A Longitudinal Cohort Study of Postpartum Depression: Mother's Mental Health and Parent-Child Relationship

2018 ◽  
Vol 11 (2) ◽  
pp. 53-73
Author(s):  
Min-Jung Kim ◽  
Jin-Ah Park ◽  
Oong-Hyun Sung ◽  
Soo-Jong Hong ◽  
Kyung-Sook Lee
2020 ◽  
Author(s):  
Marlene Karl ◽  
Ronja Schaber ◽  
Victoria Kress ◽  
Marie Kopp ◽  
Julia Martini ◽  
...  

Abstract Background: The majority of Western women work during their reproductive years, but past research has often neglected the influence of work-related factors on postpartum mental health. Especially postpartum depression (PPD) is an enormous psychological burden for mothers. Therefore, this study aims to investigate the prospective impact of precarious working conditions and psychosocial work stress during pregnancy (such as work-privacy conflict and effort-reward imbalance at the job) on symptoms of maternal PPD.Methods: In the prospective-longitudinal cohort study DREAM (DResdner Studie zu Elternschaft, Arbeit und Mentaler Gesundheit), N = 587 employed women were questioned about their work during pregnancy and their mental health 8 weeks after delivery.Results: Multiple regression analyses revealed that work-privacy conflict, low reward at work, and precarious working conditions significantly predicted symptoms of PPD, even when controlling for lifetime depression, anxiety, education, parity, and age.Conclusion: Our results indicate that psychosocial work stress and precarious working conditions have important implications for maternal peripartum mental health. They might act as prospective risk factors for PPD during the period of maternal leave. Hence, future research should focus on preventative measures targeting work life.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marlene Karl ◽  
Ronja Schaber ◽  
Victoria Kress ◽  
Marie Kopp ◽  
Julia Martini ◽  
...  

Abstract Background The majority of Western women work during their reproductive years, but past research has often neglected the influence of work-related factors on postpartum mental health. Especially postpartum depression (PPD) is an enormous psychological burden for mothers. Therefore, this study aims to investigate the prospective impact of precarious working conditions and psychosocial work stress during pregnancy (such as work-privacy conflict and effort-reward imbalance at the job) on symptoms of maternal PPD. Methods In the prospective-longitudinal cohort study DREAM (DResdner Studie zu Elternschaft, Arbeit und Mentaler Gesundheit), N = 587 employed women were questioned about their work during pregnancy and their mental health 8 weeks after delivery. Results Multiple regression analyses revealed that work-privacy conflict, low reward at work, and precarious working conditions significantly predicted symptoms of PPD, even when controlling for lifetime depression, anxiety, education, parity, and age. Conclusion Our results indicate that psychosocial work stress and precarious working conditions have important implications for maternal peripartum mental health. They might act as prospective risk factors for PPD during the period of maternal leave. Hence, future research should focus on preventative measures targeting work life.


2020 ◽  
Author(s):  
Marlene Karl ◽  
Ronja Schaber ◽  
Victoria Kress ◽  
Marie Kopp ◽  
Julia Martini ◽  
...  

Abstract Introduction: Most Western women work during their reproductive years, but past research has often neglected the influence of work-related factors on postpartum health. Especially postpartum depression (PPD) puts an enormous psychological burden on mothers. Therefore, this study aims to investigate the prospective impact of precarious working conditions and psychosocial work stress (such as work-privacy conflict and effort-reward imbalance at the job) during pregnancy on symptoms of maternal PPD. Methods: In the prospective-longitudinal cohort study DREAM (DResdner Studie zu Elternschaft, Arbeit und Mentaler Gesundheit), N = 587 employed women were questioned about their work during pregnancy and mental health 8 weeks after delivery. Results: Multiple regression analyses revealed that work-privacy conflict, low reward at work, and precarious working conditions significantly predicted symptoms of PPD, even when controlling for lifetime depression, anxiety, education, parity, and age. Conclusion: Our results indicate that psychosocial work stress and precarious working conditions have important implications for maternal peripartum mental health and might act as prospective risk factors for PPD even during the period of maternal leave. Hence, preventative measures targeting work life need to be investigated in more detail.


2020 ◽  
Author(s):  
Marlene Karl ◽  
Ronja Schaber ◽  
Victoria Kress ◽  
Marie Kopp ◽  
Julia Martini ◽  
...  

Abstract Introduction: Most Western women work during their reproductive years, but past research has often neglected the influence of work-related factors on postpartum health. Especially postpartum depression (PPD) puts an enormous psychological burden on mothers. Therefore, this study aims to investigate the prospective impact of precarious working conditions and psychosocial work stress (such as work-privacy conflict and effort-reward imbalance at the job) during pregnancy on symptoms of maternal PPD. Methods: In the prospective-longitudinal cohort study DREAM ( DR esdner Studie zu E lternschaft, A rbeit und M entaler Gesundheit), N = 587 employed women were questioned about their work during pregnancy and mental health 8 weeks after delivery. Results: Multiple regression analyses revealed that work-privacy conflict, low reward at work, and precarious working conditions significantly predicted symptoms of PPD, even when controlling for lifetime depression, anxiety, education, parity, and age. Conclusion: Our results indicate that psychosocial work stress and precarious working conditions have important implications for maternal peripartum mental health and might act as prospective risk factors for PPD even during the period of maternal leave. Hence, preventative measures targeting work life need to be investigated in more detail.


Author(s):  
H. Sampasa-Kanyinga ◽  
K. Lalande ◽  
I. Colman

Abstract Aims Previous research has found links between cyberbullying victimisation and internalising and externalising problems among adolescents. However, little is known about the factors that might moderate these relationships. Thus, the present study examined the relationships between cyberbullying victimisation and psychological distress, suicidality, self-rated poor mental health and substance use among adolescents, and tested whether parent–child relationship and child's sex would moderate these relationships. Methods Self-report data on experiences of cyberbullying victimisation, self-rated poor mental health, psychological distress, suicidality and substance use were derived from the 2013 Ontario Student Drug Use and Health Survey, a province-wide school-based survey of students in grades 7 through 12 aged 11–20 years (N = 5478). Logistic regression models adjusted for age, sex, ethnicity, subjective socioeconomic status and involvement in physical fighting, bullying victimisation and perpetration at school. Results Cyberbullying victimisation was associated with self-rated poor mental health (adjusted odds ratio (OR) 2.15; 95% confidence interval (CI) 1.64–2.81), psychological distress (OR 2.41; 95% CI 1.90–3.06), suicidal ideation (OR 2.38; 95% CI 1.83–3.08) and attempts (OR 2.07; 95% CI 1.27–3.38), smoking tobacco cigarette (OR 1.96; 95% CI 1.45–2.65), cannabis use (OR 1.82; 95% CI 1.32–2.51), and binge drinking (OR 1.44; 95% CI 1.03–2.02). The association between cyberbullying victimisation and psychological distress was modified by parent–child relationship and child's sex (three-way interaction term p < 0.05). The association between cyberbullying victimisation and psychological distress was much stronger among boys who have a negative relationship with their parents. Conclusions Findings suggest that cyberbullying victimisation is strongly associated with psychological distress in most adolescents with the exception of males who get along well with their parents. Further research using a longitudinal design is necessary to disentangle the interrelationship among child's sex, parent–child relationship, cyberbullying victimisation and mental health outcomes among adolescents in order to improve ongoing mental health prevention efforts.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Shah ◽  
M.C. Almeida

Aims:This workshop will present a theoretical framework to conceptualize early childhood behavior problems in the context of the early parent-child relationship, and will demonstrate how this relational framework can be used to diagnose, classify, and treat child behavior concerns in children under the age of five.Background:There is increasing evidence to suggest that a significant number of very young children manifest signs of early psychopathology, and that behavioral problems that emerge early are likely to persist, and warrant further assessment and intervention. One of the challenges to identifying early psychopathology in young children is how to diagnose and classify early behavioral disturbances using a developmental and relational framework.Methods:This presentation will describe an “infant mental health approach” to diagnose and intervene with young children with behavioral concerns. This comprehensive model of behavioral assessment incorporates an assessment of the parent's perceptions of the child, observations of dyadic interactions, and utilizes a developmental context to diagnose, classify and treat early behavioral concerns in children under the age of five. Using the DC 0-3R, this model will highlight how an understanding of child behavior in the context of the parent-child relationship can be a helpful framework to diagnose and treat early behavioral disturbances in children under the age of 5. Participants will learn how to identify vulnerabilities in the parent-child relationship, how to diagnose and conceptualize early psychopathology in young children, and how to formulate interventions to support dyads at risk.


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