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Depression pregnancy

Lisa-Christine Girard, Chamarrita Farkas
IMPORTANCE: Potential effects of breast feeding on children's behaviour remains an elusive debate given inherent methodological challenges. Propensity score matching affords benefits by ensuring greater equivalence on observable social and health determinants, helping to reduce bias between groups. OBJECTIVES: We examined whether the duration of breast feeding had an impact on children's externalising and internalising behaviours. STUDY DESIGN: A cohort study (Encuesta Longitudinal de la Primera Infancia cohort) that included 3037 Chilean families who were enrolled in 2010...
February 15, 2019: BMJ Open
Anja W M M Stevens, Peter J J Goossens, Elise A M Knoppert-van der Klein, Stasja Draisma, Adriaan Honig, Ralph W Kupka
BACKGROUND: Mood disorders can be difficult to treat during pregnancy. There is still lack of evidence whether pregnancy influences their natural course and whether continuation of pharmacotherapy, despite potential risks for the unborn child, is beneficial in preventing recurrence of mood episodes during pregnancy. METHODS: Systematic review conducted according to the PRISMA guidelines, searching Pubmed, PsycINFO, Embase and Cochrane databases up till January 9th, 2018...
February 7, 2019: Journal of Affective Disorders
Keren Cohen, Liat Leibovich, Rayna Markin, Sigal Zilcha-Mano
AIM: Despite research suggesting increased anxiety and depressive symptoms after a perinatal loss and during future pregnancies, little knowledge exists to guide clinicians treating pregnant women after perinatal loss. This case study explores processes that facilitated therapeutic change for a pregnant patient with major depressive disorder (MDD) and posttraumatic stress disorder after perinatal losses. METHOD: The study integrated quantitative and narrative analyses in a single case derived from the pilot phase of a randomized controlled trial on supportive-expressive therapy for MDD...
February 15, 2019: Journal of Clinical Psychology
Alice Cavenagh, Sohini Chatterjee, William Davies
X-linked ichthyosis (XLI) is a rare X-linked dermatological condition arising from deficiency for the enzyme steroid sulfatase (STS). STS is normally expressed in the brain, and males with XLI exhibit personality differences from males in the general population, and are at increased risk of developmental and mood disorders. As the STS gene escapes X-inactivation, female carriers of XLI-associated genetic mutations have reduced STS expression/activity relative to non-carrier females, and could manifest similar behavioural phenotypes to males with XLI...
2019: PloS One
Katrine Røhder, Maja Nyström-Hansen, Angus MacBeth, Kirstine Agnete Davidsen, Andrew Gumley, Jessica Brennan, Carol George, Susanne Harder
OBJECTIVE: The study explores predictors of antenatal caregiving representations among mothers with a history of severe mental illness (SMI). BACKGROUND: Attachment research has demonstrated that multifactorial assessment of antenatal caregiving representations predicts later maternal behaviour and child attachment. However, the field lacks research among clinical groups. Knowledge of factors influencing caregiving representations during pregnancy can contribute to our understanding of caregiving risk among SMI-mothers and inform intervention decisions...
February 15, 2019: Journal of Reproductive and Infant Psychology
Judith van der Waerden, Aurelie Nakamura, Laura Pryor, Marie-Aline Charles, Fabienne El-Khoury, Patricia Dargent-Molina
The potential beneficial effects of physical activity during pregnancy on postpartum depressive symptoms (PPD) remain inconclusive. Using data from two prospective French birth cohorts, we aimed to examine the relationship between domain-specific physical activity (including leisure-time sedentary behavior) in pregnancy and the occurrence of PPD. Participants of the ELFE cohort (n = 15,538) completed the Pregnancy Physical Activity Questionnaire (PPAQ), which assesses the following physical activity/sedentary behavior domains: household/caregiving, occupational, sports/exercise, transportation and leisure-time sedentary behavior during the third pregnancy trimester...
February 11, 2019: Preventive Medicine
Tânia Brandão, Rute Brites, Mónica Pires, João Hipólito, Odete Nunes
Perinatal research has focused essentially on maternal outcomes leaving paternal outcomes unexplored. This cross-sectional study aimed to explore the intrapersonal and interpersonal effects of mothers' and fathers' anxiety and depressive symptoms on their own and their partners' antenatal attachment to the fetus. Additionally, it aimed to explore the mediating role of dyadic adjustment on these associations. Participants, 320 pregnant women and their partners, completed the Hospital Anxiety and Depression Scale, the Dyadic Adjustment Scale, and the Maternal and Paternal Antenatal Attachment Scale...
February 14, 2019: Journal of Family Psychology: JFP
Angela C Incollingo Rodriguez, A Janet Tomiyama, Christine M Guardino, Christine Dunkel Schetter
OBJECTIVE: Weight stigma adversely affects the health of the general population, but almost no studies have examined possible negative consequences of weight stigma in the context of pregnancy. The present study tested whether experiencing weight stigma in pregnancy is inversely related to mental and physical health in mothers during the first postpartum year. METHOD: This study examined associations between weight-related experiences of discrimination in everyday life, measured at 1 month after the birth of a child, and physical and mental health outcomes measured concurrently and at 6 months and 1 year postpartum in a sample of 214 women in the Community Child Health Network study...
March 2019: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
Tiina Taka-Eilola Nèe Riekki, Juha Veijola, Graham K Murray, Jari Koskela, Pirjo Mäki
BACKGROUND: Maternal antenatal depression may alter offspring neurodevelopment, but long follow-up studies are lacking. We studied the risks for mood disorders and schizophrenia in adult offspring of antenatally depressed mothers, taking account parental severe mental disorders. METHODS: In the general population-based Northern Finland 1966 Birth Cohort with 12,058 children, 13.9% of the mothers reported themselves depressed at mid-gestation. The offspring were followed 43 years...
February 6, 2019: Journal of Affective Disorders
Shefaly Shorey, Yvonne Peng Mei Ng, Esperanza Debby Ng, An Ling Siew, Evalotte Mörelius, Joanne Yoong, Mihir Gandhi
BACKGROUND: Transitioning into parenthood can be stressful for new parents, especially with the lack of continuity of care from health care professionals during the postpartum period. Short hospital stays limit the availability of support and time parents need to be well equipped with parenting and infant care skills. Poor parental adjustment may, in turn, lead to negative parental outcomes and adversely affect the child's development. For the family's future well-being, and to facilitate a smoother transition into parenthood, there is a need for easily accessible, technology-based educational programs to support parents during the crucial perinatal period...
February 13, 2019: Journal of Medical Internet Research
Joanne E Cox, Sion Kim Harris, Kathleen Conroy, Talia Engelhart, Anuradha Vyavaharkar, Amy Federico, Elizabeth R Woods
: media-1vid110.1542/5985300176001PEDS-VA_2018-2303 Video Abstract BACKGROUND: Teen mothers often present with depression, social complexity, and inadequate parenting skills. Many have rapid repeat pregnancy, which increases risk for poor outcomes. We conducted a randomized controlled trial of a parenting and life skills intervention for teen mothers aimed at impacting parenting and reproductive outcomes. METHODS: Teen mothers were recruited from a teen-tot clinic with integrated medical care and social services...
February 12, 2019: Pediatrics
Laura Navarrete, Lourdes Nieto, Ma Asunción Lara, Ma Del Carmen Lara
OBJECTIVE: To evaluate the sensitivity and specificity of the Two Whooley questions and the Arroll question, using the SCID, The Structured Clinical Interview (SCID-I) as the gold standard for detecting perinatal depression. MATERIALS AND METHODS: We interviewed 210 women during pregnancy and 6 months postpartum. RESULTS: The criterion with the greatest sensitivity was responding positively to either Whooley question (pregnancy= 94.7 %; postpartum=100...
2019: Salud Pública de México
Susan J Curry, Alex H Krist, Douglas K Owens, Michael J Barry, Aaron B Caughey, Karina W Davidson, Chyke A Doubeni, John W Epling, David C Grossman, Alex R Kemper, Martha Kubik, C Seth Landefeld, Carol M Mangione, Michael Silverstein, Melissa A Simon, Chien-Wen Tseng, John B Wong
Importance: Perinatal depression, which is the occurrence of a depressive disorder during pregnancy or following childbirth, affects as many as 1 in 7 women and is one of the most common complications of pregnancy and the postpartum period. It is well established that perinatal depression can result in adverse short- and long-term effects on both the woman and child. Objective: To issue a new US Preventive Services Task Force (USPSTF) recommendation on interventions to prevent perinatal depression...
February 12, 2019: JAMA: the Journal of the American Medical Association
Elizabeth O'Connor, Caitlyn A Senger, Michelle L Henninger, Erin Coppola, Bradley N Gaynes
Importance: Depression during pregnancy and the postpartum period is relatively common and can have adverse effects on both mother and child. Objective: To systematically review benefits and harms of primary care-relevant interventions to prevent perinatal depression, a major or minor depressive episode during pregnancy or up to 1 year after childbirth, to inform the US Preventive Services Task Force. Data Sources: MEDLINE, PubMED (for publisher-supplied records only), PsycINFO, and the Cochrane Central Register of Controlled Trials; surveillance through December 5, 2018...
February 12, 2019: JAMA: the Journal of the American Medical Association
Tharanga Navodani, Deirdre Gartland, Stephanie J Brown, Elisha Riggs, Jane Yelland
BACKGROUND: Migrant women of non-English speaking background make up an increasing proportion of women giving birth in high income countries, such as Australia, Canada and the United Kingdom. The aim of this study was to assess the prevalence of common physical and psychosocial health problems during pregnancy and up to 18 months postpartum among migrant women of non-English speaking background compared to Australian-born women. METHODS: Prospective pregnancy cohort study of 1507 nulliparous women...
2019: PloS One
Shandeigh N Berry, Karen Colorafi
Congenital anomalies are the leading cause of infant death in the United States, accounting for 20% of the annual infant mortality. Advancements in ultrasound diagnostic technology allow practitioners to diagnose fetal anomalies as early as 11 weeks' gestational age, 75% of which are detected in low-risk pregnancies. Communicating a fetal anomaly diagnosis to parents and initiating perinatal end-of-life discussions are difficult for healthcare providers and parents alike. Furthermore, poorly communicated diagnoses have had long-term negative impacts on perinatal grief intensity, which manifested into lifelong symptoms of adverse psychosocial outcomes such as anxiety, depression, substance abuse, and suicidal ideation...
February 6, 2019: Journal of Perinatal & Neonatal Nursing
Rannveig S Osnes, John Olav Roaldset, Turid Follestad, Malin Eberhard-Gran
BACKGROUND: Postpartum anxiety (PPA) affects a substantial number of women. Despite increasing recognition of PPA, few studies have focused on perinatal anxiety and potential PPA triggers. Here we aimed to estimate the prevalence of perinatal anxiety disorders, and to explore the association between insomnia during late pregnancy and anxiety before and after childbirth. METHODS: This study was part of the large population-based Akershus Birth Cohort. We analyzed data from the hospital's birth records and questionnaire responses from pregnancy weeks 17 and 32 and postpartum week 8 (n = 1563)...
January 28, 2019: Journal of Affective Disorders
Stephanie Wallwiener, Maren Goetz, Anne Lanfer, Andrea Gillessen, Marc Suling, Manuel Feisst, Christof Sohn, Markus Wallwiener
PURPOSE: To investigate the real-life epidemiology of mental disorders during pregnancy and their impact on birth outcome in an unselected low-risk population in Germany. METHODS: Claims data of the Techniker Krankenkasse (TK) were analyzed as part of a retrospective observational study over a one-year period from 01/2008 to 12/2008 including 38,174 pregnant women. ICD-10 codes were clustered into four diagnostic groups: depression, anxiety disorders, somatoform/dissociative disorders and acute stress reactions...
February 8, 2019: Archives of Gynecology and Obstetrics
Ingunn Olea Lund, Espen Moen Eilertsen, Line C Gjerde, Espen Røysamb, Mollie Wood, Ted Reichborn-Kjennerud, Eivind Ystrom
BACKGROUND AND AIMS: Hazardous drinking (i.e., alcohol consumption that places drinkers at risk for adverse health outcomes) during pregnancy is associated with adverse child outcomes. To address whether the associations are causal, we aimed to estimate the effect of maternal hazardous drinking during 1st trimester on offspring emotional and behavior problems throughout the preschool age. We adjust for, 1) measured confounding (e.g., smoking) 2) familial risk factors by sibling control design, and 3) non-shared environmental risk factors by using hazardous drinking the 3 months before pregnancy as an instrumental variable...
February 8, 2019: Addiction
Sara Holton, Jane Fisher, Hau Nguyen, Wendy J Brown, Thach Tran
BACKGROUND: While the physical health risks of obesity during pregnancy for women are well understood, little is known about the mental health implications. The aim of this study was to investigate the relationship between pre-pregnancy body mass index (BMI) and symptoms of antenatal depression and anxiety. METHODS: Secondary analysis of cross-sectional data contributed by the younger cohort (born 1973-78) of the Australian Longitudinal Study of Women's Health who were pregnant at the time of the survey (Waves 4-6: aged 28-39years)...
February 4, 2019: Women and Birth: Journal of the Australian College of Midwives
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