The impact of postpartum social support on postpartum mental health outcomes during the COVID-19 pandemic

Archives of Women s Mental Health, Journal Year: 2023, Volume and Issue: 26(4), P. 531 - 541

Published: June 3, 2023

Language: Английский

---

Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD

Comprehensive Psychiatry, Journal Year: 2024, Volume and Issue: 130, P. 152456 - 152456

Published: Jan. 29, 2024

Peripartum depression (PPD) is a major disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be distinct diagnosis. The goal of this study was to summarize the similarities and differences between MDD by synthesizing current on diagnosis concerning different clinical features give directions for improving practice. To lay groundwork narrative review, several databases were searched using general search phrases its components When compared MDD, peripartum exhibits characteristics. manifests variety symptoms, i.e., more anxiety, psychomotor obsessive thoughts, impaired concentration, fatigue loss energy, but less sad mood suicidal ideation, MDD. Although prevalence rates are comparable, there greater cross-cultural variances PPD. Additionally, has some risk factors mechanisms such ovarian tissue expression, premenstrual syndrome, unintended pregnancy, obstetric complications. There need in-depth comparing entire postpartum year. diagnostic criteria should modified, particularly (i) addition specific symptoms (i.e., anxiety), (ii) specifier extending first year following (iii) change either "pregnancy onset" "postpartum onset". Diagnostic further discussed.

Language: Английский

---

Identifying risk factors for postpartum depression in Mashhad, Iran, 2017–2024: a population-based case-control study

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: March 3, 2025

Postpartum depression (PPD) is a common and debilitating disorder affecting mothers worldwide. This study aimed to identify risk factors the frequency of PPD in Mashhad, Iran. A population-based case-control was conducted using data from Sina Health Information System (SINAEHR) March 1, 2017, June 20, 2024. The Edinburgh Depression Scale used cases (score > 12) controls ≤ 12). Bivariate multivariate logistic regression analyses were performed determine associated with PPD. Among 108,952 women evaluated, 3,407 (3.03%) diagnosed matched an equal number controls. Significant for included maternal age 20 years (OR = 1.76, 95% CI: 1.31–2.36), history abortion 1.25, 1.15–1.42), cesarean delivery 1.22, 1.11–1.34), preterm 1.99, 1.67–2.37), twin births 2.10, 1.41–3.24), drug use 5.76, 2.90–11.33). Psychological strongly PPD, including anxiety 2.48, 2.06–2.93), domestic violence 4.08, 2.43–6.59), 5.31, 4.58–6.61), psychological distress 4.94, 3.91–6.23). identified multiple showing strongest associations. These findings highlight importance screening mental health issues providing targeted support high-risk during pregnancy postpartum period prevent manage effectively.

Language: Английский

---

The need for additional mental health support for women in the postpartum period in the times of epidemic crisis

BMC Pregnancy and Childbirth, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 8, 2021

Abstract Background This retrospective study aimed to identify possible intensification of mental health difficulties among women seeking support in the postpartum period during epidemic state Poland. We assumed that crisis, social isolation, and restrictions hospitals which affect pregnant - lack family labors, possibility be with newborn when he/she is hospitalized, may increase fear reduce psychosocial resources women, hinder their normal process transition motherhood thus contribute intensified severity depressive symptoms. Methods The participants were at on-line platform project ‘Next Stop: Mum’, a part depression prevention’s program implemented by Ministry Health Poland, enables remote self-screening for symptoms Edinburgh Postnatal Depression Scale developed Cox collaborators. analyzed data this obtained from 139 women: 61 filled forms October 1 November 10, 2019 (non-epidemic period), 78 February 20–March 30 (beginning COVID-19 epidemic), 2020. Results A statistically significant difference observed making self-assessment EPDS scale beginning Poland (M = 15.71; SD 6.23), compared pre-epidemic neutral 13.56; 6.46). Conclusions results indicate crisis associated an increased need additional caution women’s period. believe recommendations medical staff, policy, families struggling should widespread as second wave disease develop autumn-winter 2020 spring 2021.

Language: Английский

---

Urocortin-3 neurons in the mouse perifornical area promote infant-directed neglect and aggression

eLife, Journal Year: 2021, Volume and Issue: 10

Published: Aug. 23, 2021

While recent studies have uncovered dedicated neural pathways mediating the positive control of parenting, regulation infant-directed aggression and how it relates to adult-adult is poorly understood. Here we show that

Language: Английский

---

Socioemotional development in infants of pregnant women during the COVID-19 pandemic: the role of prenatal and postnatal maternal distress

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2022, Volume and Issue: 16(1)

Published: March 31, 2022

An upsurge in psychological distress was documented pregnant women during the COVID-19 pandemic. We investigated with a longitudinal design whether prenatal and postnatal maternal pandemic associated lower infant socioemotional development. Pregnant (N = 468, Mage 30,00, 97.6% White) were recruited first mandatory lockdown Quebec, Canada, from April 2nd to 13th 2020 re-contacted at two months postpartum complete self-reported measures of general (i.e. not specifically related pandemic) anxio-depressive symptoms Structural equation modeling analyses performed using maximum likelihood parameter estimation. Higher significantly contributed poorer A mediation model showed that mediated association between development, whereas direct effect no longer significant. Prenatal accounted for 13.7% variance Our results call special means clinical surveillance mothers innovative (online) interventions aiming support mental health pregnancy after delivery.

Language: Английский

---

Prevalence and risk factors of postpartum depression among women living in the United Arab Emirates

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2022, Volume and Issue: 58(3), P. 395 - 407

Published: Oct. 14, 2022

Abstract Purpose Postpartum depression received almost no attention in the United Arab Emirates (UAE). The aim was to examine prevalence of depressive symptomatology and associated risk factors among women UAE. Methods A prospective cohort study recruited from postpartum wards hospitals across four emirates Women completed questionnaires immediately after childbirth at 3 6 months postpartum. Depressive measured using Edinburgh Postnatal Depression Scale (EPDS > 12). Risk were identified generalized estimating equation. stratified analysis period performed. Results Among 457 recruited, 35% exhibited within first Younger (< 25 years), part-time employment, receipt financial support family, difficulty managing monthly income with a higher depression. Husband’s husband’s support, living own house lower Maternity leave more than increased during From postpartum, Muslim had whereas who breastfed other children past 7 days, perceived their infant as healthy Conclusions maternal is considerable change over 6-month suggesting need for an innovative multidisciplinary approach management depression, including follow-up screening.

Language: Английский

---

Harnessing Consumer Wearable Digital Biomarkers for Individualized Recognition of Postpartum Depression Using the All of Us Research Program Data Set: Cross-Sectional Study

JMIR mhealth and uhealth, Journal Year: 2024, Volume and Issue: 12, P. e54622 - e54622

Published: May 2, 2024

Background Postpartum depression (PPD) poses a significant maternal health challenge. The current approach to detecting PPD relies on in-person postpartum visits, which contributes underdiagnosis. Furthermore, recognizing symptoms can be challenging. Therefore, we explored the potential of using digital biomarkers from consumer wearables for recognition. Objective main goal this study was showcase viability machine learning (ML) and related heart rate, physical activity, energy expenditure derived consumer-grade recognition PPD. Methods Using All Us Research Program Registered Tier v6 data set, performed computational phenotyping women with without following childbirth. Intraindividual ML models were developed Fitbit discern between prepregnancy, pregnancy, depression, (ie, diagnosis) periods. Models built generalized linear models, random forest, support vector machine, k-nearest neighbor algorithms evaluated κ statistic multiclass area under receiver operating characteristic curve (mAUC) determine algorithm best performance. specificity our individualized confirmed in cohort who gave birth did not experience Moreover, assessed impact previous history model We determined variable importance predicting period Shapley additive explanations results permutation approach. Finally, compared methodology against traditional cohort-based performance sensitivity, specificity, precision, recall, F1-score. Results Patient cohorts valid included <20 39 Our demonstrated that intraindividual discerned among periods, forest (mAUC=0.85; κ=0.80) outperforming (mAUC=0.82; κ=0.74), (mAUC=0.75; κ=0.72), (mAUC=0.74; κ=0.62). Model decreased PPD, illustrating method’s specificity. Previous efficacy found most predictive biomarker calories burned during basal metabolic rate. surpassed conventional detection. Conclusions This research establishes as promising tool identification highlights personalized approaches, could transform early disease detection strategies.

Language: Английский

---

Social support during pregnancy and the risk of postpartum depression in Polish women: A prospective study

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: March 22, 2024

Abstract Social support has been proposed as an important determinant of women's physical and emotional well-being during pregnancy after childbirth. Our study aimed to examine the association between risk postpartum depression (PPD) perceived social pregnancy. A web-based prospective survey was conducted among Polish women. The level measured with Berlin Support Scales Four weeks birth PPD assessed using Edinburgh Postpartum Depression Scale. Data from 932 mothers aged 19–43 (mean 30.95; SD 3.83) were analyzed multinomial logistic regression. Higher available (emotional instrumental), currently received (emotional, instrumental informational), satisfaction support, sum score all associated lower PPD, controlling for selected covariates (woman's age, socioeconomic status, parity place residency, education, child's Apgar score, type delivery, complications birth, kin assisting labor, breastfeeding). results suggest that more pregnant woman receives, is her PPD. Since humans evolved cooperative breeders, they are inherently reliant on raise children such allomaternal help could improve maternal well-being.

Language: Английский

---

Prevalence of Depressive Symptoms Among Pregnant and Postpartum Women in China During the COVID-19 Pandemic

Psychosomatic Medicine, Journal Year: 2020, Volume and Issue: 83(4), P. 345 - 350

Published: Dec. 17, 2020

According to recent studies, the COVID-19 pandemic has been associated with an increased risk of mental health problems across many subpopulations including pregnant and postnatal women. This study examined prevalence correlates depressive symptoms (depression hereafter) in Chinese postpartum women during pandemic.This was a multicenter, cross-sectional comprising 1309 12 provinces China pandemic. Depression assessed using nine-item Patient Health Questionnaire. Univariate analyses multivariate logistic regression were conducted.The depression 27.43% (95% confidence interval [CI] = 25.01%-29.85%). Women who worried about themselves or their babies being infected (odds ratio [OR] 2.562, 95% CI 1.670-3.929), those had delayed regular medical checkups (OR 2.434, 1.580-3.750) at higher depression. Compared living central western parts China, northern 0.513, 0.326-0.807) southeastern 0.626, 0.463-0.846) less likely have depression.The likelihood among Over quarter Considering negative impact depression, preventive measures, screening, are needed goal reduce this vulnerable population

Language: Английский

---