scholarly journals Do Maternal Stress and Depressive Symptoms in Perinatal Period Predict the Lactation Mastitis Occurrence? A Retrospective Longitudinal Study in Greek Women

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1524
Author(s):  
Maria Dagla ◽  
Calliope Dagla ◽  
Irina Mrvoljak-Theodoropoulou ◽  
Dimitra Sotiropoulou ◽  
Aikaterini-Taxiarchoula Kavakou ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Emotional Factors ◽  
History Of ◽  
Anxiety Screening ◽  
D 12

Background: The aim of this study is to investigate whether symptoms of anxiety and depression disorders in women during the perinatal period predict the occurrence of lactation mastitis. Methods: This is a retrospective longitudinal study of 622 Greek women who were monitored from pregnancy until the first year postpartum (during the period January 2015–May 2018). The Edinburgh Postnatal Depression Scale (EPDS) and the Perinatal Anxiety Screening Scale (PASS) were administered at four time points: (a) 24th–28th gestation week, (b) 34th–38th gestation week, (c) 6 weeks postpartum, and (d) 12 months postpartum. Multivariate binary logistic regression analyses were performed. Results: Results showed that (a) increased EPDS (p < 0.02) and PASS (p < 0.05) scores during the last period before birth, (b) increased EPDS score at 6 weeks postpartum (p < 0.02), (c) PMS symptoms (p < 0.03), (d) traumatic life events during the last year (p < 0.03), and (e) the existence of a history of psychotherapy (before pregnancy) (p = 0.050) appear to be the psycho-emotional factors that can predict the possible occurrence of lactation mastitis in a breastfeeding mother. Conclusions: The association between women’s poor mental health and the occurrence of a physical health problem, such as lactation mastitis, is recognized. This study highlights the important role of early and timely detection of perinatal mental health disorders.

scholarly journals A longitudinal study of the bi-directional relationship between tobacco smoking and psychological distress in a community sample of young Australian women

2011 ◽  
Vol 42 (6) ◽  
pp. 1273-1282 ◽  
Author(s):  
J. Leung ◽  
C. Gartner ◽  
W. Hall ◽  
J. Lucke ◽  
A. Dobson
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Young Women ◽  
Tobacco Smoking ◽  
Structural Equation ◽  
Short Form ◽  
Community Sample ◽  
Depression Scale ◽  
Poor Mental Health ◽  
Smoking History

BackgroundTobacco smoking and poor mental health are both prevalent and detrimental health problems in young women. The temporal relationship between the two variables is unclear. We investigated the prospective bi-directional relationship between smoking and mental health over 13 years.MethodParticipants were a randomly selected community sample of 10 012 young women with no experience of pregnancy, aged 18–23 years at baseline (1996) from the Australian Longitudinal Study on Women's Health. Follow-up surveys over 13 years were completed in 2000, 2003, 2006 and 2009, allowing for five waves of data. Measures included self-reported smoking and mental health measured by the Mental Health Index from the 36-item short-form health questionnaire and the 10-item Center for Epidemiologic Studies Depression Scale. Sociodemographic control variables included marital status, education level and employment status.ResultsA strong cross-sectional dose–response relationship between smoking and poor mental health was found at each wave [odds ratio (OR) 1.41, 95% confidence intervals (CI) 1.17–1.70 to OR 2.27, 95% CI 1.82–2.81]. Longitudinal results showed that women who smoked had 1.21 (95% CI 1.06–1.39) to 1.62 (95% CI 1.24–2.11) times higher odds of having poor mental health at subsequent waves. Women with poor mental health had 1.12 (95% CI 1.17–1.20) to 2.11 (95% CI 1.68–2.65) times higher odds of smoking at subsequent waves. These results held after adjusting for mental health history and smoking history and sociodemographic factors. Correlation analysis and structural equation modelling results were consistent in showing that both directions of the relationship were statistically significant.ConclusionsThe association between poor mental health and smoking in young women appeared to be bi-directional.

The impact of a history of poor mental health on health care costs in the perinatal period

2018 ◽  
Vol 22 (4) ◽  
pp. 467-473 ◽  
Author(s):  
Catherine Chojenta ◽  
Jananie William ◽  
Michael A. Martin ◽  
Julie Byles ◽  
Deborah Loxton
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Costs ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
History Of ◽  
The Impact ◽  
Care Costs

scholarly journals Women’s Mental Health as a Factor Associated with Exclusive Breastfeeding and Breastfeeding Duration: Data from a Longitudinal Study in Greece

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 150
Author(s):  
Maria Dagla ◽  
Irina Mrvoljak-Theodoropoulou ◽  
Despoina Karagianni ◽  
Calliope Dagla ◽  
Dimitra Sotiropoulou ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Exclusive Breastfeeding ◽  
Maternal Mental Health ◽  
Negative Relationship ◽  
Depression Scale ◽  
Well Being ◽  
Perinatal Period ◽  
Breastfeeding Duration ◽  
Patient Health

Background: This study investigated the relationship between exclusive breastfeeding and breastfeeding duration, and maternal psychological well-being in the perinatal period. Methods: A longitudinal study involving a retrospective follow-up of a group of 1080 women from pregnancy to the 1st year postpartum, who gave birth during the 5-year period between January 2014 and January 2019 in Athens, Greece, was designed. Women’s history and two psychometric tools—the Edinburg Postpartum Depression Scale (EPDS) and the Patient Health Questionnaire-9 (PHQ-9) administered at 5-time points—were used for data collection. Logistic regression analysis and a series of multiple analysis of variance (MANOVA) tests were performed. Results: The chance for exclusive breastfeeding (giving only breast milk) appeared to decrease (a) with an increase of the scores for psychometric tools antenatally (PHQ-9, p = 0.030) or at the 6th week postpartum (EPDS, p < 0.001 and PHQ-9, p < 0.001), (b) with an increase in the number of psychotherapeutic sessions needed antenatally (p = 0.030), and (c) when the initiation of psychotherapy was necessary postpartum (p = 0.002). Additionally, a shorter duration of any breastfeeding (with or without formula or other types of food/drink) seems to be associated with (a) the occurrence of pathological mental health symptoms (p = 0.029), (b) increased PHQ-9 scores antenatally (p = 0.018), (c) increased EPDS scores at the 6th week (p = 0.004) and the 12th month postpartum (p = 0.031), (d) the initiation of psychotherapy postpartum (p = 0.040), and e) the need for more than 13 psychotherapeutic sessions (p = 0.020). Conclusions: This study demonstrates a negative relationship between exclusive breastfeeding and breastfeeding duration, and poor maternal mental health in the perinatal period.

scholarly journals School climate and mental health among Swedish adolescents: a multilevel longitudinal study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Krisztina D. László ◽  
Filip Andersson ◽  
Maria Rosaria Galanti
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
School Climate ◽  
School Environment ◽  
Depression Scale ◽  
Poor Mental Health ◽  
Social Climate ◽  
School Level ◽  
Increased Risk ◽  
Strengths And Difficulties

Abstract Background School is one of the most formative institutions for adolescents’ development, but whether school environment affects mental health is uncertain. We investigated the association between the school’s pedagogical and social climate and individual-level mental health in adolescence. Methods We studied 3416 adolescents from 94 schools involved in KUPOL, a longitudinal study conducted in eight regions in Sweden. School climate was reported by the school’s teaching personnel and by the final year students using the teacher and the student versions of the Pedagogical and Social Climate Questionnaire, respectively. Index persons’ mental health was assessed with the Center for Epidemiological Studies Depression Scale for Children and the Strengths and Difficulties Questionnaire. We performed multilevel logistic regression models adjusted for individual, familial and school-level confounders measured in grade 7 and exposure and outcome measured in grades 8 and 9. Results The adjusted odds ratios and 95% confidence intervals comparing the middle and the high to the lowest tertile of the total teacher school climate score were 1.47 (1.10–1.97) and 1.52 (1.11–2.09) for depressive symptoms and 1.50 (1.08–2.08) and 1.64 (1.16–2.33) for the total strengths and difficulties score. In contrast, there was no association between total student school climate score and mental health. Conclusions We found that teacher-, but not student-rated school climate was associated with an increased risk of poor mental health at the student level; the association was most pronounced for internalizing problems. Given schools’ importance for adolescents’ development, further studies are needed to clarify the mechanisms underlying the observed association.

A Longitudinal Study of Mental Health in Emerging Adults

2014 ◽  
Vol 73 (3) ◽  
pp. 135-141 ◽  
Author(s):  
Monica S. Bachmann ◽  
Hansjörg Znoj ◽  
Katja Haemmerli
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Emerging Adults ◽  
Poor Mental Health ◽  
Need Satisfaction ◽  
Computer Assisted ◽  
Consistency Model ◽  
Negative Effect ◽  
The Cross ◽  
Health Model

Emerging adulthood is a time of instability. This longitudinal study investigated the relationship between mental health and need satisfaction among emerging adults over a period of five years and focused on gender-specific differences. Two possible causal models were examined: (1) the mental health model, which predicts that incongruence is due to the presence of impaired mental health at an earlier point in time; (2) the consistency model, which predicts that impaired mental health is due to a higher level of incongruence reported at an earlier point in time. Emerging adults (N = 1,017) aged 18–24 completed computer-assisted telephone interviews in 2003 (T1), 2005 (T2), and 2008 (T3). The results indicate that better mental health at T1 predicts a lower level of incongruence two years later (T2), when prior level of incongruence is controlled for. The same cross-lagged effect is shown for T3. However, the cross-lagged paths from incongruence to mental health are marginally associated when prior mental health is controlled for. No gender differences were found in the cross-lagged model. The results support the mental health model and show that incongruence does not have a long-lasting negative effect on mental health. The results highlight the importance of identifying emerging adults with poor mental health early to provide support regarding need satisfaction.

scholarly journals Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review

2019 ◽  
Vol 165 (5) ◽  
pp. 363-370 ◽  
Author(s):  
Lauren Rose Godier-McBard ◽  
L Ibbitson ◽  
C Hooks ◽  
M Fossey
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Well Being ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Adverse Outcomes ◽  
Military Spouses ◽  
Perinatal Mental Health

BackgroundPoor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.MethodsA scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O’Malley (2005). Databases searched included EBSCO, Gale Cengage Academic OneFile, ProQuest and SAGE.ResultsThirteen papers fulfilled the inclusion criteria, all from the USA, which looked a PMH or well-being in military spouses. There was a strong focus on spousal deployment as a risk factor for depressive symptoms and psychological stress during the perinatal period. Other risk factors included a lack of social/emotional support and increased family-related stressors. Interventions for pregnant military spouses included those that help them develop internal coping strategies and external social support.ConclusionsUS literature suggests that military spouses are particularly at risk of PMH problems during deployment of their serving partner and highlights the protective nature of social support during this time. Further consideration needs to be made to apply the findings to UK military spouses/partners due to differences in the structure and nature of the UK and US military and healthcare models. Further UK research is needed, which would provide military and healthcare providers with an understanding of the needs of this population allowing effective planning and strategies to be commissioned and implemented.

scholarly journals Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Jordyn T. Wallenborn ◽  
Anny-Claude Joseph ◽  
Whitney C. Graves ◽  
Saba W. Masho
Keyword(s):  
Mental Health ◽  
Maternal Age ◽  
Multinomial Logistic Regression ◽  
Age Groups ◽  
The United States ◽  
Poor Mental Health ◽  
Breastfeeding Duration ◽  
Pregnancy Risk ◽  
Care Models ◽  
History Of

Background. In the United States, major depressive disorder affects one in five women aged 20-40 years. During these childbearing years, depression can negatively impact maternal behaviors that are crucial for infant growth and development. This study examined the relationship between prepregnancy depression and breastfeeding duration by maternal age. Methods. Data from Phase 7 (2012-2013) of the Pregnancy Risk Assessment Monitoring System (N=62,483) were analyzed. Prepregnancy depression was dichotomized while breastfeeding duration was categorized as never breastfed, breastfed 8 weeks or less, and breastfed more than 8 weeks. Maternal age was a significant effect modifier; therefore, results were stratified by maternal age. Multinomial logistic regression was used to obtain odds ratios and 95% confidence intervals (CI). Results. For women aged 20-24, 25-29, and 30-34 years with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were significantly higher than in women with no history of prepregnancy depression. Notably, among women aged 25-29 with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were 93% (adjusted odds ratio (AOR) = 1.93, 95% CI =1.57-2.37) and 65% (AOR = 1.65, 95% CI = 1.37-1.99) higher compared to women with no history of prepregnancy depression, respectively. Conclusions. Having a history of poor mental health before pregnancy may increase the likelihood of premature breastfeeding cessation. A woman’s mental health status before pregnancy should be considered in reproductive and prenatal care models. Efforts should be made to understand challenges women of specific age groups face when trying to breastfeed.

scholarly journals Perinatal depression screening using smartphone technology: Exploring uptake, engagement and future directions for the MGH Perinatal Depression Scale (MGHPDS)

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257065
Author(s):  
Rachel Vanderkruik ◽  
Edwin Raffi ◽  
Marlene P. Freeman ◽  
Rebecca Wales ◽  
Lee Cohen
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Perinatal Depression ◽  
Depression Scale ◽  
Perinatal Period ◽  
Health Impact ◽  
Depression Score ◽  
Future Research ◽  
Cross Sectional ◽  
Longitudinal Data Collection

Women may experience new-onset or worsening depressive disorders during pregnancy and the postpartum. If untreated, there may be detrimental consequences to the health and wellbeing of the woman and to her baby. There is a need for improved tools and approaches that can be easily and broadly implemented to effectively detect depression during the perinatal period. Early identification of depression during pregnancy is an important first step towards connecting women to treatment and preventing continued depression into the postpartum or beyond. This report provides preliminary findings from a pilot study of a digital screening app for perinatal depression expiring potential for app reach, engagement, and user demographics and mental health symptoms. With mainly passive recruitment efforts, we collected cross-sectional mental health data on over 700 women during the perinatal period, including women across over 30 countries. We report on mean depression scores among women during pregnancy and the postpartum as well as on constructs that are commonly comorbid with depression, including anxiety, sleep dysregulation, and perceived stress. Over half of the women during pregnancy and over 70% of women in the postpartum had a depression score indicative of clinical depression. Future research directions for this work and potential for public health impact are discussed, including longitudinal data collection and analyses of symptomology over time and embedding evidence-based digital therapeutics into the app as a means to increase access to mental health services.

An evaluation of the mental health of servicewomen in the perinatal period

2017 ◽  
Vol 103 (3) ◽  
pp. 183-188
Author(s):  
R Guest
Keyword(s):  
Mental Health ◽  
Return To Work ◽  
Information Flow ◽  
Mental Health Professionals ◽  
Maternity Leave ◽  
Depression Scale ◽  
Perinatal Period ◽  
Free Text ◽  
Low Mood ◽  
Increased Risk

AbstractBackgroundDepression and anxiety are the most common mental health disorders during the perinatal period. The aims of this study were to observe the potential scale and impact of perinatal low mood in the military population, to ascertain if patients were recognised and treated appropriately during maternity leave and to identify potential barriers to care.MethodsA 10-question survey was designed using an online platform in consultation with military community mental health professionals, and sent out via Royal Naval maternity cells and relevant social media.ResultsOf 249 respondents, 68% had concerns regarding their mood in the perinatal period; 54% were unaware they could access help from Defence mental health during maternity leave and 65% had one or more risk factors for developing perinatal mood disturbance. Using the Edinburgh Postnatal Depression Scale, 54% felt that they had had a problem with perinatal low mood. Of these 71% reported having symptoms on their return to work and 80% felt that these had impacted on family relationships. Free text comments were separated into seven themes, namely: isolation, military implications, information flow between the civilian and military healthcare systems, knowledge of healthcare professionals, stigma, return to work and positive comments.ConclusionsIssues explored in this paper concern: increased risk; information flow; barriers to presentation; isolation; and medical service knowledge gaps. Suggested action points include increased input from medical services into maternity groups, phone contact from sick bays to servicewomen on maternity leave, improvements in information flow, maternity-specific return to work medical, maternity leads within military practices and areas for potential future research.

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.

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