns during pregnancy and postpartum, impacting her and her infant’s health. Patients who require management of medical conditions during the perinatal period are even more likely to experience depression and anxiety compared to those without comorbid medical issues. Despite the availability of effective treatments, perinatal mental health utilization rates are strikingly low. Methods To address common treatment barriers, we developed a specialized mother–baby day hospital for women with psychiatric distress during the peripartum. In this report, we summarize findings from 800 patient satisfaction surveys collected from women treated at the program between 2007 and 2012. Results Findings suggest that women are highly satisfied with the treatment received, often noting that the inclusion of the baby in their treatment is a highly valued feature of care. Conclusion The relevance of perinatal mental health services for patients who are followed by obstetrical medicine specialists is discussed.

scholarly journals Promotion of Perinatal Mental Health

NUTA Journal ◽  
2018 ◽  
Vol 5 (1-2) ◽  
pp. 33-39
Author(s):  
Bhabani Adhikari
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Anxiety And Depression ◽  
Symptoms Of Depression ◽  
Quality Health ◽  
Healthy Housing ◽  
Positive Support ◽  
Quality Health Services

The aim of this paper is to discuss different aspects of perinatal mental health like; risk factor, impact, issues and to suggest the guidelines for promotion of perinatal mental health. Perinatal mental health is an emerging concept, generally refers to the period 22 completed weeks (i.e. 154 days) of gestation and ending seven completed days after birth. During the pregnancy women may suffer from different mental health problems such as anxiety and depression. Lack of nutritious food, proper healthy housing, and adequate time for rest, quality health services and positive support by the intimacy partner are major responsible factors for getting mental disorder during perinatal period. Problem with in-laws and domestic violence are also responsible for this. Individual, family, community and national agencies should aware the problem and difficulties of the perinatal period and ways to eliminating the associated problems by their action and efforts. Without waiting the sign and symptoms of depression all well pregnant women need to be screened as part of their perinatal health check.

scholarly journals The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis

2019 ◽  
pp. 070674371987702 ◽  
Author(s):  
Sawayra Owais ◽  
Mateusz Faltyn ◽  
Ashley V. D. Johnson ◽  
Chelsea Gabel ◽  
Bernice Downey ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Well Being ◽  
Health Problems ◽  
Indigenous Women ◽  
Perinatal Mental Health ◽  
Future Research ◽  
Increased Risk

Objective: Although Indigenous women are exposed to high rates of risk factors for perinatal mental health problems, the magnitude of their risk is not known. This lack of data impedes the development of appropriate screening and treatment protocols, as well as the proper allocation of resources for Indigenous women. The objective of this systematic review and meta-analysis was to compare rates of perinatal mental health problems among Indigenous and non-Indigenous women. Methods: We searched Medline, EMBASE, PsycINFO, CINAHL, and Web of Science from their inceptions until February 2019. Studies were included if they assessed mental health in Indigenous women during pregnancy and/or up to 12 months postpartum. Results: Twenty-six articles met study inclusion criteria and 21 were eligible for meta-analysis. Indigenous identity was associated with higher odds of mental health problems (odds ratio [ OR] 1.62; 95% confidence interval [CI], 1.25 to 2.11). Odds were higher still when analyses were restricted to problems of greater severity ( OR 1.95; 95% CI, 1.21 to 3.16) and young Indigenous women ( OR 1.86; 95% CI, 1.51 to 2.28). Conclusion: Indigenous women are at increased risk of mental health problems during the perinatal period, particularly depression, anxiety, and substance misuse. However, resiliency among Indigenous women, cultural teachings, and methodological issues may be affecting estimates. Future research should utilize more representative samples, adapt and validate diagnostic and symptom measures for Indigenous groups, and engage Indigenous actors, leaders, and related allies to help improve the accuracy of estimates, as well as the well-being of Indigenous mothers, their families, and future generations. Trial Registration: PROSPERO-CRD42018108638.

scholarly journals Experiences of Improving Access to Psychological Therapy Services for Perinatal Mental Health Difficulties: a Qualitative Study of Women's and Therapists’ Views

2017 ◽  
Vol 46 (4) ◽  
pp. 421-436 ◽  
Author(s):  
Lottie Millett ◽  
Billie Lever Taylor ◽  
Louise M. Howard ◽  
Debra Bick ◽  
Nicky Stanley ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Psychological Treatment ◽  
Perinatal Period ◽  
Behavioural Therapy ◽  
Psychological Therapy ◽  
Perinatal Mental Health ◽  
Structured Interviews ◽  
Barriers To Access ◽  
Mental Health Difficulties

Background: Perinatal mental health difficulties are highly prevalent. In England, the Improving Access to Psychological Therapy (IAPT) programme provides evidence-based psychological treatment, predominantly in the form of brief manualized cognitive behavioural therapy (CBT), to people with mild to moderate depression or anxiety. Yet little is known about the experiences of women referred to IAPT with perinatal mental health difficulties. Aims: The aim of this qualitative study was to investigate how women view IAPT support for perinatal mental health. We also gained the perspective of IAPT therapists. Method: Semi-structured interviews were conducted with twelve women who had been referred to and/or received therapy from IAPT during the perinatal period. Additionally, fourteen IAPT therapists participated in two focus groups. Thematic analysis was used. Results: Key themes centred on barriers to access and the need to tailor support to (expectant) mothers. Women and therapists suggested that experiences could be improved by supporting healthcare professionals to provide women with more help with referrals, better tailoring support to the perinatal context, improving perinatal-specific training, supervision and resources, and offering a more individualized treatment environment. Conclusions: Overall, women reported positive experiences of support offered by IAPT for perinatal mental health difficulties. However, services should seek to facilitate access to support and to enable therapists to better tailor treatment.

scholarly journals Perinatal Mental Health; The Role and the Effect of the Partner: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1572
Author(s):  
Evangelia Antoniou ◽  
Pinelopi Stamoulou ◽  
Maria-Dalida Tzanoulinou ◽  
Eirini Orovou
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Interpersonal Relationships ◽  
Perinatal Period ◽  
Transitional Period ◽  
Perinatal Mental Health ◽  
Psychological Status ◽  
Depression And Anxiety ◽  
Wide Range

Pregnancy is a transitional period involving the most complex experiences in a woman’s life, during which the woman’s psychological status can be affected by a wide range of psychosocial variables. However, positive interpersonal relationships appear to constitute a supportive network that significantly influences perinatal mental health. Therefore, the presence of a supportive partner works psycho-protectively against the difficulties and pressures created by the transition to maternity. The aim of this study was to review systematically the influence of the partner on the woman’s psychology during the perinatal period. Fourteen research articles from PubMed/Medline, Google Scholar and PsycINFO were included in the review from a total of 1846 articles. Most studies have shown a correlation between the support from the partner and prenatal depression and anxiety. Support from the spouse during childbirth is related to the extent to which women feel safe during labor as well as the stress during childbirth. The role of the partner is very important in the occurrence of perinatal mental disorders in women. Of course, more research needs to be done in the field of perinatal mental health. The risk factors that lead to mental disorders need to be clarified and the role of the partner in the perinatal period requires reinforcement and needs to be given the necessary importance.

scholarly journals Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis

2020 ◽  
Vol 29 ◽  
Author(s):  
D. Wei ◽  
X. Wang ◽  
X. You ◽  
X. Luo ◽  
C. Hao ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Prevalence Of Depression ◽  
Sex With Men

Abstract Aims Chinese men who have sex with men (MSM) are at high risk for depression, anxiety and suicide. The estimated prevalence of these problems is essential to guide public health policy, but published results vary. This meta-analysis aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and suicide among Chinese MSM. Methods Systematic searches of EMBASE, MEDLINE, PsycINFO, PubMed, CNKI and Wanfang databases with languages restricted to Chinese and English for studies published before 10 September 2019 on the prevalence of depressive symptoms, anxiety symptoms, suicidal ideation, suicide plans and suicide attempts among Chinese MSM. Studies that were published in the peer-reviewed journals and used validated instruments to assess depression and anxiety were included. The characteristics of studies and the prevalence of depression and anxiety symptoms, suicidal ideation, suicide plans and suicide attempts were independently extracted by authors. Random-effects modelling was used to estimate the pooled rates. Subgroup analysis and univariate meta-regression were conducted to explore potential sources of heterogeneity. This study followed the PRISMA and MOOSE. Results Sixty-seven studies were included. Fifty-two studies reported the prevalence of depressive symptoms, with a combined sample of 37 376 people, of whom 12 887 [43.2%; 95% confidence interval (CI), 38.9–47.5] reported depressive symptoms. Twenty-seven studies reported the prevalence of anxiety symptoms, with a combined sample of 10 531 people, of whom 3187 (32.2%; 95% CI, 28.3–36.6) reported anxiety symptoms. Twenty-three studies reported the prevalence of suicidal ideation, with a combined sample of 15 034 people, of whom 3416 (21.2%; 95% CI, 18.3–24.5) had suicidal ideation. Nine studies reported the prevalence of suicide plans, with a combined sample of 5271 people, of whom 401 (6.2%; 95% CI, 3.9–8.6) had suicide plans. Finally, 19 studies reported the prevalence of suicide attempts, with a combined sample of 27 936 people, of whom 1829 (7.3%; 95% CI, 5.6–9.0) had attempted suicide. Conclusions The mental health of Chinese MSM is poor compared with the general population. Efforts are warranted to develop interventions to prevent and alleviate mental health problems among this vulnerable population.

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