Prevalence and correlates of perinatal depression

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2023, Volume and Issue: 58(11), P. 1581 - 1590

Published: Jan. 16, 2023

Abstract Purpose This systematic review of reviews aims to provide the first global picture prevalence and correlates perinatal depression, explore commonalities discrepancies literature. Methods Seven databases were searched from inception until April 2022. Full-text screening data extraction performed independently by two researchers AMSTAR tool was used assess methodological quality. Results 128 included in analysis. Mean overall antenatal depression postnatal 26.3%, 28.5% 27.6%, respectively. significantly higher (27.4%; SD = 12.6) studies using self-reported measures compared with structured interviews (17.0%, 4.5; d 1.0) among potentially vulnerable populations (32.5%; 16.7, e.g. HIV-infected African women) general population (24.5%; 8.1; 0.6). Personal history mental illness, experiencing stressful life events, lack social support, lifetime abuse, marital conflicts, maternity blues, child care stress, chronic physical health conditions, preeclampsia, gestational diabetes mellitus, being exposed second-hand smoke sleep disturbance major depression. Conclusion Although all medium–high quality, improvements quality primary research this area should be encouraged. The standardisation assessment, diagnosis measurement, implementation longitudinal designs studies, inclusions samples that better represent control confounding variables are

Language: Английский

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COVID-19 and common mental health symptoms in the early phase of the pandemic: An umbrella review of the evidence

PLoS Medicine, Journal Year: 2023, Volume and Issue: 20(4), P. e1004206 - e1004206

Published: April 25, 2023

Background There remains uncertainty about the impact of Coronavirus Disease 2019 (COVID-19) pandemic on mental health. This umbrella review provides a comprehensive overview association between and common disorders. We qualitatively summarized evidence from reviews with meta-analyses individual study-data in general population, healthcare workers, specific at-risk populations. Methods findings A systematic search was carried out 5 databases for peer-reviewed prevalence depression, anxiety, post-traumatic stress disorder (PTSD) symptoms during published December 31, until August 12, 2022. identified 123 which 7 provided standardized mean differences (SMDs) either longitudinal pre- to or cross-sectional compared matched pre-pandemic data. Methodological quality rated Assessment Multiple Systematic Reviews checklist scores (AMSTAR 2) instrument generally low moderate. Small but significant increases and/or health were reported people preexisting physical conditions, children (3 reviews; SMDs ranged 0.11 0.28). Mental depression significantly increased periods social restrictions (1 review; 0.41 0.83, respectively) anxiety did not (SMD: 0.26). Increases larger longer-lasting 0.16 0.23) than those (2 reviews: 0.12 0.18). Females showed increase males review: SMD 0.15). In disorders, any patient group, adolescents, students, no found SMD’s ranging −0.16 0.48). 116 pooled rates PTSD 9% 48% across Although heterogeneity studies high largely unexplained, assessment tools cut-offs used, age, sex gender, COVID-19 exposure factors be moderators some reviews. The major limitations are inability quantify explain included shortage within-person data multiple studies. Conclusions small consistent deterioration particularly early has been population chronic somatic Also, associations stronger females younger age groups others. Explanatory individual-level, exposure, time-course scarce inconsistencies For policy research, repeated assessments panels including vulnerable individuals recommended respond current future crises.

Language: Английский

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Risk Factors of Postpartum Depression

Cureus, Journal Year: 2022, Volume and Issue: unknown

Published: Oct. 31, 2022

Postpartum depression (PPD) is a widespread mental health problem and one of the prime causes maternal suffering ill health. On global level, prevalence disorder about 10 to 15%. Symptoms generally appear within first four six weeks, which high-risk period. However, it may develop up year post-delivery. PPD presents with symptoms classical depression, including mood fluctuations, bouts crying, lack interest in child, even thoughts suicide. not only has adverse effects on mother’s but also hampers growth development child. It formation healthy mother-child bond, turn impact feeding practices. The social environment infant during few months primarily provided by mother, thus child’s development. increases susceptibility malnutrition. Research postpartum garnered momentum last years. masses are still largely unaware its implications. There an inadequacy awareness risk factors PPD. cross-cultural differences manifestations appropriate preventive measures have been extensively studied. Some for similar those classic depression; however, obstetrical pediatric involved. This literature review aims assess currently known PPD, their strength association, probable mechanisms help identify group enable implementation or facilitate early diagnosis. identified spanned sociodemographic, biological, psychological, obstetric domains. These included socioeconomic standing, marital relationship, history psychiatric illness, support, gestational diabetes, vitamin D deficiency, immigration status, delivery method, violence abuse, birth experience, biological epigenetic markers. numerous strong weak associations A previous depressive pregnancy, spousal support were most powerful factors. Other significant include complications low stressful life events. Studies age chronic illness as inconclusive. roles genetic markers, cultural factors, insufficiency require further investigation.

Language: Английский

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Effects of perioperative use of esketamine on postpartum depression risk in patients undergoing cesarean section: A randomized controlled trial

Journal of Affective Disorders, Journal Year: 2023, Volume and Issue: 339, P. 815 - 822

Published: July 22, 2023

Postpartum depression (PPD) is a prevalent public health issue. Although ketamine has prophylactic effects on PPD in women undergoing cesarean section, the of esketamine remain unclear. This trial aimed to evaluate efficacy perioperative infusion risk by assessing Edinburgh Postnatal Depression Scale (EPDS) scores and blood biomarkers.A total 150 participants elective section were randomly allocated receive either or normal saline. Since 27 excluded due consent withdrawal loss follow-up, 123 patients included. The primary outcome was prevalence risk. Secondary outcomes included postpartum anxiety (PPA) risk, levels biomarkers, postoperative pain intensity, cumulative sufentanil consumption.The PPA at 3 days, 42 months, 6 months did not differ between two groups. Furthermore, EPDS scores, intensity rest, during coughing days (POD) 1 2 Sufentanil consumption 0-12 h, 12-24 0-24 0-48 h postoperatively significantly lower group compared control group. Blood biomarkers groups POD 3.The sample size small. simply screened, diagnosed.Perioperative administration decrease incidence after section. However, reduced opioid consumption.

Language: Английский

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The impact of the Covid-19 pandemic on postnatal depression: analysis of three population-based national maternity surveys in England (2014–2020)

The Lancet Regional Health - Europe, Journal Year: 2023, Volume and Issue: 30, P. 100654 - 100654

Published: May 15, 2023

Few studies have evaluated postnatal depression before and during the Covid-19 pandemic using comparable data across time. We used from three national maternity surveys in England to compare prevalence risk factors for pandemic.Analysis was conducted population-based carried out 2014 (n = 4571), 2018 4509), 2020 4611). Weighted estimates (EPDS score ≥13) were compared surveys. Modified Poisson regression estimate adjusted ratios (aRR) association between sociodemographic, pregnancy- birth-related, biopsychosocial factors, depression.Prevalence of increased 10.3% 16.0% (difference +5.7% (95% CI: 4.0-7.4); RR 1.55 1.36-1.77)) 23.9% +7.9% 5.9-9.9); 1.49 1.34-1.66)). Having a long-term mental health problem (aRR range 1.48-2.02), antenatal anxiety 1.73-2.12) 1.44-2.24) associated with depression, whereas satisfaction birth 0.89-0.92) social support 0.73-0.78) decreased pandemic.This analysis indicates that had an important negative impact on women's may accelerated existing trend increasing depression. Risk consistent pandemic. Timely identification, intervention follow-up are key supporting women at risk, it is essential mechanisms strengthened times heightened such as pandemic.NIHR Policy Research Programme.

Language: Английский

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Postpartum Depression: Etiology, Treatment, and Consequences for Maternal Care

Diagnostics, Journal Year: 2024, Volume and Issue: 14(9), P. 865 - 865

Published: April 23, 2024

Postpartum depression (PPD) is a disabling condition that has recently shown an increase in prevalence, becoming essential public health problem. This study qualitative review summarizing the most frequent risk factors associated with PPD, evaluating molecular aspects of PPD and current approaches to detect prevent PPD. The prevalent were detected areas economic social factors, obstetrical history, lifestyle, history mental illness. Research on genetic basis for taken place recent years identify genes responsible establishing targeted therapeutic methods understanding its pathogenesis. frequently studied candidate gene was serotonin transporter (SERT) Among biological studies, antidepressants psychological interventions provided evidence successful intervention. obstetrician can serve role screening treating women should be screened using Edinburgh Postnatal Depression Scale (EPDS), but, at moment, there are no prevention programs Europe. In conclusion, data from this concerns among vulnerable population used design tool high-risk pregnant create program.

Language: Английский

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A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods

Communications Psychology, Journal Year: 2025, Volume and Issue: 3(1)

Published: Jan. 22, 2025

Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal infant mental health, often coexist affect each other. Our study aims dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 5594 Japanese postpartum women, whose geographical distribution was nationally representative. We identified 'fear', 'enjoyment', 'overwhelm', 'insomnia' as common bridge linking MIBD across three distinct periods. Moreover, 'self-harm' emerged symptom the first 6 months 7–12 month period, while 'laugh' 13–24 period. Notably, 'self-blame' unique specific highlights complexities connectivity stages underscores critical need for interventions that address both stage-specific effectively support health strengthen bonding. A women From 0-24 postpartum, fear, lack enjoyment, overwhelm, insomnia were connecting symptoms.

Language: Английский

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Perinatal mental health and women's lived experience of the COVID-19 pandemic: A scoping review of the qualitative literature 2020-2021

Midwifery, Journal Year: 2023, Volume and Issue: 123, P. 103706 - 103706

Published: May 1, 2023

The COVID-19 pandemic resulted in global physical distancing restrictions and lockdown orders. Despite the clear documentation of increased mental distress amongst adult populations during pandemic, there is limited evidence about health challenges people perinatal period (pregnancy, birth postpartum). aim this review to summarise qualitative research women's lived experience emotional wellbeing pandemic. A comprehensive search strategy was developed. Twenty peer-reviewed articles published English from January 1, 2020, December 15, 2021, were included. Data synthesis outlined common themes a narrative format. Themes pregnancy included: (1) information seeking: anxiety fear; (2) experiencing isolation disruptions my social support; (3) ‘Going it alone’ care; (4) anticipatory grieving despair; (5) finding ‘silver linings’ restrictions. One key theme “birthing crisis”. postpartum isolating ‘Early motherhood much like lockdown’; breastfeeding: triumphs tribulations; facing 'Affecting us for years come' - not only trauma; care. This provides important insights into how experiences isolation, decreased support adaptions maternity services affect health. Maternity should consider may be integrated care women who still required isolate or have reduced visitors their due likely impact What already known that public measures prevalence disorders (CPMDs) exacerbated risk factors CPMDs (i.e., poor support). paper adds: with unique these events impacted In particular, ways adaptations contributed feelings distress, depression/despair. Silver linings such as more uninterrupted time immediate family also identified.

Language: Английский

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Parental Postnatal Depression in the Time of the COVID-19 Pandemic: A Systematic Review of Its Effects on the Parent–Child Relationship and the Child’s Developmental Outcomes

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(3), P. 2018 - 2018

Published: Jan. 21, 2023

The international literature has shown that maternal and paternal postnatal depression (PND) is one of the most common mental illnesses in perinatal period, with significant consequences for parent–infant relationships infant development. COVID-19 pandemic increased rates prevalence PND, exacerbating health risk new families. This systematic review aims to examine effect PND on children’s development first 36 months after childbirth during outbreak. Eligible studies were identified using following databases: Medline, CINAHL, SCOPUS, PsycINFO, PsycARTICLES, ScienceDirect, Web Science. Of 1252 considered, 10 met inclusion criteria. Results showed significantly affected quality early mother–infant relationship infant’s motor, self-regulation, socio-emotional In addition, detrimental impact seems become stronger as concerns increase. No included fathers. These findings strengthened importance planning targeted prevention treatment strategies prevent its short- long-term consequences, especially case stressful traumatic events. They also suggested urgent need further exploration

Language: Английский

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From lockdown to cradle: Navigating the psychological challenges of childbirth during the COVID-19 pandemic in Italy– Evidence from a 3-year analysis

Current Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

Abstract This cross-sectional study investigated the mental health of Italian women who gave birth during three years COVID-19 pandemic. The focused on impact partner’s presence childbirth, time point in relation to pandemic waves, hospital restrictions, and individual attitudes regarding In addition, aimed determine potential risk or protective factors for postpartum depression. 1,636 between 2020 2022 a hospital-restricted setting were surveyed anonymously online. Standardized questionnaires used evaluate depression, post-traumatic stress, psychological well-being. Women had highest percentage unaccompanied births higher levels depression fear COVID-19. alone reported stress lower Furthermore, they more frightened by less agreement with restrictions than their partner present. main childbirth 2020, high anxiety, discomfort absence birth. Protective satisfaction relationship. emphasizes importance targeted support give crises such as reduce enhance factors, particularly strengthening presence. Future research should focus children born these tumultuous periods, assessing impacts developmental trajectories relationships primary caregivers.

Language: Английский

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