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.
PLoS ONE,
Год журнала:
2018,
Номер
13(12), С. e0207856 - e0207856
Опубликована: Дек. 17, 2018
Maternal
prenatal
symptoms
of
depression
and
anxiety
have
been
suggested
to
impose
differential
effects
on
later
offspring
development,
depending
their
characteristics,
such
as
timing,
intensity
persistence.
Paternal
less
investigated.
While
knowledge
these
trajectory
characteristics
is
essential
for
improved
comprehension
stress,
prospective
studies
including
both
expecting
parents
scarce.
We
aim
at
identifying
comparing
the
trajectories
depressive
in
a
pregnancy
cohort
design.
The
sample
included
3202
mothers
2076
fathers
who
were
recruited
FinnBrain
Birth
Cohort
study
(www.finnbrain.fi).
Depressive
assessed
using
Edinburgh
Postnatal
Depression
Scale
(EPDS)
general
by
scale
Symptom
Checklist
-90
(SCL-90)
repeatedly
14,
24,
34
gestational
weeks.
Five
four
symptom
identified
across
fathers.
consistently
low
or
associated
with
higher
educational
level
parents,
nulliparity
non-smoking
during
mothers.
Parents
high
increasing
levels
had
more
often
SSRI
medication.
congruences
between
elevated
any
point
pregnancy,
well
parental
within
families
low.
However,
this
population-based
sample,
self-reported
generally
very
Variance
timing
persistence
parent-reported
potentially
important,
while
are
similar
These
significance
correlates
should
be
acknowledged
when
studying
stress
exposures
related
outcomes
children.
Frontiers in Behavioral Neuroscience,
Год журнала:
2019,
Номер
13
Опубликована: Авг. 6, 2019
Prenatal
stress
is
associated
with
child
behavioral
outcomes
increasing
susceptibility
for
psychiatric
disorders
in
later
life.
Altered
fetal
brain
development
might
partly
mediate
this
association,
as
some
studies
suggest.
With
study,
we
investigated
the
relation
between
prenatal
stress,
child's
structure
and
problems.
The
association
self-reported
maternal
pregnancy-related
anxiety
(PRAQ-R2
questionnaire,
second
third
trimester)
gray
matter
volume
was
probed
27
4-year-old
children
(13
female).
Voxel
based
morphometry
applied
an
age-matched
template
SPM
whole-brain
analyses,
amygdala
assessed
manual
segmentation.
Possible
pre-
postnatal
confounders,
such
depression
among
others,
were
controlled
for.
Child
problems
Strength
Difficulties
Questionnaire
by
report.
We
found
a
significant
interaction
effect
of
sex
on
volume,
i.e.,
higher
trimester
related
to
significantly
greater
left
relative
girls
compared
boys.
Further
exploratory
analyses
yielded
that
both
are
emotional
difficulties:
While
more
symptoms,
peer
relationship
overall
difficulties,
less
these
difficulties
sex-specific
associations
difficulties.
Our
data
suggest
distress
leads
sexually
dimorphic
structural
changes
offspring's
limbic
system
also
linked
results
provide
further
support
notion
impacts
development.
European Journal of Public Health,
Год журнала:
2020,
Номер
31(1), С. 7 - 13
Опубликована: Ноя. 16, 2020
Abstract
Background
One
of
the
groups
that
is
most
vulnerable
to
COVID-19
pandemic
pregnant
women.
They
cannot
choose
refrain
from
care;
they
and
their
children
are
at
risk
severe
complications
related
virus;
lose
comfort
support
as
clinics
prohibit
partners
societal
restrictions
demand
isolation
friends
relatives.
It
urgent
study
how
this
group
faring
during
we
focus
here
on
health-related
worries.
Methods
A
longitudinal
survey
a
Swedish
hospital
starting
6
months
before
(16
September
2019)
continuing
outbreak
(until
25
August
2020).
total
6941
women
diverse
social
backgrounds
were
recruited.
Ninety-six
percent
birth-giving
in
city
take
early
ultrasounds
where
recruitment
took
place.
Sixty-two
with
an
appointment
fifty-one
all
gave
consent
participate.
Results
Pregnant
experienced
dramatically
increased
worries
for
own
health,
well
partner’s
child’s
health
beginning
pandemic.
The
remained
higher
than
usual
levels
throughout
Similar,
but
less
dramatic
changes
seen
among
partners.
Conclusions
There
need
heightened
awareness
women’s
partners’
consequence
Related
feelings,
such
anxiety,
have
been
linked
adverse
pregnancy
outcome
might
long-term
effects.
healthcare
system
needs
prepare
follow-up
visits
these
families.
Frontiers in Psychiatry,
Год журнала:
2021,
Номер
12
Опубликована: Сен. 3, 2021
The
COVID-19
pandemic
is
a
collective
trauma
that
threatening
citizens'
mental
health
resulting
in
increased
emotional
stress,
reduced
social
support,
and
heightened
risk
for
affective
symptoms.
present
study
aimed
to
investigate
the
effects
of
antenatal
pandemic-related
stress
perceived
support
on
symptoms
depression
anxiety
mothers
who
were
pregnant
during
initial
outbreak
northern
Italy.
A
sample
281
was
enrolled
at
eight
maternity
units
first
hotspot
region
Participants
filled
out
online
questionnaires
assessing
direct
or
indirect
exposure
SARS-CoV-2
virus,
as
well
anxiety.
Depressive
anxious
symptomatology
above
clinical
concern,
respectively,
26
32%
respondents.
Mothers
reported
no
pregnancy
those
least
one
did
not
differ
terms
Continuous
scores
severe
positively
associated
with
prenatal
negatively
linked
pregnancy.
Women
become
emergency
may
be
high
problems.
Dedicated
preventive
programs
are
needed
provide
adequate
care
maternal
after
pandemic.
Journal of Affective Disorders,
Год журнала:
2024,
Номер
349, С. 625 - 634
Опубликована: Янв. 4, 2024
Maternal
symptoms
of
depression
and
anxiety
during
pregnancy
early
postnatal
years
are
suggested
to
impose
differential
negative
effects
on
child's
socio-emotional
development
depending
the
characteristics
symptoms,
such
as
timing,
intensity,
persistence.
The
aim
this
study
was
identify
trajectories
maternal
depressive
from
until
2
postpartum
examine
their
relationship
with
child
problems
competence
at
5
age.
sample
included
1208
mother-infant
dyads
FinnBrain
Birth
Cohort
study.
Latent
growth
mixture
modelling
(LGMM)
utilized
model
measured
using
Edinburgh
Postnatal
Depression
Scale
(EPDS),
general
anxiety,
Symptom
Checklist-90
(SCL-90)
14,
24,
34
weeks'
gestation
(gw)
3,
6
24
months
postpartum.
also
assessed
12
months.
Child
were
evaluated
Brief
Infant
Toddler
Social
Emotional
Assessment
(BITSEA)
Strengths
Difficulties
Questionnaire
(SDQ)
years.
Relevant
background
factors
concurrent
symptomatology
controlled
for.
associated
negatively
aspects
long
term
outcomes
toddlerhood
preschool
high-level
persistent
that
continued
two
age
had
strongest
association
outcomes.
This
highlights
importance
identifying
treating
symptomatology,
especially
depression,
possible.
Neuroscience & Biobehavioral Reviews,
Год журнала:
2024,
Номер
158, С. 105546 - 105546
Опубликована: Янв. 24, 2024
Sex
differences
are
a
robust
finding
in
many
areas
of
adult
health,
including
cardiovascular
disease,
psychiatric
disorders,
and
chronic
pain.
However,
sex
not
consistently
observed
until
after
the
onset
puberty.
This
has
led
to
hypothesis
that
hormones
primary
contributors
health
outcomes,
largely
ignoring
relative
contributions
early
developmental
influences,
emerging
psychosocial
factors,
gender,
interaction
between
these
variables.
In
this
paper,
we
argue
comprehensive
understanding
gender
outcomes
should
start
as
conception
take
an
iterative
biopsychosocial-developmental
perspective
considers
intersecting
social
positions.
We
present
conceptual
framework,
informed
by
review
literature
basic,
clinical,
science
captures
how
critical
stages
for
both
can
affect
children's
longer-term
outcomes.
The
on
pediatric
pain
is
used
worked
example
framework
be
applied
different
conditions.