Anxiety-focused cognitive behavioral therapy delivered by non-specialists to prevent postnatal depression: a randomized, phase 3 trial

Nature Medicine, Journal Year: 2024, Volume and Issue: 30(3), P. 675 - 682

Published: Feb. 16, 2024

Language: Английский

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Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward

The Lancet Global Health, Journal Year: 2023, Volume and Issue: 12(2), P. e317 - e330

Published: Dec. 6, 2023

Over the past three decades, substantial progress has been made in reducing maternal mortality worldwide. However, historical focus on reduction accompanied by comparative neglect of labour and birth complications that can emerge or persist months years postnatally. This paper addresses these overlooked conditions, arguing their absence from global health agenda national action plans led to misconception they are uncommon unimportant. The limitation postnatal care services 6 weeks after is also a contributing factor. We reviewed epidemiological data medium-term long-term arising childbirth beyond weeks, along with high-quality clinical guidelines for prevention, identification, treatment. explore complex interplay human evolution, physiology, inherent predispositions contribute complications. offer actionable recommendations change current trajectories neglected conditions help achieve targets Sustainable Development Goal 3. third Series four papers about perinatal period beyond.

Language: Английский

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Prevalence of Antenatal Anxiety in European Women: A Literature Review

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1098 - 1098

Published: Jan. 8, 2023

The presence of anxiety during pregnancy is associated with adverse consequences for both mothers and their babies. aim this study was to review the prevalence in European pregnant women order find out which countries have published most studies respect pregnancy, are least prevalent terms within women, common tools used assess stage. As such, a literature conducted regarding that were last twenty years PsycInfo, Medline, SCOPUS databases. Thirty-eight selected purposes review. generalized disorder (GAD) varies considerably between studies. carried research on issue Spain, Italy, United Kingdom. widely assessment instrument State Trait Anxiety Inventory (STAI). lowest rate anxiety, using STAI-E, found Poland, 7.7%, highest 36.5%. GAD ranges from 0.3% 10.8%. This indicates very relevant mental health problem. It therefore important detect intervene early promote well-being children.

Language: Английский

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Integrating perinatal mental healthcare into maternal and perinatal services in low and middle income countries

BMJ, Journal Year: 2023, Volume and Issue: unknown, P. e073343 - e073343

Published: May 23, 2023

Language: Английский

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Prevalence of and relevant factors for depression and anxiety symptoms among pregnant women on the eastern seaboard of China in the post-COVID-19 era: a cross-sectional study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Aug. 7, 2023

Antenatal depression and anxiety symptoms may have negative consequences for both mothers offspring, upward trends in the prevalence of these were especially apparent during COVID-19 epidemic. The purpose this study was to evaluate relevant factors influencing depressive Chinese pregnant women post-COVID-19 era.We conducted an online survey 1,963 Jiangsu Province, using a cross-sectional design, collected their general demographic data. nine-item Patient Health Questionnaire 9 (PHQ-9) used symptoms, seven-item Generalized Anxiety Disorder 7 (GAD-7) measure symptoms.The reported antenatal combined with 25.2%, 27.9%, 18.6%, respectively. Of respondents, moderate severe depression, 7.9% 7.7%, Binary logistic regression analysis demonstrated that age, low level education, rural area, unemployment, pregnancy complications, poor marital relationship, fair household income positively association (all P < 0.05). proportion reporting third trimester 1.91-fold higher than first trimester. Parity factor 0.05).In era, expected, it is vital establish hospital, community, family psychological health screening systems based on enhance early preventive measures.

Language: Английский

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(11), P. e2343711 - e2343711

Published: Nov. 17, 2023

Anxiety disorders are associated with poor maternal and neonatal outcomes. Women in low- middle-income countries (LMICs) thought to be disproportionally burdened by these disorders, yet their prevalence is unclear.

Language: Английский

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Non-specialist-delivered psychosocial intervention for prenatal anxiety in a tertiary care setting in Pakistan: a qualitative process evaluation

BMJ Open, Journal Year: 2023, Volume and Issue: 13(2), P. e069988 - e069988

Published: Feb. 1, 2023

A manualised cognitive-behavioural therapy-based psychosocial intervention for prenatal anxiety called Happy Mother Healthy Baby is being tested its effectiveness through a randomised control trial in Pakistan. The aim of this study was to evaluate the delivery process and research process.Qualitative methods were used explore depth process.This evaluation embedded within conducted tertiary care facility Rawalpindi, Pakistan.Data collected in-depth interviews (n=35) with participants focus group discussions (n=3) staff. Transcripts analysed using Framework Analysis.The indicated that it can be effectively delivered by non-specialist providers trained supervised specialist. perceived culturally acceptable appropriately addressing problems related anxiety. Lack awareness 'talking' therapies poor family support potential barriers participant engagement. highlighted appropriate consent procedures facilitated recruitment participants, while incentivisation involvement sustained engagement retention. women's empowerment mental health stigma implementation programme.We conclude non-specialists feasibly deliver an evidence-based integrated into routine antenatal hospital. Non-specialist are likely more cost effective less stigmatising. Inclusion key recruitment, retention intervention.NCT03880032.

Language: Английский

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Determinantes sociales de la ansiedad en el siglo XXI

Atención Primaria Práctica, Journal Year: 2024, Volume and Issue: 6(2), P. 100192 - 100192

Published: Feb. 6, 2024

La ansiedad es una respuesta natural que en ocasiones genera un sufrimiento excesivo y desadaptación. Los trastornos de se han acentuado durante el siglo XXI aumentando su diagnóstico tratamiento. determinantes son diversos (biológicos, psicológicos, sociales ambientales). En texto destaca papel los ambientales cómo cambios del último generado ambiente ansiógeno. tecnología las redes aumentan la debido a dependencia, ciberacoso sobreexposición información negativa. Aspectos laborales, imagen corporal pérdida privacidad también contribuyen ansiedad. El cambio climático ecoansiedad preocupación por futuro, afectando especialmente jóvenes. eventos climáticos extremos migración forzada riesgo mentales. resumen, aumento sociedad contemporánea parece deberse interacción compleja factores sociales, tecnológicos, laborales medioambientales. Anxiety is response that sometimes generates excessive suffering and maladaptation. disorders have intensified during the 21st century, leading to increased diagnosis treatment. The determinants are diverse (biological, psychological, social, environmental). text highlights role of social how changes in last century created an anxiety-inducing environment. Technology media contribute anxiety through dependency, cyberbullying, overexposure negative information. Workplace, body image, lack privacy also anxiety. Climate change eco-anxiety concern for future, particularly affecting young people. Extreme weather events forced migration increase risk mental disorders. In summary, rise contemporary society appears be due complex interplay technological, occupational, environmental factors.

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Psychometric evaluation of the postpartum specific anxiety scale – research short-form among Iranian women (PSAS-IR-RSF)

BMC Pregnancy and Childbirth, Journal Year: 2023, Volume and Issue: 23(1)

Published: July 21, 2023

The increasing prevalence of postpartum anxiety as a common psychological problem affects large part women's lives. Despite the existence tools in this field, but due to lack specificity reflecting anxiety, it is necessary have specific tool screen it. Since psychometric evaluation Postpartum Specific Anxiety Scale-Research Short-Form (PSAS-RSF) among Iranian women has not been assessed Iran until now, so we decided conduct study with aim PSAS-IR-RSF.We included 180 (six weeks six months postpartum) by random sampling during period from December 2021 June 2022. We examined validity PSAS-IR-RSF terms face, content and construct (through exploratory confirmatory factor analyses). used internal consistency test-retest reliability determine scale.In present study, index (CVI) ratio (CVR) were equal 0.91 0.97, respectively. extracted four-factor structure through process analysis. values fitting indices confirmed model. Cronbach's alpha coefficient was 0.72 intra-class correlation (with 95% confidence interval) 0.97 (0.98 0.93).The Persian version valid reliable for women.

Language: Английский

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When is the best time to screen for perinatal anxiety? A longitudinal cohort study

Journal of Anxiety Disorders, Journal Year: 2024, Volume and Issue: 103, P. 102841 - 102841

Published: Feb. 6, 2024

For screening for anxiety during pregnancy and after birth to be efficient effective it is important know the optimal time screen in order identify women who might benefit from treatment.

Language: Английский

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