Research in Social and Administrative Pharmacy, Journal Year: 2024, Volume and Issue: 20(10), P. 995 - 1005
Published: July 1, 2024
While pharmacists' roles in mental healthcare are expanding, research exploring acceptability and willingness to provide health services is limited. This study developed validated theory-driven measures of screen for perinatal depression community pharmacy settings.
Language: Английский
The Canadian Journal of Psychiatry, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 12, 2025
Background The Canadian Network for Mood and Anxiety Treatments (CANMAT) publishes clinical practice guidelines mood anxiety disorders. This CANMAT guideline aims to provide comprehensive guidance the pregnancy postpartum (perinatal) management of mood, related Methods convened a core editorial group interdisciplinary academic clinicians persons with lived experience (PWLE), 3 advisory panels PWLE perinatal health mental clinicians. We searched systematic reviews prevention treatment interventions depressive, bipolar, anxiety, obsessive–compulsive post-traumatic stress disorders (January 2013–October 2023). prioritized evidence from randomized controlled trials (RCTs), except safety medications where large high-quality observational studies were due absence RCT data. Targeted searches individual conducted when limited or absent. Recommendations organized by lines based on CANMAT-defined levels quality, supplemented consensus balance efficacy, safety, tolerability feasibility considerations. Results covers 10 sections in question-and-answer format that maps onto patient care journey: case identification; organization delivery care; non-pharmacological (lifestyle, psychosocial, psychological), pharmacological, neuromodulation complementary alternative medicine interventions; high-risk situations; father co-parent. Equity, diversity inclusion considerations are provided. Conclusions guideline's detailed evidence-based recommendations key information promote effective safe healthcare. It is hoped will serve as valuable tool Canada around world help optimize outcomes area health.
Language: Английский
Citations
1
BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)
Published: Feb. 24, 2024
Abstract Background The anxiety and their related disorders (AD) are the most common of all mental health conditions, affect approximately 20% pregnant postpartum people. They associated with significant distress life interference for sufferers, as well negative consequences fetal infant development. At present, little if any routine screening prenatal AD is being conducted data regarding effective tools to screen these lacking. majority studies suffer from methodological difficulties which undermine confidence needed recommend measures population distribution. primary purpose this research identify accurate self-report tool(s) perinatal AD. Methods A large, prospective cohort people ( N = 1,000) recruited proportionally across service delivery regions in British Columbia (BC). accuracy a broad range assessed using gold standard methodology. Consenting individuals administered online questionnaires followed by semi-structured diagnostic interview between 16- 36-weeks’ gestation, again 6 20 weeks postpartum. Questionnaires include measures, sleep unpaid family work, questions pertaining demographic reproductive history, COVID-19, gender role burden, treatment utilization. Interviews assess current disorders, obsessive–compulsive disorder, posttraumatic stress disorder. Discussion This response an urgent demand based on high quality evidence. among often go unidentified untreated, resulting continued suffering impairment. Findings will inform healthcare providers, policymakers, scientists, about approach pregnancy period.
Language: Английский
Citations
4
The Canadian Journal of Psychiatry, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 6, 2025
Plain Language Summary This is a commentary of the CANMAT guideline Key points about perinatal guidelines are commented on. The process developing was robust and there can be high level confidence in their recommendations. An important aspect that services for women with mood anxiety disorders need to put place so range on evidence based treatments implemented.
Language: Английский
Citations
0
Frontiers in Neurology, Journal Year: 2025, Volume and Issue: 15
Published: Jan. 15, 2025
Perinatal depression (PD) is a highly prevalent psychological disorder that has detrimental effect on infant and maternal physical mental health, but effective objective assessment of PD still insufficient. In recent years, the functional near-infrared spectroscopy (fNIRS) been acknowledged as an non-invasive tool for clinical depression. This study proposed free association semantic task (FAST) paradigm fNIRS-based PD. To better address emotion characteristics PD, participants are required to generate dynamic concept chain based positive, negative or neutral seed words, while 48-channel fNIRS recordings over frontal bilateral temporal regions. Results from twenty-two late-pregnant women revealed that, oxyhemoglobin (oxy-Hb) changes during FAST with positive words region were correlated severity, which was different correlation patterns in word classical verbal fluency test (VFT). Furthermore, distinct also observed manifested channels corresponding right dorsolateral prefrontal cortex (DLPFC) inferior gyrus (IFG), respectively. Moreover, regression analyses showed can well explain severity Our findings suggest promising approach assessment.
Language: Английский
Citations
0
BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)
Published: Jan. 16, 2025
Perinatal depression is common worldwide, which can cause many adverse effects on the physical and mental health of mother baby, as well whole family. The Edinburgh Postnatal Depression Scale (EPDS) an efficient effective instrument for perinatal depression. However, few studies have examined its longitudinal measurement invariance (LMI) during period, particularly important in studies, such exploring developmental trajectories evaluating certain interventions. 4139 pregnant women from 24 hospitals 15 provinces China were measured using EPDS first, second, third trimesters 6 weeks postpartum. Exploratory factor analysis confirmatory used to explore structure at each time point. Multi-group analyses performed examine LMI EPDS. A three-factor model was optimal all points, showing clearest best fit: Anhedonia (Items 1–2), Anxiety 3–6), 7–10). Internal reliability good points (e.g., Cronbach's α > 0.80). series multi-group further indicated that held strict (configural, metric, scalar invariance) period. findings confirmed when Chinese postpartum women. justified comparisons scores among different points.
Language: Английский
Citations
0
BMC Primary Care, Journal Year: 2025, Volume and Issue: 26(1)
Published: Feb. 12, 2025
Detection of perinatal depression by healthcare providers remain an important barrier to receiving treatment. This study reports on the detection frontline non-physician primary workers (PHCWs) as well feasibility, effectiveness and acceptability routine screening using 2-item patient health questionnaire (PHQ-2) during antenatal care. Twenty-seven facilities were assigned (n = 11) non-screening 16) arms. All PHCWs in both arms trained diagnose treat WHO mental gap action intervention guide (mhGAP-IG) while those arm routinely screen with PHQ-2 first determine need for further mhGAP-IG assessment. Perceived usefulness, feasibility was explored key informant interviews a purposive sample 20) participants 22). In 6-months following training, rate 4.6% at clinics where PHCW not compared 11% clinics. Over next six months, refresher training introduction monthly supportive supervision arms, rates increased from 4.6 7.6% 11 40% entire period only 81 (15.7%) out 517 cases detected PHCWs. associated severity symptoms PHQ-2. The acceptable women. reported that useful, easy administer feasible use. Improving subsequently treatment require just but additional measures such universal along supervision. main which data this report extracted retrospectively registered 03 December 2019. Registration number: ISRCTN 94,230,307.
Language: Английский
Citations
0
General Hospital Psychiatry, Journal Year: 2024, Volume and Issue: 89, P. 41 - 48
Published: May 4, 2024
Language: Английский
Citations
3
Nature and Science of Sleep, Journal Year: 2025, Volume and Issue: Volume 17, P. 261 - 270
Published: Feb. 1, 2025
Objective: Insomnia is a common issue that pregnant women often have to deal with. This study seeks examine the connections between pregnancy stress, depressive symptoms, family support, and insomnia symptoms. Methods: Convenience sampling was employed recruit 1049 valid participants. The primary measurement tools utilized were Pregnancy Stress Scale, Family Support Subscale, Patient Health Questionnaire-2. Data analysis conducted using SPSS 24.0 software. Using binary logistic regression verify independent effects of depression support on PROCESS macro Model 4 applied assess mediating effect, while 5 used evaluate moderating effect. Results: overall prevalence symptoms among 54% (n=572) 20% (n=207) in this study. positively affect indirect effect stress significant, with mediator proportion 45.16%. As moderator, weakens impact Conclusion: Increased increased could trigger Depressive mediated path from weakened link These findings can assist managing more effectively improving their mental well-being. Keywords: woman
Language: Английский
Citations
0
Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: unknown
Published: April 1, 2025
The Edinburgh Postnatal Depression Scale (EPDS) is effective and cost-effective for identifying postnatal depression. anxiety also common can be identified by three questions on the EPDS (anxiety sub-scale). We aimed to compare score alone with sub-scale together (EPDS+) identify mental illness (depression or anxiety) in women. sensitivity specificity of were explored. developed a decision tree costs health outcomes associated case-finding depression over one year. Model parameters derived from secondary data analysis, published literature, expert consultation. Costs included treatment. Health benefit was measured as quality-adjusted life years (QALYs). explored cost-effectiveness using EPDS+ (versus no case-finding). greatest number true positive smallest false negative seen EPDS+. However, positives higher Compared case-finding, £3365/QALY gained £6405/QALY gained. additional gain alone) £22,104/QALY. model does not include long-term impacts maternal other family members. Case-finding period cost-effective. more than If decision-makers want maximise identification cases, could depending how much they are willing pay.
Language: Английский
Citations
0
BMC Pediatrics, Journal Year: 2025, Volume and Issue: 25(1)
Published: May 27, 2025
Language: Английский
Citations
0