Commentary on Exploring Black and South Asian women’s experiences of help-seeking and engagement in perinatal mental health services in the UK. Frontiers in Psychiatry, 2023
Overall, this was a well-designed and careful study with important findings for women of a child-bearing age who may be sensitive to hormonal changes in reference to their depression.
Predicting the course and complications of perinatal depression through the identification of clinical subtypes has been previously undertaken using the Edinburgh Postnatal Depression Scale and has the potential to improve the precision of care and improve outcomes for women and their children. https://onlinelibrary.wiley.com/doi/10.1002/cpp.2893?af=R
Healthcare professionals need increased awareness and knowledge of the risk of perinatal mental illnesses among migrant women, and mental health should be routinely discussed in maternity and other healthcare services that serve women who are migrants.
This review, alongside evidence of the barriers marginalised women face when accessing perinatal mental healthcare (Pilav et al., 2022), demonstrates the importance of ensuring that prospective service investment and development projects make provisions for marginalised mothers. This is especially important considering recent investment in perinatal mental health services through the NHS Long Term Plan, to ensure all mothers are adequately supported. Example provisions include: training on stigma and culturally competent approaches for professionals, or adapted interventions which are co-produced by lived experience experts (Darwin et al., 2022; Pilav et al., 2022).
The prevalence of postnatal depression in fathers is likely to be close to the prevalence of postnatal depression in mothers. Beyond the detrimental consequences for the father, paternal postnatal depression negatively affects the well-being of the mother and the development of the child. Paternal postnatal depression is not commonly understood and there is a lack of assessment and support for new fathers experiencing mental health issues, but the importance of paternal mental health is increasingly recognised. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
There is increasing interest in the role of choline in brain development, including its possible role in promoting mental health and preventing mental illness. Choline is an essential micronutrient in fetal brain maturation. In more than 90% of pregnant women, choline intake has been found to be lower than the daily-recommended dose. The aim of this article is to review what is known about the effects of maternal choline supplementation on fetal brain development, early child development and mental health. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Mother and father depression symptoms often co-occur, and together can have a substantial impact on child emotional well-being. Little is understood about symptom-level mechanisms underlying the co-occurrence of depression symptoms within families. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Besides the moderation analyses, the study provides further evidence for the association of prenatal stress and children’s subsequent psychopathological symptoms. It therefore emphasises the need for early supportive interventions aimed at mothers who report a high burden of prenatal stressors. The reduction of modifiable prenatal stressors (e.g. lack of social support, work stress, burden of internalising symptoms, substance consumption) would likely have long-lasting positive effects on children’s mental health and might be feasible within the scope of interventions targeting mothers’ well-being. Such interventions could include support groups for pregnant mothers or short-team (maybe even group- or internet-based) cognitive behavioural interventions.
Population-level screening for parental childhood maltreatment could be a tool to identify families who might be in need of support to reduce the risk of adverse outcomes in children. This could also be useful in terms of safeguarding since research has found that parents with a history of childhood maltreatment (particularly emotional or physical abuse) had a higher risk of abusing their own children (Bert et al., 2009), as well as higher levels of anger, and more violent physical discipline toward infants (Altemeier et al., 1986).
Previous research has suggested that some women are at increased risk of postpartum depression (PPD) because of an extra sensitivity to fluctuating hormones before and after parturition. This may particularly apply to women with endocrine disease, characterised by a less than optimal capability to self-regulate the hormonal feedback system. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
it suggests that there is an emerging evidence base for the use of CBT for perinatal depression specifically. The finding that different formats of CBT (e.g., in person and remote) are effective is especially relevant, considering recent changes in how clinical care is delivered as a consequence of the COVID-19 pandemic, though it is worth noting that internet-based interventions were associated with the highest attrition rate.
The COVID-19 pandemic and its aftermath have increased pre-existing inequalities and risk factors for mental disorders in general, but perinatal mental disorders are of particular concern. They are already underdiagnosed and undertreated, and this has been magnified by the pandemic. Access to services (both psychiatric and obstetric) has been reduced, and in-person contact has been restricted because of the increased risks. Rates of perinatal anxiety and depressive symptoms have increased. In the face of these challenges, clear guidance in perinatal mental health is needed for patients and clinicians.
Women are predisposed to maternal depression due to childbirth difficulties and parenting responsibilities, leading to long-term negative consequences on their children. The uptake of mental healthcare by British mothers of African/Caribbean origin is low due to the lack of access to culturally appropriate care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study identified elevated rates of depression and anxiety in pregnant individuals, as measured during the COVID-19 pandemic. Though elevated insomnia and sleep problems were reported, they did not differ significantly from pre-COVID pregnancy samples.
Financial difficulties, social isolation, risk of COVID-19 infection, and relationship difficulties experienced as a result of the pandemic were found to be related to elevated mental health symptoms. Results also indicated a detrimental effect of negative cognitive appraisal and a protective effect of greater access to social support.
These results highlight the impact of the pandemic on the wellbeing of pregnant individuals, and indicate areas for focus when developing intervention and support measures.
Body weight perinatal depression - Sarah Nicholson summarises a systematic review of pre-pregnancy BMI and the risk of antenatal and postnatal depression.
Animal studies indicate a key role for vitamin D in brain development and function, but observational studies in humans only suggests a borderline positive association between prenatal vitamin D exposure and cognitive development in the offspring. Knowledge gaps include insights in exposure time window and differences by sex for the association. We aimed to investigate the association between blood concentrations of serum 25-hydroxyvitamin D measured at four different time points and intelligence quotient score at the age of 7 years, including analyses spilt by child sex. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Perinatal anxiety affects 20% of women, and untreated maternal mental illness can cause deleterious effects for women and their children. Benzodiazepines are commonly used to treat anxiety disorders. The reported risk of congenital malformations after in utero benzodiazepine exposure has been inconsistent. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Lived experience is increasingly viewed as an important means of informing mental health practice. In this case, the lived experience narrative comes from a father who experienced postnatal depression (PND). Yet, whilst men are increasingly sharing their experiences of PND in the public sphere, there have been limited advances in their quality of care and support during the perinatal period. Services for perinatal mental health problems are targeted towards mothers, with fathers not traditionally being seen as experiencing perinatal mental health problems. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
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.
Hypertensive disorders of pregnancy are associated with longer term cardiovascular risk. Understanding if depression or antidepressant use in pregnancy is associated with HDP is important in identifying those potentially vulnerable to poorer health in later life. This study examines if depression and antidepressants are associated with HDP.To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
"while grief is a natural reaction to experiencing loss, symptoms of depression and anxiety may be mitigated by improved community support. Overcoming the taboo and encouraging open conversations about loss can reduce isolation and allow families to acknowledge the impact. This can reduce stigma or shame, enhance peer support from others with similar experiences, and provide a language to talk about what’s happened to process the experience. This type of support is currently being offered by organisations such as SANDS (Stillbirth and Neonatal Death) and the Miscarriage Association. Widening this support to include health services and other community contexts may further improve outcomes for families and reduce the likelihood of developing mental health difficulties."
The purpose of this paper is to draw attention to the experience of grief felt by fathers when facing perinatal loss. A father’s grief and loss are frequently unrecognized and underappreciated by healthcare professionals who customarily attend only to the needs of mothers. Open access article- no login needed
Suicide is a leading cause of maternal mortality. Suicidality during and around the time of pregnancy can have detrimental impacts on a child’s development and outcomes. This paper examines prevalence, demographic characteristics, and timing of initial contact with first responders and health services for a cohort of women who experienced suicidality during and around the time of pregnancy in Queensland, Australia. To read the full article, where necessary, choose “Institutional Login” and search for “Midlands Partnership”. .
This descriptive study aimed to present the characteristics and needs of refugee women who attended a psychosocial walk-in clinic addressing pregnant refugees’ and new mothers’ maternity mental healthcare needs in a state registration and reception centre in Germany. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
This paper reports on insights from an evaluation of Birth Companions (BC) (a UK-based charity) perinatal support in two prison settings in England. The initiative involved the provision of group and/or one-to-one perinatal support and training women prisoners as peer supporters. To read the full article, log in using your NHS OpenAthens details.
The results of the review suggest that psychosocial interventions targeting adolescents in the perinatal period hold some promise for promoting positive mental health and improving school attendance.
Uncertainty surrounds the risks of lithium use during pregnancy in women with bipolar disorder. The authors sought to provide a critical appraisal of the evidence related to the efficacy and safety of lithium treatment during the peripartum period, focusing on women with bipolar disorder and their offspring.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
Health visitors (HVs) help new mothers to cope with mental health problems through support such as ‘listening visits’, but more attention should be paid to how such support can be improved, a survey suggests. To read the full article, log in using your MPFT NHS OpenAthens details.
Life after loss is an economic evaluation of the baby loss charity Petals, which provides counselling to women who have experienced the death of a baby and their partners. The evaluation calculates that national provision of counselling to 4,822 mothers would cost £3.17m per annum, which would create a national safety-net of support to help parents at this immensely difficult time. No such service currently operates across England and Wales.
The report highlights that specialist baby loss counselling is inexpensive, effective and reduces government expenditure. This is a rare instance where fiscal prudence and compassion converge.
Open access. Although evidence suggests that the EuroQoL-5 dimension (EQ-5D) and Short Form-6 dimension (SF-6D) have equivalent psychometric properties in people with depression, there is some evidence that the EQ-5D may lack responsiveness in certain populations with depression.
Previous studies suggest that prenatal immune challenges may elevate the risk of schizophrenia and related psychoses in offspring, yet there has been limited research focused on maternal bacterial infection. The authors hypothesized that maternal bacterial infection during pregnancy increases offspring risk of psychotic disorders in adulthood, and that the magnitude of this association varies as a function of severity of infectious exposure and offspring sex.. To read the full article, log in using your MPFT NHS OpenAthens details.
The aim of this study was to determine the association between antidepressant (AD) classes, types and duration of use during pregnancy and the risk of gestational diabetes mellitus (GDM). Open Access Article
To synthesize research findings regarding the coping experiences of parents following perinatal loss.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for practice and research:
> Men’s resilience towards the transition to fatherhood should be assessed as part of prenatal preparation for couples expecting their first baby.
> Research on psychological management of postdelivery stress for families of new babies should include interventions on adjustment strategies. To read the full article, log in using your MPFT NHS OpenAthens details.
Circadian rhythms are altered in Major Depressive Disorder (MDD) as showed by changes in circadian patterns of gene expression in the human brain of subjects affected by MDD (1). Circadian rhythms are produced centrally by clock genes and some single nucleotide polymorphisms located in clock genes have been associated with vulnerability to MDD (2). Similarly, one study suggests that clock gene expression in tissues related to pregnancy is altered in mice during pregnancy, although this has not been tested yet in humans (3). No data have been published thus far regarding the expression of clock genes during perinatal depression, while history of depression has been found to be associated with the increased expression of gene CLOCK that would be responsible for an anticipation of the sleep waking rhythms and of late insomnia typical in MDD.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Postpartum psychosis is one of the severest psychiatric disorders to occur in the postpartum period. If it requires a woman's admission, a psychiatric mother baby unit is recommended, where care will focus on the mother's health, the mother‐baby dyad, and their next of kin. To date, few studies have examined nursing interventions for patients with postpartum psychosis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To systematically review and critically evaluate studies reporting alcohol exposure during pregnancy and miscarriage.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The accuracy of current screening instruments for identification of substance use in pregnancy is unclear, particularly given methodological shortcomings in existing research. This diagnostic accuracy study compared five existing instruments for ability to identify illicit drug, opioid and alcohol use, under privacy expectations consistent with applied practice and using a gold standard incorporating toxicological analysis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Limited research exists on the impact of prison mother and baby unit (MBU) residence. Research in the UK suggests women in MBUs have lower prevalence of mental disorder. Higher rates of mother-child attachment for women in prison nurseries in the US have been reported.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
To determine if an electronic nursing intervention during the first six months postpartum was effective in improving mood and decreasing stress.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To investigate clinically relevant subtypes of perinatal depressive symptoms.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for practice and research:
>Healthcare professionals should provide person-centred care to postpartum women with severe mental illness (SMI), promoting their autonomy and the best outcomes for the woman and the child.
>Stigma and negative attitudes towards individuals with SMI can have a detrimental effect on patient care.
>Future research should evaluate interventions that decrease stigma in healthcare professionals caring for women with SMI. To read the full article, log in using your MPFT NHS OpenAthens details.
Implications for practice and research
>Midwives increasingly provide important perinatal care but their role in the identification and management of mental illness, one of the most common complications of pregnancy, remains unclear.
>Access to mental healthcare in midwifery is hampered by supply-side barriers and there are also barriers due to the clients’ inability to interact with midwives to optimise access to care
>Research in innovative strategies to train midwives to provide psychosocial and psychological interventions to women with mild-to-moderate symptom severity is needed to ensure timely access to evidence-based treatment and appropriate follow-up. To read the full article, log in using your NHS OpenAthens details.
Implications for practice and research:
>Healthcare professionals should provide person-centred care to postpartum women with severe mental illness (SMI), promoting their autonomy and the best outcomes for the woman and the child.
>Stigma and negative attitudes towards individuals with SMI can have a detrimental effect on patient care.
>Future research should evaluate interventions that decrease stigma in healthcare professionals caring for women with SMI. To read the full article, log in using your NHS OpenAthens details.
This study examined the relationship between prenatal exposure to alcohol, manifested through FAS and pFAS, and hypertension in children and adolescents.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Alcohol use during pregnancy can have a variety of harmful consequences on the fetus. Lifelong effects include growth restriction, characteristic facial anomalies, and neurobehavioral dysfunction. This range of effects is known as fetal alcohol spectrum disorders (FASD). There is no amount, pattern, or timing of alcohol use during pregnancy proven safe for a developing embryo or fetus. Therefore, it is important to screen patients for alcohol use, inform them about alcohol's potential effects during pregnancy, encourage abstinence, and refer for intervention if necessary. However, how and how often nurses and midwives inquire about alcohol drinking during pregnancy or use recommended screening tools and barriers they perceive to alcohol screening has not been well established. (US study)
Open access. Psychological Medicine; Cambridge Vol. 49, Iss. 8, (Jun 2019): 1324-1334. DOI:10.1017/S0033291718001940
Background
There is evidence for the cost-effectiveness of health visitor (HV) training to assess postnatal depression (PND) and deliver psychological approaches to women at risk of depression. Whether this approach is cost-effective for lower-risk women is unknown. There is a need to know the cost of HV-delivered universal provision, and how much it might cost to improve health-related quality of life for postnatal women. A sub-study of a cluster-randomised controlled trial in the former Trent region (England) previously investigated the effectiveness of PoNDER HV training in mothers at lower risk of PND. We conducted a parallel cost-effectiveness analysis at 6-months postnatal for all mothers with lower-risk status attributed to an Edinburgh Postnatal Depression Scale (EPDS) score <12 at 6-weeks postnatal.
Due to concerns about increased exposure to nicotine, pregnant women using nicotine replacement therapy (NRT) to stop smoking are usually advised to stop using NRT if they relapse to smoking. This study investigated whether this is justified. We compared changes in saliva cotinine from baseline to 2 weeks post‐target quit date pregnant smokers who relapsed to smoking and continued to use their patches having been assigned to use nicotine patches or placebo.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Sensitivity to sex‐steroid hormone fluctuations may increase risk for perinatal depression. We aimed to identify genome‐wide biological profiles in women demonstrating sensitivity to pharmacological sex‐hormone manipulation with Gonadotrophin Releasing Hormone agonist (GnRHa).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Researchers have shown that a new way of assessing women’s relationship with their bodies during pregnancy could help predict how well the mother might bond with her unborn baby and her longer-term emotional wellbeing.
Open access. Maternal alcohol consumption in pregnancy may have adverse effects on child gross motor (GM) development. There have been few human studies on this topic, particularly ones examining low exposure. This study examined the association between prenatal alcohol exposure (PAE) and infant GM development at 12-months of age.
Perinatal mental health (PMH) problems occur during pregnancy and up to a year after giving birth. They can have a significant effect on the mother and family, and can affect the social, emotional and cognitive development of the child. PMH nursing is gaining increasing recognition in national policy; additional funding has been announced to align national perinatal services with agreed standards and the perinatal workforce has been identified as an area of growth. To read the full article, log in using your MPFT NHS OpenAthens details.
Neuropsychology Vol. 32, Iss. 7, (Oct 2018): 784-796. DOI:10.1037/neu0000465
Objective: Prenatal exposure to antiepileptic drugs (AEDs) and in particular valproate (VPA) has been shown to impair intellectual and language development in children, but the impact on memory functioning has not been thoroughly investigated. This study aimed to evaluate memory skills in school-age children who were exposed to AEDs prenatally. . To read the full article, log in using your NHS OpenAthens details.
A randomized controlled trial was conducted to examine the effectiveness of an Internet-based educational intervention plus a peer support–moderated listserv for improving parenting skills and coping and reducing parental stress among mothers with serious mental illnesses. The analyses examined whether positive results achieved immediately after the intervention were improved upon during the 18-month postbaseline period.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The authors examined associations of exposure to maternal depressive symptoms at different developmental stages from fetal life to preadolescence with child brain development, including volumetrics and white matter microstructure.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
Prenatal alcohol exposure (PAE) results in well‐characterised neurological, behavioural and cognitive deficits in offspring. However, the effects on other health outcomes have not been comprehensively described. We used a systematic review methodology to survey published clinical and preclinical studies investigating a broad range of health outcomes in offspring with PAE. This study specifically reports on outcomes related to metabolism and body composition.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Melisa Selvaratnam summarises a study on postpartum-specific anxiety as a predictor of infant-feeding outcomes and perceptions of infant-feeding behaviours.
Youth with heavy prenatal alcohol exposure have high rates of behavioral concerns and psychopathology, including increased oppositional and conduct behaviors. The relation between those concerns and executive function (EF) deficits is unknown. We investigated the association of oppositional and conduct behavior and EF in adolescents to inform targeted intervention.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for practice and research:
> Fatigue is an under examined and seldom treated condition many women experience postnatally that is highly correlated to depression.
> Efforts to accurately and consistently measure fatigue are needed for effective detection and management.
> Fatigue management may be an important strategy to help prevent postpartum depression among vulnerable women. To read the full article, log in using your NHS OpenAthens details.
Open access. Controversial findings regarding the association between pro-inflammatory cytokines and depression have been reported in pregnant subjects. Scarce data about anxiety and its relationships with cytokines are available in pregnant women. To understand the association between anxiety and cytokines during pregnancy, we conducted the present study in women with or without depression.
Open access. Parenthood is a life transition that can be especially demanding for vulnerable individuals. Young maternal age and maternal single status have been reported to increase the risk for adverse outcomes for both mother and child. The aim of this study was to investigate the effect of young maternal age and maternal single status on maternal and child mental health and child development at age 3.
To examine public health nurses’ education, training and professional support needs in perinatal mental health.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In utero alcohol exposure can disrupt the development of the fetal brain and result in a wide‐range of neurobehavioral outcomes collectively known as fetal alcohol spectrum disorders (FASD). This paper provides a comprehensive review of the cognitive and behavioral outcomes of prenatal alcohol exposure, including domains of general intelligence, executive functioning, language development, learning and memory, adaptive functioning, academic performance, and concurrent psychopathology. In addition, the current status of the neurobehavioral profile of FASD and its potential as a diagnostic tool will be discussed.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Several studies have investigated whether in utero exposure to selective serotonin reuptake inhibitors (SSRIs) is associated with increased risk of developing mental‐ or behavioral disorders. The aim of this study was to perform a systematic review and meta‐analysis based on this literature.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
New and expectant mothers across the country can now access specialist mental health care in the area where they live, NHS England announced today.
The landmark rollout of specialist perinatal community services across the whole of England, means that mums and mums-to-be who are experiencing anxiety, depression or other forms of mental ill health should be able to access high quality care much closer to home.
Experts from 13 national bodies, including seven Royal Colleges, have joined forces to launch new practical guidance to support doctors and other health professionals around valproate use in women and girls in their reproductive years.
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Journal of Family Psychology (Feb 25, 2019). DOI:10.1037/fam0000510
Childhood adversity can have long-term deleterious effects on adulthood mental health outcomes, but more research is needed examining how type and timing of childhood adversity affect mental health specifically during pregnancy. The current study examined the effects of total adverse childhood experiences (ACEs) on depression and posttraumatic stress disorder (PTSD) symptoms during pregnancy, unpacked effects of total adversity into childhood maltreatment versus family dysfunction experiences, and assessed age of onset effects of child maltreatment-specific experiences.. To read the full article, log in using your NHS OpenAthens details.
Little is known about the mental health of pregnant women in prison in England or the factors which impact admissions to prison mother and baby units (MBUs). Research from the UK suggests women with more ‘stable’ backgrounds and lower prevalence of mental disorder are more likely to be admitted to prison MBUs. Eighty-five pregnant women were interviewed in eight different prisons..... Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The incidence of depression is high during the perinatal period. This mood disorder can have a significant impact on the mother, the child and the family. Objective: To examine the effect of an exercise programme during pregnancy on the risk of perinatal depression. To read the full article, log in using your NHS OpenAthens details.
We assessed whether maternal mental health problems increased rates for child injury during the preschool years and mid-childhood, and the extent to which associations could be accounted for by a range of potential explanatory factors.. To read the full article, log in using your NHS OpenAthens details.
Our understanding of the long‐term safety of prenatal exposure to Opioid Maintenance Treatment (OMT) is insufficient. We compared childhood morbidity (0‐3 years) between OMT‐exposed and relevant comparison groups.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
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.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Antenatal common mental disorders (CMDs) including anxiety, depressive, adjustment, and somatoform disorders are prevalent worldwide. There is emerging evidence that experiencing a natural disaster might increase the risk of antenatal CMDs. This study aimed to synthesise the evidence about the prevalence and determinants of clinically-significant symptoms of antenatal CMDs among women who had recently experienced an earthquake.
open access. Parents are vulnerable to psychological distress symptoms in the postpartum period. It is routine to screen for depressive symptoms, but anxiety, stress, fatigue, irritability and insomnia symptoms are less often assessed despite their prevalence. This study aimed to assess multiple dimensions of psychological distress, and their reliable change and clinically significant change among women admitted to a residential program for assistance with unsettled infant behaviors (UIB).
To investigate the effects of a virtual community on pregnant women's well‐being.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Anxiety disorders and self-reported symptoms are highly prevalent in pregnancy. Despite their negative impact on maternal and child outcomes, uncertainty remains regarding which symptoms can be considered accurate indicators of antenatal anxiety. Aims:To examine and synthesise the evidence in relation to the psychometric properties and content of self-report scales used to detect anxiety symptoms in pregnant women.
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This study recommends the top 4 websites on perinatal anxiety for health care professionals and users. There is a need for websites to be developed that provide accurate, evidence-based information that women can relate to with quality support resources. Furthermore, these sites should be easy to use and readable
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Exposure to prenatal stress is a ubiquitous and non‐specific risk factor for adverse outcomes in adulthood. In this study, we examined associations between exposure to subjective maternal stress during pregnancy and subsequent diagnosis of psychiatric disorders in offspring.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To determine whether past history of depression is associated with increased rates of gestational diabetes, and whether history of gestational diabetes is associated with increased rates of postpartum depression.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Implications for practice and research
> Health visitors (HVs) should be trained and supported to deliver a cognitive behavioural approach (CBA) or a person-centred approach (PCA).
> Research should be undertaken to determine whether the POstNatal Depression Economic evaluation and Randomised (PoNDER) Trial remains clinically effective and cost-effective when delivered by other health professionals.
> Future research should explore the longer-term cost-effectiveness and social impact of using PoNDER with women experiencing postnatal depression (PND). To read the full article, log in using your NHS OpenAthens details
Findings This population-based case-control cohort study of 95 978 individuals from the population of a single health maintenance organization assessed the effects of prenatal exposure to medications that affect major neurotransmitter systems. Most of the associations were substantially modified when accounting for maternal characteristics.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai