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Perinatal depression

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https://www.readbyqxmd.com/read/29684795/screening-for-postpartum-anxiety-a-quality-improvement-project-to-promote-the-screening-of-women-suffering-in-silence
#1
Sarah Toler, Susan Stapleton, Kim Kertsburg, Tiffany J Callahan, Marie Hastings-Tolsma
BACKGROUND: Postpartum anxiety is a mental health problem that has largely been ignored by maternity care providers despite an estimated incidence as high as 28.9%. Though postpartum anxiety may or may not be accompanied by depression, and while screening for postpartum depression has become more common place, postpartum anxiety is often not assessed or addressed. PURPOSE: The purpose of this pilot quality improvement project was to implement a screening, treatment and referral program for postpartum anxiety in the birth centre environment...
April 3, 2018: Midwifery
https://www.readbyqxmd.com/read/29671167/vitamin-d-deficiency-and-depressive-symptoms-in-pregnancy-are-associated-with-adverse-perinatal-outcomes
#2
Eynav Elgavish Accortt, Amy Lamb, James Mirocha, Calvin J Hobel
Prenatal vitamin D deficiency and prenatal depression are both separately associated with adverse perinatal outcomes; however, to our knowledge no studies have investigated the effects of having both risk factors. Our objective was to determine to what extent vitamin D deficiency predicts adverse perinatal outcomes and whether elevated depressive symptoms in pregnancy places women at additional increased risk. This study was a secondary data analysis of prospective data collected from a cohort of pregnant women (N = 101) in an obstetric clinic of a large medical center...
April 18, 2018: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/29669175/antidepressants-for-preventing-postnatal-depression
#3
REVIEW
Emma Molyneaux, Laurence A Telesia, Carol Henshaw, Elizabeth Boath, Eleanor Bradley, Louise M Howard
BACKGROUND: Depression is common in the postnatal period and can lead to adverse effects on the infant and wider family, in addition to the morbidity for the mother. It is not clear whether antidepressants are effective for the prevention of postnatal depression and little is known about possible adverse effects for the mother and infant, particularly during breastfeeding. This is an update of a Cochrane Review last published in 2005. OBJECTIVES: To assess the effectiveness of antidepressant medication for the prevention of postnatal depression, in comparison with any other treatment, placebo or standard care...
April 18, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29667718/trajectories-of-psychopathology-in-extremely-low-birth-weight-survivors-from-early-adolescence-to-adulthood-a-20-year-longitudinal-study
#4
Ryan J Van Lieshout, Mark A Ferro, Louis A Schmidt, Michael H Boyle, Saroj Saigal, Katherine M Morrison, Karen J Mathewson
BACKGROUND: Individuals born extremely preterm are exposed to significant perinatal stresses that are associated with an increased risk of psychopathology. However, a paucity of longitudinal studies has prevented the empirical examination of long-term, dynamic effects of perinatal adversity on mental health. Here, internalizing and externalizing problems from adolescence through adulthood were compared in individuals born at extremely low birth weight (ELBW; <1,000 g) and normal birth weight (NBW; >2,500 g)...
April 18, 2018: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29658763/the-birth-experiences-questionnaire-a-brief-measure-assessing-psychosocial-dimensions-of-childbirth
#5
Darby Saxbe, Katelyn Taline Horton, Ann Bryna Tsai
Childbirth is an important life event that has been understudied by psychologists. Parents may find birth to be stressful, painful, and frightening, or feel supported and calm. Birth experiences can be shaped both by preexisting psychological vulnerabilities and by medical events that occur during childbirth. The birth experience may influence both parent and child well-being, helping to shape the health of the new family. This paper introduces the Birth Experiences Questionnaire (BEQ), a brief 10-item measure designed to assess stress, fear, and partner support during birth...
March 2018: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/29652937/trajectories-of-maternal-depressive-symptoms-during-pregnancy-and-the-first-12-months-postpartum-and-child-externalizing-and-internalizing-behavior-at-three-years
#6
Dawn Kingston, Heather Kehler, Marie-Paule Austin, Muhammad Kashif Mughal, Abdul Wajid, Lydia Vermeyden, Karen Benzies, Stephanie Brown, Scott Stuart, Rebecca Giallo
BACKGROUND: Most evidence of the association between maternal depression and children's development is limited by being cross-sectional. To date, few studies have modelled trajectories of maternal depressive symptoms from pregnancy through the early postpartum years and examined their association with social emotional and behavior functioning in preschool children. The objectives of this study were to: 1) identify distinct groups of women defined by their trajectories of depressive symptoms across four time points from mid-pregnancy to one year postpartum; and 2) examine the associations between these trajectories and child internalizing and externalizing behaviors...
2018: PloS One
https://www.readbyqxmd.com/read/29642868/adaptation-of-an-evidence-based-postpartum-depression-intervention-feasibility-and-acceptability-of-mothers-and-babies-1-on-1
#7
S Darius Tandon, Julie A Leis, Erin A Ward, Hannah Snyder, Tamar Mendelson, Deborah F Perry, Mya Carter, Jaime Hamil, Huynh-Nhu Le
BACKGROUND: Mothers and Babies (MB) is a cognitive-behavioral intervention with demonstrated efficacy in reducing depressive symptoms and preventing depressive episodes among perinatal women when delivered in a group format by mental health professionals. Study aims were to describe the adaptation of MB into a 1-on-1 modality (MB 1-on-1) and provide data on the adapted intervention's acceptability and feasibility. METHODS: Seventy-five home visitors trained on MB 1-on-1 delivered the 15-session intervention to 1-2 clients...
April 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29629654/reproductive-decision-making-among-postpartum-hiv-infected-women-in-rural-south-africa
#8
Deborah L Jones, Violeta J Rodriguez, Suat Babayigit, Antonio Chahine, Stephen M Weiss, Karl Peltzer
Despite pregnancy spacing recommendations to optimize health outcomes among mothers and neonates, unplanned pregnancy in sub-Saharan Africa is common among women living with human immunodeficiency virus (HIV) (WLHIV). This study examined factors associated with reproductive decision-making among WLHIV to inform pregnancy-planning interventions. WLHIV in rural South Africa (n = 165) were assessed at 12 months postpartum. The relative importance of factors associated with reproductive decision-making was estimated...
January 1, 2018: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/29627116/association-between-maternal-depression-and-risk-of-infant-diarrhea-a-systematic-review-and-meta-analysis
#9
REVIEW
A Waqas, M Elhady, K A Surya Dila, F Kaboub, Le Van Trinh, C H Nhien, M J Al-Husseini, M G Kamel, A Elshafay, H Y Nhi, K Hirayama, N T Huy
OBJECTIVE: To systematically review the evidence for an association between maternal depression and the risk of diarrheal illness in infants. STUDY DESIGN: This study is a meta-analysis. METHODS: Nine databases were searched systematically for studies that investigated the risk of diarrheal illness in infants born to mothers with depression. RESULTS: Our search strategy yielded 10 studies of the association between maternal depression and the risk of diarrheal illness in infants: eight studies of postnatal depression, two studies of antenatal depression, and one study of perinatal depression...
April 4, 2018: Public Health
https://www.readbyqxmd.com/read/29623542/parenting-stress-plays-a-mediating-role-in-the-prediction-of-early-child-development-from-both-parents-perinatal-depressive-symptoms
#10
Eivor Fredriksen, Tilmann von Soest, Lars Smith, Vibeke Moe
Maternal postnatal depression has been associated with a broad range of developmental risk among children. However, there has been less focus on disentangling the effects of pre- and postnatal depressive symptoms, as well as examining the symptoms of both parents. This study aims to investigate the separate effects of pre- and postnatal depressive symptoms in mothers and fathers, and parents' differential effects on child social-emotional, cognitive, and language development at 18 months of age. Further, we investigate whether effects of depressive symptomatology on child outcomes are particularly strong when both parents evinced high symptom loads and whether parenting stress mediates associations between perinatal depressive symptoms and child developmental outcomes...
April 6, 2018: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/29603018/expression-of-inflammatory-markers-in-women-with-perinatal-depressive-symptoms
#11
R Buglione-Corbett, K M Deligiannidis, K Leung, N Zhang, M Lee, M C Rosal, T A Moore Simas
Perinatal depression affects 10-20% of women and is associated with poor outcomes for mother and child. Inflammation is associated with depression in non-pregnant adults. Perinatal depression and inflammation in pregnancy are independently associated with morbidities including obesity, gestational diabetes, preeclampsia, and preterm birth. The role of inflammation in perinatal depression has received little attention. We hypothesized an association between self-reported perinatal depressive symptoms and serum inflammatory biomarkers TNF-α, IL-6, IL-1β, and CRP...
March 30, 2018: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29601209/changes-in-mood-after-screening-for-antenatal-anxiety-and-depression
#12
Carina Marsay, Lenore Manderson, Ugasvaree Subramaney
BACKGROUND: Screening programmes with referral are a valuable strategy for mitigating consequences of perinatal depression on mothers and their families. The effectiveness of these screening programmes needs to be measured. One potential problem in assessing outcomes is measurement reactivity where the actual measure results in changes in the people being measured. AIM: The aim of this article is to explain the mechanisms and circumstances by which measurement reactivity occurred in a sample of antenatal women who participated in a screening interview...
March 30, 2018: Journal of Reproductive and Infant Psychology
https://www.readbyqxmd.com/read/29596076/predictors-of-postpartum-depression-a-comprehensive-review-of-the-last-decade-of-evidence
#13
Jerry Guintivano, Tracy Manuck, Samantha Meltzer-Brody
Postpartum depression (PPD) is one of the most frequent complications of childbirth affecting ~500,000 women annually (prevalence 10% to 15%). Despite the documented adverse outcomes for mother and child, there remains a great need to develop prospective approaches to identify women at risk. This review examines some of the best-characterized molecular and clinical risk factors for PPD. We illustrate that this is a growing literature but there remains a lack of reliable molecular predictors for PPD. Current best predictors are clinical assessments for psychiatric history and adverse life events, highlighting the need for increased depression screening across the perinatal period...
March 28, 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29596074/psychological-impact-of-pregnancy-loss-best-practice-for-obstetric-providers
#14
Deborah Rich
Three overlapping areas of study form the foundation of the psychological impact of pregnancy loss: (1) transition to parenthood and the development of attachment, (2) perinatal mental health disorders, and (3) complicated grief. This article integrates findings from prominent lineages of theory to offer the obstetric provider an evidence-based framework for patient care. Current consensus across fields of study is that preexisting depression and anxiety are the strongest predictors of psychological functioning after loss and through the subsequent pregnancy...
March 28, 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29575943/prevalence-of-prenatal-and-postpartum-depression-and-associated-factors-among-hiv-infected-women-in-public-primary-care-in-rural-south-africa-a-longitudinal-study
#15
Karl Peltzer, Violeta J Rodriguez, Tae Kyoung Lee, Deborah Jones
This study aimed to assess the longitudinal prevalence of prenatal and postnatal depression and associated factors among HIV-infected women in rural South Africa. In a longitudinal, cluster-randomized, prevention of mother to child transmission (PMTCT) intervention trial, 681 HIV-infected prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited in 2015 by consecutive sampling at 8-24 weeks pregnancy and followed up at 32 weeks prenatally, and 6 and 12 months postpartum (retention rate = 59...
March 25, 2018: AIDS Care
https://www.readbyqxmd.com/read/29566680/process-evaluations-of-task-sharing-interventions-for-perinatal-depression-in-low-and-middle-income-countries-lmic-a-systematic-review-and-qualitative-meta-synthesis
#16
Memory Munodawafa, Sumaya Mall, Crick Lund, Marguerite Schneider
BACKGROUND: Perinatal depression is common in low and middle income countries (LAMICs). Task sharing interventions have been implemented to treat perinatal depression in these settings, as a way of dealing with staff shortages. Task sharing allows lay health workers to provide services for less complex cases while being trained and supervised by specialists. Randomized controlled trials suggest that these interventions can be effective but there is limited qualitative information exploring barriers and facilitators to their implementation...
March 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29566648/estimating-the-health-consequences-of-flight-attendant-work-comparing-flight-attendant-health-to-the-general-population-in-a-cross-sectional-study
#17
Eileen McNeely, Irina Mordukhovich, Samuel Tideman, Sara Gale, Brent Coull
BACKGROUND: Flight attendants are an understudied occupational group, despite undergoing a wide and unique range of adverse job-related exposures. In our study, we aimed to characterize the health profile of cabin crew relative to the U.S. general population. METHODS: In 2014-2015, we surveyed participants of the Harvard Flight Attendant Health Study. We compared the prevalence of their health conditions to a contemporaneous cohort in the National Health and Nutrition Examination Survey (NHANES 2013-2014) using age-weighted standardized prevalence ratios (SPRs)...
March 23, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29562945/maternal-depression-in-the-intergenerational-transmission-of-childhood-maltreatment-and-its-sequelae-testing-postpartum-effects-in-a-longitudinal-birth-cohort
#18
Karmel W Choi, Renate Houts, Louise Arseneault, Carmine Pariante, Kathleen J Sikkema, Terrie E Moffitt
Mothers who have experienced childhood maltreatment are more likely to have children also exposed to maltreatment, a phenomenon known as intergenerational transmission. Factors in the perinatal period may contribute uniquely to this transmission, but timing effects have not been ascertained. Using structural equation modeling with 1,016 mothers and their 2,032 children in the Environmental Risk Longitudinal Twin Study, we tested the mediating role of postpartum depression between maternal childhood maltreatment and a cascade of negative child outcomes, specifically child exposure to maltreatment, internalizing symptoms, and externalizing symptoms: (a) adjusting for later maternal depression, (b) comparing across sex differences, and (c) examining the relative role of maltreatment subtypes...
March 22, 2018: Development and Psychopathology
https://www.readbyqxmd.com/read/29561291/perinatal-exposure-to-venlafaxine-leads-to-lower-anxiety-and-depression-like-behavior-in-the-adult-rat-offspring
#19
Eszter Bogi, Kristina Belovicová, Eduard Ujhazy, Mojmír Mach, Romana Koprdova, Ludmila Zilava, Alexandra Garafová, Daniela Jezova, Michal Dubovicky
Depression during pregnancy and in the post-partum period is a growing health issue. Venlafaxine, a representative of serotonin and noradrenaline reuptake inhibitors, is used to treat a wide spectrum of mood disorders. However, the limited number of prenatal and perinatal studies raises the question about the long-term consequences of venlafaxine therapy. The aim of this study was to investigate the effect of venlafaxine exposure during pregnancy and lactation on anxiety-like and depression-like behaviors, as well as adrenocortical hormone concentrations in the adult rat offspring...
March 20, 2018: Behavioural Pharmacology
https://www.readbyqxmd.com/read/29561284/pharmacotherapy-for-perinatal-depression
#20
Shari I Lusskin, Sabrina J Khan, Carrie Ernst, Sally Habib, Madeleine E Fersh, Elizabeth S Albertini
Perinatal depression is associated with serious risks for the mother, baby, and family. When considering treating perinatal depression with a drug indicated for the treatment of depression, the major concerns are whether the drug increases the risks of teratogenicity, pregnancy complications, poor neonatal adaptation, or neurodevelopmental disorders. Although different studies have produced different results, the majority have not shown increases in risk for selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, tricyclic antidepressants, or the noradrenergic/dopaminergic drug bupropion...
March 20, 2018: Clinical Obstetrics and Gynecology
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