Perinatal mental health: a review of progress and challenges

World Psychiatry, Journal Year: 2020, Volume and Issue: 19(3), P. 313 - 327

Published: Sept. 15, 2020

Perinatal mental health has become a significant focus of interest in recent years, with investment new specialist services some high‐income countries, and inpatient psychiatric mother baby units diverse settings. In this paper, we summarize critically examine the epidemiology impact perinatal disorders, including emerging evidence an increase their prevalence young pregnant women. disorders are among commonest morbidities pregnancy, make important contribution to maternal mortality, as well adverse neonatal, infant child outcomes. We then review current base on interventions, individual level public ones, service delivery models. Randomized controlled trials provide effectiveness psychological psychosocial interventions at level, though it is not yet clear which women also need additional support for parenting. The psychotropic use pregnancy almost exclusively observational. There little research full range how improve access treatment difficulties, different conclude clinical implications, which, argue, highlight extension generic include preconception care, further into addition services, potentially men, reduce morbidity mortality.

Language: Английский

---

Perinatal depression: The role of maternal adverse childhood experiences and social support

Journal of Affective Disorders, Journal Year: 2019, Volume and Issue: 263, P. 576 - 581

Published: Nov. 10, 2019

Language: Английский

---

How Do Families Experience and Interact with CPS?

The Annals of the American Academy of Political and Social Science, Journal Year: 2020, Volume and Issue: 692(1), P. 203 - 226

Published: Nov. 1, 2020

The lived experiences of child protective services (CPS)-involved parents is rarely considered from a social justice perspective. Parents and children endure the oversight welfare system in myriad ways, these usually vary based on race, ethnicity, socioeconomic status. This article explores how CPS interactions affect family dynamics well-being members view their with CPS, including sense autonomy empowerment. I focus inherent power between workers parents, race family. highlight perspectives intended (rather than unintentional) parental behaviors (e.g., providing healthy food choices) to understand ways which socioecological contexts impact children. report results pilot study designed enhance voices literature provide recommendations for policy practice that inform innovative solutions better support CPS-involved families.

Language: Английский

---

Intergenerational transmission of child maltreatment in South Australia, 1986–2017: a retrospective cohort study

The Lancet Public Health, Journal Year: 2021, Volume and Issue: 6(7), P. e450 - e461

Published: April 30, 2021

BackgroundThe extent of intergenerational transmission child maltreatment is unclear due to methodological limitations in previous studies. In this study, we aimed examine factors associated with and quantify its a population sample over 30-year period South Australia.MethodsIn retrospective cohort used linked administrative data from the Australian Birth Registry identify dyads mothers their children both born Australia between July 1, 1986, June 30, 2017. Three protection system (CPS) outcomes (any CPS involvement, substantiated maltreatment, time spent out-of-home care) were computed obtained Department for Child Protection. Multivariable Cox regression models estimate hazard ratios (HRs) according mother's exposure.Findings38 556 unique mother–child included. 458 (2·0%) 23 437 whose had no involvement childhood report 127 (0·5%) care. By comparison, 970 (22·1%) 4382 experienced 469 (10·7%) After adjusting potential confounders, any an increased risk contact compared involvement; was greatest who care (HR 6·25 [95% CI 5·59–6·98] 13·69 [10·08–16·92] 25·78 [18·23–36·45] care). Risks substantially first notification under age 1 year or at 13–17 years.InterpretationChildren are high if mother as child. Assisting survivors particularly female survivors, provides crucial intervention opportunity help prevent further abuse neglect.FundingAustralian National Health Medical Research Council; Channel 7 Children's Foundation.

Language: Английский

---

Cumulative childhood trauma and complex psychiatric symptoms in pregnant women and expecting men

BMC Pregnancy and Childbirth, Journal Year: 2022, Volume and Issue: 22(1)

Published: Jan. 4, 2022

Women and men having been exposed to childhood trauma would be at high risk of various mental health symptoms while awaiting a child. This study aimed evaluate the association between cumulative accumulation belonging different psychiatric problems in pregnant women expecting men.

Language: Английский

---

Addressing Adverse Childhood and Adult Experiences During Prenatal Care

Obstetrics and Gynecology, Journal Year: 2023, Volume and Issue: unknown

Published: May 4, 2023

Adverse childhood and adult experiences can affect health outcomes throughout life across generations. The perinatal period offers a critical opportunity for obstetric clinicians to partner with patients provide support improve outcomes. This article draws on stakeholder input, expert opinion, available evidence recommendations clinicians' inquiry about response pregnant patients' past present adversity trauma during prenatal care encounters. Trauma-informed is universal intervention that proactively address healing, even if patient does not explicitly disclose or adversity. Inquiry provides an avenue offer create individualized plans. Preparatory steps adopting trauma-informed approach include initiating education training practice staff, prioritizing addressing racism disparities, establishing safety trust. trauma, as well resilience factors, be implemented gradually over time through open-ended questions, structured survey measures, combination of both techniques. A range evidence-based educational resources, prevention programs, community-based initiatives included within plans These practices will further developed improved by increased clinical research, broad adoption collaboration specialty areas.

Language: Английский

---

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective

Frontiers in Psychiatry, Journal Year: 2019, Volume and Issue: 10

Published: Oct. 18, 2019

Background: A growing body of research underlines that interpersonal trauma in childhood can lead to heightened susceptibility for substance use disorders later life. However, little has been conducted on parenting experiences mothers recovery from use, taking into account their own upbringing as a child and the potential aftermath trauma. Methods: Through in-depth semi-structured qualitative interviews, 23 reflected parent-child bonding, related both children parents. Interviews were transcribed verbatim data analyzed adopting thematic analysis. Results: Throughout narratives, consequences sense self its subsequent impact arose salient theme. Five latent mechanisms/stages intergenerational transmission identified: 1) mothers; 2) precursor initiation; 3) (self-fooling) enabler parental functioning; 4) continued impacting 5) dysfunctional functioning relational upon offspring. Discussion: Findings suggest disruptive attachment be vulnerability addiction one hand, an expression underlying other, hence serving covert phenomenon by which transmitted across generations. Results indicate need preventive, attachment-based trauma-sensitive interventions targeted at disrupting harmful patterns.

Language: Английский

---

Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment

PLoS ONE, Journal Year: 2019, Volume and Issue: 14(12), P. e0225441 - e0225441

Published: Dec. 13, 2019

Background Child maltreatment can have serious effects on development and physical, social emotional wellbeing. Any long-lasting relational impede the capacity to nurture children, potentially leading 'intergenerational trauma'. Conversely, transition parenthood during pregnancy, birth early postpartum period offers a unique life-course opportunity for healing. This systematic review aims understand experiences of parents who reported in their own childhood. Methods A protocol, based ENTREQ statement, was registered with PROSPERO. We searched Medline, PsycINFO, CINAHL, EMBASE, NHS Evidence key Web Science databases from date inception June 2018 identify qualitative studies exploring perinatal were maltreated Two reviewers independently screened articles inclusion extracted data. Data synthesised using grounded theory thematic analysis approaches. Findings The search yielded 18329 articles, 568 full text reviewed, 50 (60 articles) met criteria this review. Due large number across whole (pregnancy two years postpartum), paper reports findings (27 studies). Parents described positive strategies help them achieve hopes dreams providing safe, loving nurturing care children. However, many experienced challenges. Seven core analytic themes encapsulated these diverse dynamic experiences: New beginnings; Changing roles identities; Feeling connected; Compassionate care; Empowerment; Creating safety; Reweaving future. Conclusions Pregnancy is healing history maltreatment. Understanding parent's views parenting critical informing acceptable effective support strategies.

Language: Английский

---

Parental Non-Engagement within Child Protection Services—How Can Understandings of Complex Trauma and Epistemic Trust Help?

Societies, Journal Year: 2020, Volume and Issue: 10(4), P. 93 - 93

Published: Nov. 26, 2020

Building on the findings from national study of mothers in recurrent care proceedings England, this paper proposes that concepts complex trauma and epistemic trust may help explain parents’ difficulties engaging with child protection services. With aim advancing theoretical knowledge, qualitative data drawn interviews 72 women who have experienced repeat are revisited, a focus women’s developmental histories accounts engagement professionals, to probe issue service engagement. The article starts succinct review literature parental non-engagement protection, highlighting strengths potential limitations current knowledge. This is followed by an introduction trust, outlining how these provide alternative framing reasons why parents resist, or reluctant engage with, professionals. Drawing first-person accounts, we argue high levels maltreatment adversity own childhoods shape adult relationships, particularly relation vulnerability harm lives but also mistrust professional help. Extracts chosen for their typicality against core themes derived data, indicate acts resistance rejection can be seen as adaptive—given relationship histories. authors conclude social need afforded far closer attention practice, if preventative services reach those trauma.

Language: Английский

---

The Influence of Parental Social-Emotional Competencies on Intergenerational Child Maltreatment: A Scoping Review

Trauma Violence & Abuse, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 6, 2025

Child maltreatment is a major public and global health issue with well-documented intergenerational patterns. Social-emotional development, which detrimentally impacted by child maltreatment, has been associated parenting behaviors implicated as mechanism of transmission maltreatment. This scoping review sought to synthesize information on the social-emotional skills that contribute or protect against Following JBI Manual for Evidence Synthesis systematic methodology, 23 studies were identified having met all inclusion criteria. Eligible empirical, primary, peer-reviewed published work written in English. Included contained parental history risk thereof child, at least one independent factor. Studies organized, findings conceptually mapped according Collaborative Academic, Social, Emotional Learning (CASEL) competency domains. Key included determining self-management most well-studied CASEL area, whereas there was paucity research relationship responsible decision-making. focused almost exclusively assessing risk. The factors emotion dysregulation, low self-control, aggression, dissociation. Measurement consideration developmental timing critical oversight literature. Future should explore developmentally specific models elucidate more comprehensive profiles resilience means developing effective prevention strategies.

Language: Английский

---