249 results on '"maternal distress"'
Search Results
2. Impact of the Korea Early Childhood Home-visiting Intervention (KECHI)
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National Evidence-Based Healthcare Collaborating Agency, Seoul National University, Hanyang University, Soon Chun Hyang University, Kangwon National University, University of Ulsan, and Young-Ho Khang, Professor
- Published
- 2024
3. Parental Participation on the Neonatal Ward - the neoPARTNER Study (neoPARTNER)
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Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) and Dr. Sophie van der Schoor, Principal Investigator
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- 2024
4. Development of temperamental regulation of infants at 6 and 24 months: Associations with maternal soothing and distress.
- Author
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Nakagawa, Atsuko, Matsuki, Taro, Tomida, Makiko, Miyachi, Taishi, Ebara, Takeshi, and Kamijima, Michihiro
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PARENTAL sensitivity ,STRUCTURAL equation modeling ,DISTRACTION ,PSYCHOLOGICAL distress ,INDIVIDUAL differences - Abstract
Background and Aims: In the neurobiological theory of attention, the orienting network mainly supports the temperamental regulatory function in infancy, with soothing methods such as visual attention distraction influencing its development. The attention distraction method chosen for soothing is thought to be influenced by maternal sensitivity, which has been found to decrease with poor maternal mental health. We hypothesize that the degree of maternal distress may affect the choice of attention distraction soothing method. Further, individual differences in being soothed by attention distraction will be associated with the temperamental regulation function in infancy/toddlerhood. Method: Structural equation modeling (SEM) was conducted on longitudinal data at 6 and 24 months on a sample (N = 1892) drawn from the sub‐cohort of the Japan Environment and Children's Study (JECS). Temperament was examined through the short Infant Behavior Questionnaire‐Revised (Japanese version) and the Early Childhood Behavior Questionnaire (Japanese version). Distress in caregivers was measured through the Kessler Psychological Distress Scale (Japanese version) at prenatal and 1‐year‐postnatal stages. Individual differences in using visual distraction soothing methods were also measured using tailor‐made items. Results: Postnatal maternal distress at 12 months was negatively related to the tendency to use visual attention distraction as a soothing method (β = −0.06, p = 0.006) at 24 months. When we applied the subscale of the temperamental regulatory factor in SEM, the more the mothers chose the distraction method for soothing, i.e., the more the toddlers experienced it, the higher their attention shifting scores (β = 0.07, p = 0.002). Conclusion: The findings support the view that caregivers' choice of method for distracting offspring's attention from distress may be associated with the development of self‐regulation during infancy and toddlerhood. Keynotes: In the neurobiological temperament model, the orienting attention network mainly supports the regulatory function in infancy, with soothing methods, including visual attention distraction, influencing its development.In the sub‐cohort of the Japan Environment and Children's Study, the relationship between maternal distress and mothers' choice of distraction as a soothing method and between the degree of being soothed by distraction and infants/toddlers' regulatory function were examined at 6 and 24 months (N = 1892).Higher maternal distress at 12 M postpartum was associated with fewer distraction methods, and more distraction at 24 M was associated with higher attention shifting at 24 M. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Promoting Self-Management of Breast and Nipple Pain With Technology (PROMPT) for Breastfeeding Women Study (PROMPT)
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Hartford HealthCare, UConn Health, National Institute of Nursing Research (NINR), and Ruth Lucas, Assistant Professor
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- 2023
6. Relationship Between Prenatal Maternal Distress and the Quality of General Movements at 3 Months
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Karaman Training and Research Hospital and Aynur Başaran, MD, Prof
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- 2023
7. Maternal distress and body mass index in preschoolers living in families experiencing low‐income.
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Martoccio, Tiffany L., Brophy‐Herb, Holly E., Choi, Hailey H., Stinson, Kayla, Perkins, Haiden A., Mitchell, Koi, and Lumeng, Julie C.
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RISK assessment ,BODY mass index ,PSYCHOLOGICAL distress ,SECONDARY analysis ,RESEARCH funding ,MOTHERS ,PARENT-child relationships ,SEX distribution ,FAMILIES ,CHILDHOOD obesity ,ANTHROPOMETRY ,HEALTH equity ,COMPARATIVE studies ,POVERTY ,DISEASE risk factors ,CHILDREN - Abstract
Health disparities among children living in poverty underscore the importance of identifying risk and protective factors for childhood obesity. By applying a family stress framework with an equity lens, this study aimed to test the differential associations between maternal distress and child body mass index (BMI) in preschool‐age children living in low‐income families. Pre‐intervention data from an obesity prevention randomized controlled trial were used to assess mother‐reported parental distress and anthropometry collected from children and mothers in a diverse sample of 450 families enrolled in Head Start. Analyses examined associations between maternal distress and child BMI z‐score (BMIz) and moderation by child sex. The sample of children was 49% female, 42% White, 25% Black, 11% Hispanic and 33% had overweight status or obesity. Results indicated higher BMIz for girls compared to boys (β = 0.10, p = 0.03). Child sex modified the association between maternal distress and child BMIz (β = 0.12, p = 0.01). Greater maternal distress was associated with higher BMIz among girls but not boys. Among preschoolers, the maternal distress–BMIz association differed by child sex. Understanding individual differences in how maternal distress relates to childhood obesity may have important implications for obesity prevention efforts. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Maternal immune response during pregnancy and neurodevelopmental outcomes: A longitudinal approach
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Veronica Euclydes, Caio I.S. Braga, Gisele Gouveia, Raquel C.R. Martinez, Caroline Camilo, Sergio N. Simões, David C. Martins-Jr, Lislaine Fracolli, Adriana Argeu, Alexandre Ferraro, Alicia Matijasevich, Daniel Fatori, Euripedes C. Miguel, Guilherme V. Polanczyk, and Helena Brentani
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Intrauterine stress ,Cytokines ,Neurodevelopment ,Longitudinal study ,Biomarkers ,Maternal distress ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Background and objectives: The neurodevelopment of the offspring is suggested to be influenced by the maternal immune system's responses throughout pregnancy, which in turn is also vulnerable to maternal psychosocial stress conditions. Therefore, our main goal was to investigate whether maternal peripheral immunological biomarkers (IB) during two stages of gestation are associated with distinct neurodevelopmental trajectories in the first two years of life. As a second goal, we also explored the association between maternal distal (childhood) and proximal (gestation) stressful experiences and the immunological markers assessed during pregnancy. Methods: Maternal childhood trauma, depressive and anxiety symptoms, and peripheral IB (IFNγ, IL-10, IL1β, IL6, IL8, TNFα, EGF, IL13, IL17, IL1Ra and IL4) were measured at baseline (8–16 weeks of pregnancy) and at 30 weeks of pregnancy in 160 women. The participants had the blood samples collected from two randomized clinical trials conducted by the same team and methods in the same community. A Principal Component Analysis (PCA) was implemented to create meaningful composite variables that describe the cytokines joint variation. Finally, linear mixed-effects modeling was used to investigate the influence of inflammatory biomarkers, maternal childhood trauma, anxiety, and depressive symptoms on Bayley's III scores trajectories. Results: The IB profile during the 3rd trimester of pregnancy predicted the offspring's neurodevelopmental trajectories in the first two years of life. The components derived from PCA were important predictors and captured different immune responses, reflecting both pro- and anti-inflammatory states. Maternal stressful experiences did not correlate with the immunological markers. Although not a reliable predictor alone, maternal psychosocial stress at the 1st trimester of pregnancy interacted with the mother's immune response while predicting the neurodevelopmental scores during the first two years of life. Conclusions: Our results underscore the importance of the maternal immune response during pregnancy in shaping the neurodevelopmental trajectory of the offspring. Additionally, we observed that the maternal distress at the early stages of pregnancy has an incremental effect on the neurodevelopmental outcome but depends upon the immune response.
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- 2024
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- View/download PDF
9. Development of temperamental regulation of infants at 6 and 24 months: Associations with maternal soothing and distress
- Author
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Atsuko Nakagawa, Taro Matsuki, Makiko Tomida, Taishi Miyachi, Takeshi Ebara, and Michihiro Kamijima
- Subjects
distraction ,longitudinal study ,maternal distress ,soothing ,temperament ,Medicine - Abstract
Abstract Background and Aims In the neurobiological theory of attention, the orienting network mainly supports the temperamental regulatory function in infancy, with soothing methods such as visual attention distraction influencing its development. The attention distraction method chosen for soothing is thought to be influenced by maternal sensitivity, which has been found to decrease with poor maternal mental health. We hypothesize that the degree of maternal distress may affect the choice of attention distraction soothing method. Further, individual differences in being soothed by attention distraction will be associated with the temperamental regulation function in infancy/toddlerhood. Method Structural equation modeling (SEM) was conducted on longitudinal data at 6 and 24 months on a sample (N = 1892) drawn from the sub‐cohort of the Japan Environment and Children's Study (JECS). Temperament was examined through the short Infant Behavior Questionnaire‐Revised (Japanese version) and the Early Childhood Behavior Questionnaire (Japanese version). Distress in caregivers was measured through the Kessler Psychological Distress Scale (Japanese version) at prenatal and 1‐year‐postnatal stages. Individual differences in using visual distraction soothing methods were also measured using tailor‐made items. Results Postnatal maternal distress at 12 months was negatively related to the tendency to use visual attention distraction as a soothing method (β = −0.06, p = 0.006) at 24 months. When we applied the subscale of the temperamental regulatory factor in SEM, the more the mothers chose the distraction method for soothing, i.e., the more the toddlers experienced it, the higher their attention shifting scores (β = 0.07, p = 0.002). Conclusion The findings support the view that caregivers' choice of method for distracting offspring's attention from distress may be associated with the development of self‐regulation during infancy and toddlerhood.
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- 2024
- Full Text
- View/download PDF
10. The Baby-Saver Kit: Clinical Testing of a Device for Neonatal Resuscitation With Intact Cord in Uganda (BabySaver)
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University of Liverpool, Grand Challenges Canada, Mbale Regional Referral Hospital, and Makerere University
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- 2023
11. Essential Coaching for Every Mother, a Postpartum Text Message Program for Canadian Mothers (ECEM)
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Dalhousie University and Justine Dol, Principal Investigator
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- 2023
12. An Intervention to Enhance Well-Being in Trauma Exposed New Mothers
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Lisa S. Panisch, PhD, MSW, Assistant Professor
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- 2023
13. The Importance of Personal and Familial Factors on Breastfeeding Intention and Practices, and Postpartum Distress during the Pandemic: A Longitudinal Observational Study.
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Ashrafinia, Farzaneh, Chen, Hui, Heydari, Omolbanin, Mirzaei, Maryam, and Abdi, Fatemeh
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MEDICAL masks , *PATIENT aftercare , *HEALTH education , *ATTITUDES toward breastfeeding , *POSTPARTUM depression , *SCIENTIFIC observation , *SOCIAL support , *SELF-evaluation , *FAMILY support , *SATISFACTION , *UNWANTED pregnancy , *REGRESSION analysis , *PREVENTIVE health services , *HEALTH behavior , *DESCRIPTIVE statistics , *RESEARCH funding , *INTENTION , *HAND washing , *STATISTICAL sampling , *POSTNATAL care , *CESAREAN section , *DATA analysis software , *COVID-19 pandemic , *VERTICAL transmission (Communicable diseases) , *PSYCHOLOGICAL distress , *MOTHER-child relationship , *LONGITUDINAL method , *HEALTH promotion , *EDUCATIONAL attainment - Abstract
Background: The COVID-19 pandemic has significantly impacted pregnant and breastfeeding women. Both low- and high-risk groups adopted preventive approaches such as mask-wearing and handwashing to slow down and prevent viral transmission during critical periods that may affect mother-child interactions. Methods: A longitudinal observational study was conducted with primiparous women recruited using convenience sampling from the postpartum care ward of Afzalipour Teaching Hospital in Kerman from August 1, 2020 to March 30, 2021. The research questionnaires included demographic information, preventive behaviors, breastfeeding intention and practices, postpartum distress, and Edinburgh Postpartum Depression Scale. All the questionnaires were self-reported online in three stages: before discharge from the postpartum ward, the first month after delivery, and the third month after delivery. Results: A Total of 160 primiparous women were included. The results showed significant changes in preventive behaviors and postpartum distress levels during the study. Breastfeeding intention and practices were negatively affected by postpartum distress (P = 0.034), unwanted pregnancies (P = 0.009), and cesarean delivery (P < 0.001). Postpartum distress was directly affected by the presence of depression (P < 0.001). Preventive behaviors at discharge were significantly associated with postpartum distress three months after delivery (P = 0.013). The study also found an association between women's and partner's education, unwanted pregnancy, and cesarean delivery that determined postpartum distress. Conclusions: Pandemic restrictions did not affect breastfeeding intentions or practices, possibly due to sufficient social and family support during the pandemic. However, robust guidelines are required to increase enable women's access to specializede care to cope with future pandemics, particularly during the first few weeks after childbirth. Significance: • Sufficient social and family support can overcome such concerns to promote breastfeeding. • Maternal support services are vital during the current and future pandemic periods to promote breastfeeding. • Pandemics like COVID-19 will become more common in the future. The outcome of this study provides a useful perspective for the future. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Developmental trajectories of internalizing distress among ethnic minoritized mothers following childbirth: Associations with early child psychological adjustment.
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Osornio, Alisha C., Lane, Sean P., Urizar Jr., Guido G., Gonzalez, Araceli, and Halim, May Ling D.
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CHILDBIRTH , *PATHOLOGICAL psychology , *MOTHERS , *CHILD behavior , *PSYCHOLOGICAL adaptation , *CHILD psychopathology , *PSYCHOLOGICAL distress - Abstract
A substantial body of work has established that mothers' internalizing distress can negatively affect children's socioemotional development. Yet few studies have examined how distinct patterns of mothers' distress over time differentially impact child behaviors across early childhood. To address this gap, the current study explored developmental trajectories of mothers' internalizing distress and examined the associations of these patterns with child adjustment outcomes. Mexican immigrant, Dominican immigrant, and African American mothers (N = 272) were annually assessed for internalizing distress over the first 6 years following childbirth. Children's psychological adjustment (internalizing, externalizing, and hyperactivity behaviors) was measured at the last yearly assessment in first grade. A growth mixture model revealed two distinct classes of distress where mothers were classified as having low stable distress (82.4%) or moderate distress that began as stable then declined when their children were 64 months old (17.6%). Children of mothers in the moderate, late decline class showed greater internalizing, externalizing, and hyperactivity behaviors in the first grade compared to children of mothers in the low stable class. Findings highlight the necessity of supporting the mental health of ethnic minoritized mothers following childbirth and further expand our knowledge of family psychopathology to promote healthy psychological adjustment in children. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Child developmental outcomes associated with postpartum depression and anxiety in low and middle-income countries: a systematic review
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Sridhar, Harikrupa, Kishore, M. Thomas, and Chandra, Prabha S.
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- 2024
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16. Prevalence and burden of nausea and vomiting in pregnant women: Interim analysis of the PURITY survey.
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Tinti, Serena, Praticò, Francesca, Bonaldo, Veronica, Rovetto, Marika Ylenia, Barattini, Dionisio Franco, Casolati, Elena, Piccolo, Elena, Piazza, Roberto, Liberati, Marco, Locci, Mariavittoria, and Cetin, Irene
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MORNING sickness , *PREGNANT women , *MULTIPLE pregnancy , *VOMITING , *NAUSEA , *ITALIANS - Abstract
• First survey in Italy to describe the prevalence of nausea and vomiting in pregnancy. • Results show high prevalence of nausea and vomiting in pregnancy. • A high percentage of pregnant women took medications for nausea and vomiting. • Symptoms had a negative influence on daily activities and social relationships. • Data underline the need for recognition of this neglected maternal disease. • Screening for nausea and vomiting should be offered during pregnancy. Nausea and vomiting in pregnancy is a common and invalidating condition in early pregnancy. However, no data are available on its prevalence in Italy. This survey aims to evaluate the prevalence and impact of nausea and vomiting during pregnancy on the quality of life of Italian women. The survey was performed in three Italian public University Hospitals in two distinct periods: a first interview took place between the 18th and 22nd week of pregnancy, using the Questionnaire for Pregnancy Period (14 questions regarding demographic data and 30 questions about nausea and vomiting in pregnancy, including Pregnancy-Unique Quantification of Emesis questionnaire), and a follow-up interview, by telephone call, took place immediately after giving birth and in any case within 14 days of delivery, using the Questionnaire for Post-Pregnancy (9 questions). Included women were Caucasian, in physiological pregnancy and between the 18th and 22nd week (time of morphological ultrasound), able to communicate adequately with the interviewer, understand the questionnaires and able to provide valid informed consent. Twin pregnancies and women who recurred to medically assisted procreation were excluded. This is an interim report on data collected from 232 of the planned 600 women. Mean age of the recruited subjects was 32.6 ± 4.6 years, with approximately 60% primiparous. The prevalence of nausea and vomiting in pregnancy in the sample examined was 65.5% overall (152 out of 232 subjects). Of these 152 women, 63 (41.4%) experienced only nausea, 6 (3.9%) only vomiting, and 83 (54.6%) reported both. Symptoms were reported to begin at 7.2 ± 2.7 weeks, lasted 10.2 ± 5.6 weeks, and persisted at the time of the interview in 32.2% of cases. Overall, over 50% of the women interviewed experienced a negative impact of nausea and vomiting in pregnancy on social relationships and work activity. A high prevalence of nausea and vomiting in pregnancy, 65.5% overall, was found in this interim analysis. These symptoms appeared capable of negatively influencing women quality of life. Screening procedures should be offered during pregnancy and measures that address nausea and vomiting in pregnancy impact warranted. [ABSTRACT FROM AUTHOR]
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- 2023
- Full Text
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17. A Common Elements-based Intervention to Improve Maternal Psychological Well-being and Mother-infant Interaction
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World Health Organization, University of Liverpool, and WHO Collaborating Center for mental health research, Institute of Psychiatry, Rawalpindi, Pakistan
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- 2022
18. Maternal prenatal distress exposure negatively associates with the stability of neonatal frontoparietal network
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Jetro J. Tuulari, Olli Rajasilta, Joana Cabral, Morten L. Kringelbach, Linnea Karlsson, and Hasse Karlsson
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neonate ,leida ,resting-state networks ,dynamic functional connectivity ,maternal distress ,prenatal stress exposure ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Maternal prenatal distress (PD), frequently defined as in utero prenatal stress exposure (PSE) to the developing fetus, influences the developing brain and numerous associations between PSE and brain structure have been described both in neonates and in older children. Previous studies addressing PSE-linked alterations in neonates’ brain activity have focused on connectivity analyses from predefined seed regions, but the effects of PSE at the level of distributed functional networks remains unclear. In this study, we investigated the impact of prenatal distress on the spatial and temporal properties of functional networks detected in functional MRI data from 20 naturally sleeping, term-born (age 25.85 ± 7.72 days, 11 males), healthy neonates. First, we performed group level independent component analysis (GICA) to evaluate an association between PD and the spatial configuration of the functional networks. Second, we search for an association with PD at the level of the stability of functional networks over time using leading eigenvector dynamics analysis (LEiDA). No statistically significant associations were detected at the spatial level for the GICA-derived networks. However, at the dynamic level, LEiDA revealed that maternal PD significantly decreased the stability of a frontoparietal network. These results imply that maternal PD may influence the stability of frontoparietal connections in neonatal brain network dynamics and adds to the cumulating evidence that frontal areas are especially sensitive to PSE. We advocate for early preventive intervention strategies regarding pregnant mothers. Nevertheless, future research venues are required to assess optimal intervention timing and methods for maximum benefit.
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- 2023
- Full Text
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19. STEP-COVID: A Program for Pregnant Women During the SARS-CoV-2 Pandemic
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Public Health Agency of Canada (PHAC), Canada Research Chairs Endowment of the Federal Government of Canada, and Nicolas Berthelot, Full professor
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- 2022
20. Supporting the Transition to and Engagement in Parenthood (STEP)
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Public Health Agency of Canada (PHAC), Social Sciences and Humanities Research Council of Canada, Canada Research Chairs Endowment of the Federal Government of Canada, and Nicolas Berthelot, Professor
- Published
- 2022
21. Maternal prenatal distress exposure negatively associates with the stability of neonatal frontoparietal network.
- Author
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Tuulari, Jetro J., Rajasilta, Olli, Cabral, Joana, Kringelbach, Morten L., Karlsson, Linnea, and Karlsson, Hasse
- Abstract
Abstract Maternal prenatal distress (PD), frequently defined as
in utero prenatal stress exposure (PSE) to the developing fetus, influences the developing brain and numerous associations between PSE and brain structure have been described both in neonates and in older children. Previous studies addressing PSE-linked alterations in neonates’ brain activity have focused on connectivity analyses from predefined seed regions, but the effects of PSE at the level of distributed functional networks remains unclear. In this study, we investigated the impact of prenatal distress on the spatial and temporal properties of functional networks detected in functional MRI data from 20 naturally sleeping, term-born (age 25.85 ± 7.72 days, 11 males), healthy neonates. First, we performed group level independent component analysis (GICA) to evaluate an association between PD and the spatial configuration of the functional networks. Second, we search for an association with PD at the level of the stability of functional networks over time using leading eigenvector dynamics analysis (LEiDA). No statistically significant associations were detected at the spatial level for the GICA-derived networks. However, at the dynamic level, LEiDA revealed that maternal PD significantly decreased the stability of a frontoparietal network. These results imply that maternal PD may influence the stability of frontoparietal connections in neonatal brain network dynamics and adds to the cumulating evidence that frontal areas are especially sensitive to PSE. We advocate for early preventive intervention strategies regarding pregnant mothers. Nevertheless, future research venues are required to assess optimal intervention timing and methods for maximum benefit. [ABSTRACT FROM AUTHOR]- Published
- 2023
- Full Text
- View/download PDF
22. The Effectiveness of Expressive Writing on a Sample of New Mothers
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Carlo Lai, Associate Professor
- Published
- 2021
23. Postpartum Depression in the Covid-19 Pandemic and the Impact of Anaesthesia
- Author
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National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece, University of Ioannina, Larissa University Hospital, and GEORGIA MICHA, Anaesthesiologist, MD, MSc, PhD
- Published
- 2021
24. Mothers' and Children's Mental Health During the COVID-19 Pandemic Lockdown: The Mediating Role of Parenting Stress.
- Author
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Babore, Alessandra, Trumello, Carmen, Lombardi, Lucia, Candelori, Carla, Chirumbolo, Antonio, Cattelino, Elena, Baiocco, Roberto, Bramanti, Sonia Monique, Viceconti, Maria Luisa, Pignataro, Silvia, and Morelli, Mara
- Subjects
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COVID-19 pandemic , *CHILDREN'S health , *DEPRESSION in women , *STAY-at-home orders , *PARENTS - Abstract
The present study, carried out during the first peak of the COVID-19 outbreak in Italy, aimed at investigating the mental health of mothers and children during the nationwide lockdown. More specifically, the study investigated children's depression and mothers' individual distress and parenting stress, in comparison with normative samples. The mediating effect of mothers' parenting stress on the relationship between mothers' individual distress and children's depression was also explored. Finally, the study analyzed whether children's biological sex and age moderated the structural paths of the proposed model. A sample of 206 Italian mothers and their children completed an online survey. Mothers were administered self-report questionnaires investigating individual distress and parenting stress; children completed a standardized measure of depression. Mothers' individual distress and parenting stress and children's depression were higher than those recorded for the normative samples. Mothers' parenting stress was found to mediate the association between mothers' individual distress and children's depression. With respect to children, neither biological sex nor age emerged as significant moderators of this association, highlighting that the proposed model was robust and invariant. During the current and future pandemics, public health services should support parents—and particularly mothers—in reducing individual distress and parenting stress, as these are associated with children's depression. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
25. Tax Preparation Pilot
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BU Clinical and Translational Science Institute
- Published
- 2020
26. Effectiveness of the WHO Caregivers Skills Training Program
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World Health Organization, University of Liverpool, and WHO Collaborating Center for mental health research, Institute of Psychiatry, Rawalpindi, Pakistan
- Published
- 2020
27. Maternal Distress during Pregnancy and the Postpartum Period: Underlying Mechanisms and Child's Developmental Outcomes—A Narrative Review.
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Jeličić, Ljiljana, Veselinović, Aleksandra, Ćirović, Milica, Jakovljević, Vladimir, Raičević, Saša, and Subotić, Miško
- Subjects
- *
PUERPERIUM , *CHILD development , *POSTPARTUM depression , *PREGNANCY , *FETAL development , *COVID-19 pandemic - Abstract
Maternal mental health may be considered a determining factor influencing fetal and child development. An essential factor with potentially negative consequences for a child's psychophysiological development is the presence of maternal distress during pregnancy and the postpartum period. The review is organized and presented to explore and describe the effects of anxiety, stress, and depression in pregnancy and the postpartum period on adverse child developmental outcomes. The neurobiology of maternal distress and the transmission mechanisms at the molecular level to the fetus and child are noted. In addition, the paper discusses the findings of longitudinal studies in which early child development is monitored concerning the presence of maternal distress in pregnancy and the postpartum period. This topic gained importance in the COVID-19 pandemic context, during which a higher frequency of maternal psychological disorders was observed. The need for further interdisciplinary research on the relationship between maternal mental health and fetal/child development was highlighted, especially on the biological mechanisms underlying the transmission of maternal distress to the (unborn) child, to achieve positive developmental outcomes and improve maternal and child well-being. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
28. Prenatal maternal depressive symptoms of Chinese pregnant women and twin newborns' physical health: the moderating role of infant sex.
- Author
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Gou, Mengke, Li, Luyao, Fu, Wenyang, Gong, Xiaoli, Wei, Yuan, Zhou, Guangyu, and Schwarzer, Ralf
- Subjects
- *
HUMAN reproduction , *TWINS , *PREGNANT women , *PRENATAL exposure delayed effects , *PSYCHOLOGICAL tests , *MENTAL depression , *APGAR score , *PSYCHOLOGICAL distress - Abstract
Consequences of prenatal maternal depressive symptoms on infant health are well established. But the results of infants' sex differences of such consequences are mixed. The current study examines whether any association exists between prenatal maternal depressive symptoms and infant physical health different for the sex of newborns. A sample of 84 women pregnant with twins reported depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) in the late gestational stage. The Apgar scores of newborns were assessed by healthcare providers at 1, 5, and 10 minutes after birth. The relationship of maternal prenatal depressive symptoms and newborns' physical health was moderated by infant sex. Higher depressive symptoms were associated with a lower Apgar index among newborn boys but not girls. Fetus environment or biomarkers related to sex may be a key mechanism of the effect of prenatal depression symptoms on newborns' health. Tailored interventions targeting maternal depression symptoms may be warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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29. Visual Expressions of Children's Strengths, Difficulties and Wishes in Person Picking an Apple from a Tree Drawings among Preschoolers Living in Areas of Persistent Political Violence.
- Author
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Bat Or, Michal, Ishai, Rafi, Barkay, Nirit, and Shalev, Or
- Subjects
EXECUTIVE function ,WELL-being ,MOTHERS ,PROBLEM solving ,ATTITUDES of mothers ,PRACTICAL politics ,CHILD development ,VIOLENCE ,CHILD behavior ,INTERVIEWING ,FEAR ,DRAWING ,PARENTING ,CHILDREN'S accident prevention ,VISUAL perception ,QUESTIONNAIRES ,FACTOR analysis ,COMMUNICATION ,ART therapy ,RESIDENTIAL patterns ,EMOTIONS ,BRIEF Symptom Inventory ,PSYCHOLOGICAL stress - Abstract
The present study sought to inquire into the subjective experience of 156 preschoolers (age 4–6.9 years) living in an area of political violence in Israel (on the border with the Gaza Strip) during a period of massive bombing. Children were invited to draw a Person Picking an Apple from a Tree (PPAT), and were interviewed on their sense of self-potency using the CAMP, a measure of potency. Teachers were asked to report problems in executive functions using a few BRIEF scales; and mothers filled out a questionnaire for maternal distress (BSI), a measure of their child strengths and difficulties (SDQ), and were asked to provide their assessment regarding the extent to which their child was exposed to political violence. Findings reveal associations between mothers' distress, the degree of exposure of their child to trauma, and the child's emotional symptoms. PPAT analysis identified four main factors: Tree Generosity, Person Agency, Vividness, and As-Real-R. Positive associations were found between self-potency and the main factors of the drawings; negative associations were found between the child's difficulties in executive functions and the drawing's four main factors; and two small negative associations were found between the child's emotional symptoms and Tree Generosity and As-Real-R factors. The following associations were found within each gender group: mothers' depression degree was associated with boy's Tree Generosity, and mother's perceptions of their girl's exposure to trauma was related to Person Agency, Tree Generosity, and As-Real-R factors; furthermore, a significant difference was found between the narrative focus of drawings in this sample and the narrative focus of drawings of a sample of the same age group from a non-war zone. In addition, narrative focus was found to be related to children's self-potency. The discussion deals with the study's findings through the prism of developmental psychology, self-agency, object-relations, and art-therapy theories. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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30. Do the Temperamental Characteristics of Both Mother and Child Influence the Well-Being of Adopted and Non-Adopted Children?
- Author
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Liskola, Krista, Raaska, Hanna, Hakulinen, Christian, Lapinleimu, Helena, and Elovainio, Marko
- Subjects
WELL-being ,NATIONAL competency-based educational tests ,STRUCTURAL equation modeling ,PSYCHOLOGY of adopted children ,INTERNATIONAL relations ,CHILD care ,PSYCHOLOGY of mothers ,EFFECT sizes (Statistics) ,BIRTHPARENTS ,CHILD behavior ,MOTHERHOOD ,PARENTING ,BEHAVIOR disorders in children ,RISK assessment ,CHILD Behavior Checklist ,CRONBACH'S alpha ,TEMPERAMENT ,PSYCHOSOCIAL factors ,RESEARCH funding ,QUESTIONNAIRES ,AFFECTIVE disorders ,DESCRIPTIVE statistics ,PSYCHOLOGY of adoptive parents ,DATA analysis software ,PSYCHOLOGICAL distress ,MOTHER-child relationship ,LONGITUDINAL method ,CHILDREN - Abstract
(1) Background: For decades, the temperaments of infants and small children have been a focus of studies in human development and been seen as a potential contributor to children's developmental patterns. However, less is known about the interplay between the temperamental characteristics of mothers and their children in the context of explaining variations in developmental outcomes. The aim of our study was to explore the associations—with or without genetic links—of the temperaments and psychological distress of mothers and the temperaments of children with behavioral problems in a group of internationally adopted children and their adoptive mothers and in a group of non-adopted children and their mothers. (2) Methods: Data (n = 170) were derived from the ongoing Finnish Adoption (FinAdo) follow-up study. The children included were under the age of 7 years; 74 were adopted internationally through legal agencies between October 2010 and December 2016, and the remaining 96 were non-adopted children living with their birth parents (biological group) recruited from day-care centers. We used Mary Rothbart's temperament questionnaires to assess temperament, the Child Behavior Checklist (CBCL) to obtain data on the children's behavioral/emotional problems and competencies, and the General Health Questionnaire (GHQ) to assess parental psychological distress. The study was approved by the Ethics Committee of the Hospital District of Southwest Finland, and written informed consent was obtained from the parents and the children themselves. (3) Results: The negative affectivities of both mothers and children were associated with the total CBCL and with both internalizing and externalizing problem behaviors after adjusting for age, gender, and adoption status. Both relationships remained significant when tested simultaneously, suggesting additive effects. Maternal negative affect was associated with problem behavior irrespective of child extraversion/surgency. Child extraversion/surgency was associated with lower levels of all internalizing behavioral problems when adjusted for maternal sociability. Child negative affect was associated with all behavioral problem measures irrespective of maternal sociability or maternal psychological distress. Maternal distress was associated with child problem behaviors only in children with low extraversion/surgency. (4) Limitations: The sample size was relatively small, and the information was gathered solely with questionnaires. (5) Conclusions: The results of the study may be clinically significant. Child negative affect, maternal negative affect, and maternal experienced distress, combined with low child extraversion/surgency, may increase the risk of child problem behaviors in both adoptees and non-adoptees. [ABSTRACT FROM AUTHOR]
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- 2022
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31. Maternal immune response during pregnancy and neurodevelopmental outcomes: A longitudinal approach.
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Euclydes V, Braga CIS, Gouveia G, Martinez RCR, Camilo C, Simões SN, Martins-Jr DC, Fracolli L, Argeu A, Ferraro A, Matijasevich A, Fatori D, Miguel EC, Polanczyk GV, and Brentani H
- Abstract
Background and Objectives: The neurodevelopment of the offspring is suggested to be influenced by the maternal immune system's responses throughout pregnancy, which in turn is also vulnerable to maternal psychosocial stress conditions. Therefore, our main goal was to investigate whether maternal peripheral immunological biomarkers (IB) during two stages of gestation are associated with distinct neurodevelopmental trajectories in the first two years of life. As a second goal, we also explored the association between maternal distal (childhood) and proximal (gestation) stressful experiences and the immunological markers assessed during pregnancy., Methods: Maternal childhood trauma, depressive and anxiety symptoms, and peripheral IB (IFNγ, IL-10, IL1β, IL6, IL8, TNFα, EGF, IL13, IL17, IL1Ra and IL4) were measured at baseline (8-16 weeks of pregnancy) and at 30 weeks of pregnancy in 160 women. The participants had the blood samples collected from two randomized clinical trials conducted by the same team and methods in the same community. A Principal Component Analysis (PCA) was implemented to create meaningful composite variables that describe the cytokines joint variation. Finally, linear mixed-effects modeling was used to investigate the influence of inflammatory biomarkers, maternal childhood trauma, anxiety, and depressive symptoms on Bayley's III scores trajectories., Results: The IB profile during the 3rd trimester of pregnancy predicted the offspring's neurodevelopmental trajectories in the first two years of life. The components derived from PCA were important predictors and captured different immune responses, reflecting both pro- and anti-inflammatory states. Maternal stressful experiences did not correlate with the immunological markers. Although not a reliable predictor alone, maternal psychosocial stress at the 1st trimester of pregnancy interacted with the mother's immune response while predicting the neurodevelopmental scores during the first two years of life., Conclusions: Our results underscore the importance of the maternal immune response during pregnancy in shaping the neurodevelopmental trajectory of the offspring. Additionally, we observed that the maternal distress at the early stages of pregnancy has an incremental effect on the neurodevelopmental outcome but depends upon the immune response., Competing Interests: We assure that all procedures from the study “Maternal immune response during pregnancy and neurodevelopmental outcomes: a longitudinal approach” were performed in compliance with relevant laws and institutional guidelines. The present study was approved by the Ethics Committee of the University of São Paulo Medical School (ref: 052/15), the University Hospital of the University of São Paulo, and by the Sao Paulo Municipal Health Department. Signed informed consent was given to participants and their primary caregivers. All methods were performed in accordance with the relevant guidelines and regulations. The study was registered at clinicaltrial.gov (Registration NCT02807818-date: June 21, 2016 and NCT04362098 – date: April 24, 2020). No relevant changes to methods, design or outcomes after trial commencement were made. The full study protocol can be sent upon request., (© 2024 The Authors.)
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- 2024
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32. The uses of maternal distress in British society, c.1948-1979
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Crook, Sarah
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362.1982 ,Mothering ,Maternity ,Maternal distress ,History of Medicine - Abstract
After the Second World War mothering became an object of social, political, medical and psychiatric investigation. These investigations would in turn serve as the bases for new campaigns around the practice, meaning and significance of maternity. This brought attention to mothers' emotional repertoires, and particularly their experiences of distress. In this thesis I interrogate the use of maternal distress, asking how and why maternal distress was made visible by professions, institutions and social movements in postwar Britain. To address this I investigate how maternal mental health was constituted both as an object of clinical interrogation and used as evidence of the need for reform. Social and medical studies were used to develop and circulate ideas about the causes and prevalence of distress, making possible a new series of interventions: the need for more information about users of the health care service, an enhanced interest in disorders at the milder end of the psychiatric 'spectrum', and raised expectations of health. I argue that the approaches of those studying maternal distress were shaped by their particular agendas. General practitioners, psychiatrists, activists in the Women's Liberation Movement, clinicians interested in child abuse and social scientists, sought to understand and explain mothers' emotions. These involvements were shaped by the foundation of the National Health Service in 1948 and the crystallization of support for alternative forms of care into self-help groups by 1979. The story of maternal distress is one of competing and complementary professional and political interests, set against the backdrop of increasing pessimism about the family. I argue that the figure of the distressed mother has exerted considerable influence in British society. As such, this research has important implications for our understanding of how mental distress developed into a mode of social and political critique across the late twentieth century.
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- 2017
33. Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions
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Marjolein Missler, Tara Donker, Roseriet Beijers, Marketa Ciharova, Charlotte Moyse, Ralph de Vries, Jaap Denissen, and Annemieke van Straten
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Universal prevention ,Pregnant women ,Maternal distress ,Psychological interventions ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background There is sufficient meta-analytic evidence that antenatal interventions for women at risk (selective prevention) or for women with severe psychological symptoms (indicated prevention) are effective in reducing postpartum distress. However, women without risk or severe psychological symptoms might also experience distress. This meta-analysis focused on the effectiveness of preventive psychological interventions offered to universal populations of pregnant women on symptoms of depression, anxiety, and general stress. Paternal and infant outcomes were also included. Method We included 12 universal prevention studies in the meta-analysis, incorporating a total of 2559 pregnant women. Results Overall, ten studies included depression as an outcome measure, five studies included stress, and four studies anxiety. There was a moderate effect of preventive interventions implemented during pregnancy on the combined measure of maternal distress (d = .52), on depressive symptoms (d = .50), and on stress (d = .52). The effect on anxiety (d = .30) was smaller. The effects were not associated with intervention timing, intervention type, intervention delivery mode, timing of post-test, and methodological quality. The number of studies including partner and/or infant outcomes was too low to assess their effectiveness. Conclusions This meta-analysis suggests that universal prevention during pregnancy is effective on decreasing symptoms of maternal distress compared to routine care, at least with regard to depression. While promising, the results with regard to anxiety and stress are based on a considerably lower number of studies, and should thus be interpreted with caution. More research is needed on preventing other types of maternal distress beyond depression. Furthermore, there is a lack of research with regard to paternal distress. Also, given the large variety in interventions, more research is needed on which elements of universal prevention work. Finally, as maternal distress symptoms can affect infant development, it is important to investigate whether the positive effects of the preventive interventions extend from mother to infant. Systematic review registration number International prospective register of systematic reviews (PROSPERO) registration number: CRD42018098861.
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- 2021
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34. The effect of prenatal maternal distress on offspring brain development: A systematic review.
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Mandl, Sophie, Alexopoulos, Johanna, Doering, Stephan, Wildner, Brigitte, Seidl, Rainer, and Bartha-Doering, Lisa
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- *
NEURAL development , *FETAL brain , *ABANDONED children , *LIMBIC system , *GLUCOCORTICOID receptors , *FETUS , *PREFRONTAL cortex , *AMYGDALOID body - Abstract
Prenatal maternal distress can negatively affect pregnancy outcomes, yet its impact on the offspring's brain structure and function remains unclear. This systematic review summarizes the available literature on the relationship between prenatal maternal distress and brain development in fetuses and infants up to 12 months of age. We searched Central, Embase, MEDLINE, PsycINFO, and PSYNDEXplus for studies published between database inception and December 2023. Studies were included if prenatal maternal anxiety, stress, and/or depression was assessed, neuroimaging was used to examine the offspring, and the offspring's brain was imaged within the first year of life. The quality of the included studies was evaluated using the Quality Assessment of Diagnostic Accuracy Studies-II. Out of the 1516 studies retrieved, 71 met our inclusion criteria. Although the studies varied greatly in their methodology, the results generally pointed to structural and functional aberrations in the limbic system, prefrontal cortex, and insula in fetuses and infants prenatally exposed to maternal distress. The hippocampus, amygdala, and prefrontal cortex have a high density of glucocorticoid receptors, which play a key role in adapting to stressors and maintaining stress-related homeostasis. We thus conclude that in utero exposure to maternal distress prompts these brain regions to adapt by undergoing structural and functional changes, with the consequence that these alterations increase the risk for developing a neuropsychiatric illness later on. Future research should investigate the effect of providing psychological support for pregnant women on the offspring's early brain development. • Prenatal maternal distress can affect the child's brain structure and function. • Brain alterations are prominent in limbic, prefrontal, and insular regions. • Affected regions have a particularly high density of glucocorticoid receptors. • Early brain aberrations may predict later mental health issues in exposed children. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Power and Efficacy of Maternal Voice in Neonatal Intensive Care Units: Implicit Bias and Family-Centered Care.
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Davis, Betsy, Baggett, Kathleen M., Patterson, Alexandria L., Feil, Edward G., Landry, Susan H., and Leve, Craig
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- *
IMPLICIT bias , *PSYCHOLOGY of Black people , *NONPARAMETRIC statistics , *NEONATAL intensive care , *HEALTH services accessibility , *ATTITUDES of mothers , *SAMPLE size (Statistics) , *NEONATAL intensive care units , *RACE , *MANN Whitney U Test , *MOTHERHOOD , *PARENTING , *FAMILY-centered care , *SOCIOECONOMIC factors , *SLEEP disorders , *INCOME , *COMMUNICATION , *MENTAL depression , *DESCRIPTIVE statistics , *SOMATOFORM disorders , *WHITE people , *ANXIETY , *PSYCHOLOGICAL stress , *EATING disorders ,RESEARCH evaluation - Abstract
Introduction: Implicit bias can lead medical professionals in Neonatal Intensive Care Units (NICUs) to disregard mothers who are Black and economically disadvantaged as they advocate for their infants' health. Disregard can weaken underlying communication principles within the Family-Centered Care (FCC) model of pediatric health in NICUs and increase maternal distress. This study is the first to address communication disregard by examining mothers' perceived power and efficacy of voice with NICU doctors and nurses. We hypothesized that mothers who are Black and economically disadvantaged would report lower efficacy of voice and higher levels of distress as compared to White mothers with higher income. Methods: During pre-assessment within a small clinical trial of a parenting intervention, 33 racially and economically diverse mothers, from three Midwest NICUs serving the urban poor, responded to a 14-item measure of maternal power and efficacy of voice and measures of somatization, depression, anxiety and eating/sleeping disorders. Nonparametric examinations assessed the relation of power and efficacy of voice to maternal race, income, and distress. Results: In contrast to White, higher-income mothers, Black, economically disadvantaged mothers reported lower perceived efficacy of voice with doctors (U = 74.5, d = 0.65) and nurses (U = 74.0; d =.0.66). These mothers with lower perceived efficacy with doctors and nurses, reported higher levels of somatization (U = 16.5, d = 1.14; U = 13.5, d = 1.38, respectively) and eating disorders (U = 14.0, d = 1.29; U = 12.0, d = 1.48, respectively). Discussion: Study results are discussed within the framework of implicit bias in FCC in the NICU, expanding our understanding of effective communication with economically stressed, Black mothers. [ABSTRACT FROM AUTHOR]
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- 2022
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36. Prenatal and postnatal maternal distress and offspring temperament: A longitudinal study.
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Sutin, Angelina R., Strickhouser, Jason E., Sesker, Amanda A., and Terracciano, Antonio
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- *
TEMPERAMENT , *PRENATAL depression , *LONGITUDINAL method , *CHILD psychopathology , *PSYCHOLOGICAL distress , *INDIVIDUAL differences , *AUSTRALIANS - Abstract
Maternal distress experienced prenatally and in the child's first year of life has been associated consistently with offspring psychopathology. Less research has addressed whether it is also associated with variations in psychological traits. The present research used two samples from the Longitudinal Study of Australian Children to examine the association between maternal prenatal and postnatal distress and offspring temperament across childhood. Maternal distress experienced by mothers was associated with higher offspring reactivity and lower offspring persistence. These associations replicated across both types of maternal distress (prenatal/postnatal), across two different measures of temperament, and remained significant controlling for maternal distress concurrent with the temperament measures and controlling for maternal personality. There was less evidence that either type of maternal distress was associated with sociability and no evidence that it was associated with the trajectory of the three dimensions of temperament across childhood. Maternal distress is associated with traits that reflect dysregulation and may be one mechanism through which prenatal and early life factors contribute to individual differences in psychological function. [ABSTRACT FROM AUTHOR]
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- 2022
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37. Associations Between Maternal Distress During Early Life Periods and Offspring Respiratory Infections and Allergic Outcomes
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Hui Xing Lau, Michelle Zhi Ling Kee, Qai Ven Yap, Elizabeth Huiwen Tham, Yiong Huak Chan, Anne Eng Neo Goh, Oon Hoe Teoh, Johan Gunnar Eriksson, Keith M. Godfrey, Peter D. Gluckman, Yap Seng Chong, Jerry Kok Yen Chan, Hugo Van Bever, Bee Wah Lee, Lynette Pei-chi Shek, Michael J. Meaney, and Evelyn Xiu Ling Loo
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maternal distress ,wheeze ,rhinitis ,eczema ,allergic sensitization ,preconception ,Pediatrics ,RJ1-570 - Abstract
BackgroundIncreasing evidence suggests that maternal distress is a risk factor for development of respiratory infections and allergic diseases in the offspring. We aim to evaluate the link between maternal distress during critical periods in early life, namely the preconception, pregnancy and postnatal periods, and development of respiratory infections and allergic diseases in the offspring from the Singapore PREconception Study of long Term maternal and child Outcomes (S-PRESTO) cohort.MethodsMaternal perceived distress was evaluated using validated questionnaires including Beck Depression Inventory-II (BDI-II) administered during three time periods: preconception (three months apart at four timepoints), pregnancy (during each trimester) and postnatal (3 and 6 months post-delivery). Child eczema, rhinitis and wheeze outcomes were evaluated using a modified ISAAC questionnaire at ages 3, 6, 12, and 18 months. Child allergic sensitization was determined by skin prick testing at 18 months.ResultsAmong 332 mother-child pairs studied, higher maternal distress during preconception and pregnancy increased the risks of wheeze development in the first 18 months; for example, preconception and pregnancy BDI-II scores ≥20 were associated with increased risks of wheeze by 18 months [adjusted risk ratios 3.2 (95%CI 1.1–9.4) and 2.5 (1.0–5.9), respectively]. Emotional and practical support from family during preconception decreased the risks of offspring wheeze. No associations were observed between maternal distress and offspring eczema, rhinitis and allergic sensitization.ConclusionMaternal distress during critical early life periods was associated with offspring wheeze in the first 18 months of life. Supporting maternal mental health even before pregnancy could reduce the risk of offspring wheeze.
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- 2022
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38. Inconsistent Discipline as a Mediator between Maternal Distress and Children's Conduct Problems in a Population Sample of Russian Children.
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Varshal, Аleksandra V. and Slobodskaya, Helena R.
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- *
PSYCHOLOGY of mothers , *SELF-evaluation , *REGRESSION analysis , *BEHAVIOR disorders in children , *RISK assessment , *PARENTING , *MENTAL depression , *QUESTIONNAIRES , *PSYCHOLOGICAL distress , *DISCIPLINE of children , *MOTHER-child relationship - Abstract
The current study examines associations between family factors and children's conduct problems. Participants were 442 families with children ranging in age from 3 to 8 years. Mothers provided data on their distress using the Self-Reporting Questionnaire (SRQ), and on parenting practices using Parenting Practice Interview (PPI). They also scored children's conduct problems using Eyberg Child Behavior Inventory (ECBI). Of six parenting practices measured, inconsistent discipline was most closely related to maternal distress and conduct problems. Regression analyses indicated that inconsistent discipline partially mediated the relation between maternal distress and child conduct outcomes. The moderating effects of gender were also examined. [ABSTRACT FROM AUTHOR]
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- 2022
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39. Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
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Mahbobeh Faramarzi, Farzan Kheirkhah, Shahnaz Barat, Pim Cuijpers, Elizabet O'Connor, Reza Ghadimi, Karimolah Hajian- Tilaki, Zeynab Pahlavan, Angela Hamidia, Mahboubeh Mirtabar, Mahtab Zeinalzadeh, and Zahra Basirat
- Subjects
psychiatric ,mental disorders ,pregnancy ,depression ,anxiety ,maternal distress ,Internal medicine ,RC31-1245 - Abstract
Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted in five private and public obstetrics clinics of Babol city. During routine appointments of prenatal care, 176 pregnant women filled in three questionnaires including; sociodemographic questionnaire, Edinburg Prenatal Depression Scale (EPDS), and Symptom Checklist-25 (SCL-25). Wilcoxon test, Spearman correlation, and multivariate logistic regression tests were used to interpret the data. Results: The prevalence of depressive disorders was 15.4%% for Edinburg scores ≥13. The overall rate of maternal psychiatric symptoms (global severity index or GSI scores ≥ 1.75) was 48.5%. The prevalence of psychiatric symptoms was high; for 25% somatization, 258% anxiety, obsession-compulsion disorders or OCD 6.4%, 8.8% interpersonal sensitivity, 5.3% phobia, 7.6% paranoid ideation, and 1.2% psychoticism. Multivariate logistic regression revealed that pregnant women with history of abortion in previous pregnancy were at risk of depressive symptoms more (β=3.18, CI 1.28-7.93, p=0.01) than those without history of abortion. Also, the only demographic factor related to psychiatric symptoms was the age of pregnant women; younger age was associated with higher symptom levels for GSI ((r=-0.17). Conclusion: The high prevalence of psychiatric symptoms, especially depressive symptoms, in pregnant women highlights the need for continued research on screening, identifying the risk factors, and developing effective treatments for mental disorders in pregnant women.
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- 2020
40. Maternal Distress during Pregnancy and the Postpartum Period: Underlying Mechanisms and Child’s Developmental Outcomes—A Narrative Review
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Ljiljana Jeličić, Aleksandra Veselinović, Milica Ćirović, Vladimir Jakovljević, Saša Raičević, and Miško Subotić
- Subjects
perinatal mental health ,maternal distress ,anxiety ,stress ,depression ,developmental outcomes ,Biology (General) ,QH301-705.5 ,Chemistry ,QD1-999 - Abstract
Maternal mental health may be considered a determining factor influencing fetal and child development. An essential factor with potentially negative consequences for a child’s psychophysiological development is the presence of maternal distress during pregnancy and the postpartum period. The review is organized and presented to explore and describe the effects of anxiety, stress, and depression in pregnancy and the postpartum period on adverse child developmental outcomes. The neurobiology of maternal distress and the transmission mechanisms at the molecular level to the fetus and child are noted. In addition, the paper discusses the findings of longitudinal studies in which early child development is monitored concerning the presence of maternal distress in pregnancy and the postpartum period. This topic gained importance in the COVID-19 pandemic context, during which a higher frequency of maternal psychological disorders was observed. The need for further interdisciplinary research on the relationship between maternal mental health and fetal/child development was highlighted, especially on the biological mechanisms underlying the transmission of maternal distress to the (unborn) child, to achieve positive developmental outcomes and improve maternal and child well-being.
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- 2022
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41. Visual Expressions of Children’s Strengths, Difficulties and Wishes in Person Picking an Apple from a Tree Drawings among Preschoolers Living in Areas of Persistent Political Violence
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Michal Bat Or, Rafi Ishai, Nirit Barkay, and Or Shalev
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PPAT ,children ,self-potency ,EF ,maternal distress ,political violence ,Pediatrics ,RJ1-570 - Abstract
The present study sought to inquire into the subjective experience of 156 preschoolers (age 4–6.9 years) living in an area of political violence in Israel (on the border with the Gaza Strip) during a period of massive bombing. Children were invited to draw a Person Picking an Apple from a Tree (PPAT), and were interviewed on their sense of self-potency using the CAMP, a measure of potency. Teachers were asked to report problems in executive functions using a few BRIEF scales; and mothers filled out a questionnaire for maternal distress (BSI), a measure of their child strengths and difficulties (SDQ), and were asked to provide their assessment regarding the extent to which their child was exposed to political violence. Findings reveal associations between mothers’ distress, the degree of exposure of their child to trauma, and the child’s emotional symptoms. PPAT analysis identified four main factors: Tree Generosity, Person Agency, Vividness, and As-Real-R. Positive associations were found between self-potency and the main factors of the drawings; negative associations were found between the child’s difficulties in executive functions and the drawing’s four main factors; and two small negative associations were found between the child’s emotional symptoms and Tree Generosity and As-Real-R factors. The following associations were found within each gender group: mothers’ depression degree was associated with boy’s Tree Generosity, and mother’s perceptions of their girl’s exposure to trauma was related to Person Agency, Tree Generosity, and As-Real-R factors; furthermore, a significant difference was found between the narrative focus of drawings in this sample and the narrative focus of drawings of a sample of the same age group from a non-war zone. In addition, narrative focus was found to be related to children’s self-potency. The discussion deals with the study’s findings through the prism of developmental psychology, self-agency, object-relations, and art-therapy theories.
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- 2022
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42. Do the Temperamental Characteristics of Both Mother and Child Influence the Well-Being of Adopted and Non-Adopted Children?
- Author
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Krista Liskola, Hanna Raaska, Christian Hakulinen, Helena Lapinleimu, and Marko Elovainio
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temperament ,internationally adopted children ,maternal distress ,child behavioral problems ,Pediatrics ,RJ1-570 - Abstract
(1) Background: For decades, the temperaments of infants and small children have been a focus of studies in human development and been seen as a potential contributor to children’s developmental patterns. However, less is known about the interplay between the temperamental characteristics of mothers and their children in the context of explaining variations in developmental outcomes. The aim of our study was to explore the associations—with or without genetic links—of the temperaments and psychological distress of mothers and the temperaments of children with behavioral problems in a group of internationally adopted children and their adoptive mothers and in a group of non-adopted children and their mothers. (2) Methods: Data (n = 170) were derived from the ongoing Finnish Adoption (FinAdo) follow-up study. The children included were under the age of 7 years; 74 were adopted internationally through legal agencies between October 2010 and December 2016, and the remaining 96 were non-adopted children living with their birth parents (biological group) recruited from day-care centers. We used Mary Rothbart’s temperament questionnaires to assess temperament, the Child Behavior Checklist (CBCL) to obtain data on the children’s behavioral/emotional problems and competencies, and the General Health Questionnaire (GHQ) to assess parental psychological distress. The study was approved by the Ethics Committee of the Hospital District of Southwest Finland, and written informed consent was obtained from the parents and the children themselves. (3) Results: The negative affectivities of both mothers and children were associated with the total CBCL and with both internalizing and externalizing problem behaviors after adjusting for age, gender, and adoption status. Both relationships remained significant when tested simultaneously, suggesting additive effects. Maternal negative affect was associated with problem behavior irrespective of child extraversion/surgency. Child extraversion/surgency was associated with lower levels of all internalizing behavioral problems when adjusted for maternal sociability. Child negative affect was associated with all behavioral problem measures irrespective of maternal sociability or maternal psychological distress. Maternal distress was associated with child problem behaviors only in children with low extraversion/surgency. (4) Limitations: The sample size was relatively small, and the information was gathered solely with questionnaires. (5) Conclusions: The results of the study may be clinically significant. Child negative affect, maternal negative affect, and maternal experienced distress, combined with low child extraversion/surgency, may increase the risk of child problem behaviors in both adoptees and non-adoptees.
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- 2022
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43. Validity and accuracy of the Whooley questions to identify maternal distress in Dutch pregnant women
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Fontein-Kuipers, Yvonne and Jomeen, Julie
- Published
- 2019
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44. Combined and sequential exposure to prenatal second hand smoke and postnatal maternal distress is associated with cingulo-opercular global efficiency and attention problems in school-age children.
- Author
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Greenwood, Paige B., DeSerisy, Mariah, Koe, Emily, Rodriguez, Elizabeth, Salas, Leilani, Perera, Frederica P., Herbstman, Julie, Pagliaccio, David, and Margolis, Amy E.
- Subjects
- *
PRENATAL exposure , *MATERNAL exposure , *FUNCTIONAL magnetic resonance imaging , *ATTENTION-deficit hyperactivity disorder , *CHILD Behavior Checklist , *CONTROL (Psychology) - Abstract
Prenatal exposure to secondhand (environmental) tobacco smoke (SHS) is associated with adverse neurodevelopmental outcomes, including altered functional activation of cognitive control brain circuitry and increased attention problems in children. Exposure to SHS is more common among Black youth who are also disproportionately exposed to socioeconomic disadvantage and concomitant maternal distress. We examine the combined effects of exposure to prenatal SHS and postnatal maternal distress on the global efficiency (GE) of the brain's cingulo-opercular (CO) and fronto-parietal control (FP) networks in childhood, as well as associated attention problems. Thirty-two children of non-smoking mothers followed in a prospective longitudinal birth cohort at the Columbia Center for Children's Environmental Health (CCCEH) completed magnetic resonance imaging (MRI) at ages 7–9 years old. GE scores were extracted from general connectivity data collected while children completed the Simon Spatial Incompatibility functional magnetic resonance imaging (fMRI) task. Prenatal SHS was measured using maternal urinary cotinine from the third trimester; postnatal maternal distress was assessed at child age 5 using the Psychiatric Epidemiology Research Interview (PERI-D). The Child Behavior Checklist (CBCL) measured Attention and Attention Deficit Hyperactivity Disorder (ADHD) problems at ages 7–9. Linear regressions examined the interaction between prenatal SHS and postnatal maternal distress on the GE of the CO or FP networks, as well as associations between exposure-related network alterations and attention problems. All models controlled for age, sex, maternal education at prenatal visit, race/ethnicity, global brain correlation, and mean head motion. The prenatal SHS by postnatal maternal distress interaction term associated with the GE of the CO network (β = 0.673, B u = 0.042, t(22) = 2.427, p =.024, D = 1.42, 95% CI [0.006, 0.079], but not the FP network (β = 0.138, B u = 0.006, t(22) = 0.434, p =.668, 95% CI [−0.022, 0.033]). Higher GE of the CO network was associated with more attention problems (β = 0.472, B u = 43.076, t(23) = 2.780, p =.011, D = 1.74, n = 31, 95% CI [11.024, 75.128], n = 31) and ADHD risk (β = 0.436, B u = 21.961, t(29) = 2.567, p =.018, D = 1.81, 95% CI [4.219, 39.703], n = 30). These preliminary findings suggest that sequential prenatal SHS exposure and postnatal maternal distress could alter the efficiency of the CO network and increase risk for downstream attention problems and ADHD. These findings are consistent with prior studies showing that prenatal SHS exposure is associated with altered function of brain regions that support cognitive control and with ADHD problems. Our model also identifies postnatal maternal distress as a significant moderator of this association. These data highlight the combined neurotoxic effects of exposure to prenatal SHS and postnatal maternal distress. Critically, such exposures are disproportionately distributed among youth from minoritized groups, pointing to potential pathways to known mental health disparities. • Exposure to SHS and maternal distress associated with cognitive control network efficiency. • Maternal distress modified associations between SHS and control networks. • Increased control network connectivity associated with increased attention problems. [ABSTRACT FROM AUTHOR]
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- 2024
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45. Being born and growing up in the Ribeirão Preto and São Luís cohorts
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M.C. Leal
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Cohort study ,Reproductive health ,Risk factors ,Breast-feeding ,Caesarean ,Maternal distress ,Medicine (General) ,R5-920 ,Biology (General) ,QH301-705.5 - Abstract
This thematic issue consists of 14 articles derived from studies of the BRISA birth cohort (Ribeirão Preto, State of São Paulo and São Luís, State of Maranhão, northeastern Brazil, a socially and economically less developed region). In these more than 40 years of existence, these cohorts have been able to document the increase in women's education, the improvement of health conditions, the creation of a public Unified Health System (SUS) that provides universal and free access to health care, eradication of hunger, and transition of the nutritional status characterized by a decrease in malnutrition rates and an increase in obesity in Brazil. Particularly in reproductive health, the country experienced a significant drop in fertility, a decrease in maternal and child mortality, and an increase in breastfeeding rates. Universal access to prenatal care and hospital delivery was accompanied by an excessive number of cesareans without clinical indication and early-term births and premature births, largely due to scheduled cesareans. Articles with a longitudinal and transversal methodological approach are presented, using structural equation analysis and propensity score, together with multivariate regressions, which gave a robust analytical treatment to articles in this thematic issue.
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46. Maternal Distress and Offspring Neurodevelopment: Challenges and Opportunities for Pre-clinical Research Models
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Eamon Fitzgerald, Carine Parent, Michelle Z. L. Kee, and Michael J. Meaney
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maternal distress ,pregnancy ,neurodevelopment ,psychiatric disorders ,pre-clinical models ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Pre-natal exposure to acute maternal trauma or chronic maternal distress can confer increased risk for psychiatric disorders in later life. Acute maternal trauma is the result of unforeseen environmental or personal catastrophes, while chronic maternal distress is associated with anxiety or depression. Animal studies investigating the effects of pre-natal stress have largely used brief stress exposures during pregnancy to identify critical periods of fetal vulnerability, a paradigm which holds face validity to acute maternal trauma in humans. While understanding these effects is undoubtably important, the literature suggests maternal stress in humans is typically chronic and persistent from pre-conception through gestation. In this review, we provide evidence to this effect and suggest a realignment of current animal models to recapitulate this chronicity. We also consider candidate mediators, moderators and mechanisms of maternal distress, and suggest a wider breadth of research is needed, along with the incorporation of advanced -omics technologies, in order to understand the neurodevelopmental etiology of psychiatric risk.
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- 2021
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47. Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions.
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Missler, Marjolein, Donker, Tara, Beijers, Roseriet, Ciharova, Marketa, Moyse, Charlotte, de Vries, Ralph, Denissen, Jaap, and van Straten, Annemieke
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- *
PRENATAL care , *MATERNAL health services , *OBSTETRICS , *PREGNANCY complications , *DEPRESSION in women - Abstract
Background: There is sufficient meta-analytic evidence that antenatal interventions for women at risk (selective prevention) or for women with severe psychological symptoms (indicated prevention) are effective in reducing postpartum distress. However, women without risk or severe psychological symptoms might also experience distress. This meta-analysis focused on the effectiveness of preventive psychological interventions offered to universal populations of pregnant women on symptoms of depression, anxiety, and general stress. Paternal and infant outcomes were also included.Method: We included 12 universal prevention studies in the meta-analysis, incorporating a total of 2559 pregnant women.Results: Overall, ten studies included depression as an outcome measure, five studies included stress, and four studies anxiety. There was a moderate effect of preventive interventions implemented during pregnancy on the combined measure of maternal distress (d = .52), on depressive symptoms (d = .50), and on stress (d = .52). The effect on anxiety (d = .30) was smaller. The effects were not associated with intervention timing, intervention type, intervention delivery mode, timing of post-test, and methodological quality. The number of studies including partner and/or infant outcomes was too low to assess their effectiveness.Conclusions: This meta-analysis suggests that universal prevention during pregnancy is effective on decreasing symptoms of maternal distress compared to routine care, at least with regard to depression. While promising, the results with regard to anxiety and stress are based on a considerably lower number of studies, and should thus be interpreted with caution. More research is needed on preventing other types of maternal distress beyond depression. Furthermore, there is a lack of research with regard to paternal distress. Also, given the large variety in interventions, more research is needed on which elements of universal prevention work. Finally, as maternal distress symptoms can affect infant development, it is important to investigate whether the positive effects of the preventive interventions extend from mother to infant.Systematic Review Registration Number: International prospective register of systematic reviews (PROSPERO) registration number: CRD42018098861. [ABSTRACT FROM AUTHOR]- Published
- 2021
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48. Feeding and Growth in Infants With Cleft Lip and/or Palate: Relationships With Maternal Distress.
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Madhoun, Lauren L., Crerand, Canice E., O'Brien, Meghan, and Baylis, Adriane L.
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INFANT development ,CLEFT palate ,CLEFT lip - Abstract
Objective: To examine relationships between early feeding and growth and maternal distress in infants with and without cleft lip and/or palate (CL/P). Design: Cross-sectional. Setting: Pediatric academic medical center in the Midwestern United States. Participants: Mothers of infants 1 to 12 weeks old with CL/P (n = 30) and without CL/P (control group, n = 30) were recruited at craniofacial clinic or pediatrician appointments. Main Outcome Measure(s): Maternal responses on the Feeding/Swallowing Impact Survey (FS-IS), Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF), and Edinburgh Postnatal Depression Scale. Infant feeding history and growth measurements were obtained. Results: Having an infant with CL/P revealed greater impact on maternal health-related quality of life due to feeding problems (F = 4.83, P =.03). Mothers of infants with CL/P reported average range Total Stress scores on the PSI-4-SF, which were higher than controls (F = 4.12, P =.05). Edinburgh Postnatal Depression Scale scores did not differ between groups. Compared to controls, infants with cleft palate had lower percentiles for weight (t = 4.13, P =.04) and length (t = 2.93, P =.01). Higher FS-IS scores were associated with longer feeding duration (r = 0.32, P =.01) and lower weight (r = −0.31, P =.02) and length (r = −0.32, P =.02). Conclusions: Despite receiving early team care and feeding interventions, mothers of infants with CL/P reported higher stress and more challenges with feeding and growth. Future studies should examine targeted psychosocial interventions to improve feeding and growth outcomes in infants with CL/P. [ABSTRACT FROM AUTHOR]
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- 2021
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49. Perceived risk of COVID-19 acquisition and maternal mental distress.
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Sharifi-Heris, Zahra, Moghasemi, Sedigheh, Ghamsary, Mark, Moodi, Saba, Ghprbani, Zainab, and Amiri-Farahani, Leila
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PSYCHOLOGICAL stress , *MENTAL illness risk factors , *MENTAL depression risk factors , *STATE-Trait Anxiety Inventory , *COVID-19 , *PREGNANCY & psychology , *CONFIDENCE intervals , *ATTITUDE (Psychology) , *CROSS-sectional method , *REGRESSION analysis , *INTERVIEWING , *RISK perception , *ATTITUDES toward illness , *RISK assessment , *PSYCHOLOGICAL tests , *RESEARCH funding , *QUESTIONNAIRES , *HEALTH behavior , *DESCRIPTIVE statistics , *ANXIETY , *DATA analysis software , *STATISTICAL correlation , *PSYCHOLOGICAL distress , *PREGNANCY - Abstract
Background: Pregnant women are a high-risk population for mental health effects during a pandemic. Objective: This study aims to examine the association of perceived risk toward COVID-19 viral infection acquisition and maternal mental distress. Methods: In a cross-sectional study, a total of 392 pregnant women were recruited. Data gathered using the perceived stress scale, State-Trait anxiety inventory, Beck depression inventory, and protective behaviour were assessed. Linear regression analysis was applied in both unadjusted and adjusted models to assess the association between the exposure and outcome variables. Results: In all five unadjusted and adjusted models, the perceived risk of COVID-19 acquisition remained a highly significant predictor for stress, anxiety factor 1 and 2, depression, and protective behaviours (P<0.001). Conclusion: COVID-19 may be an important additional stress source for pregnant women. [ABSTRACT FROM AUTHOR]
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- 2021
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50. Maternal Distress and Offspring Neurodevelopment: Challenges and Opportunities for Pre-clinical Research Models.
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Fitzgerald, Eamon, Parent, Carine, Kee, Michelle Z. L., and Meaney, Michael J.
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ANIMAL models in research ,NEURAL development ,MENTAL illness ,TEST validity ,MATERNAL exposure ,ACUTE stress disorder - Abstract
Pre-natal exposure to acute maternal trauma or chronic maternal distress can confer increased risk for psychiatric disorders in later life. Acute maternal trauma is the result of unforeseen environmental or personal catastrophes, while chronic maternal distress is associated with anxiety or depression. Animal studies investigating the effects of pre-natal stress have largely used brief stress exposures during pregnancy to identify critical periods of fetal vulnerability, a paradigm which holds face validity to acute maternal trauma in humans. While understanding these effects is undoubtably important, the literature suggests maternal stress in humans is typically chronic and persistent from pre-conception through gestation. In this review, we provide evidence to this effect and suggest a realignment of current animal models to recapitulate this chronicity. We also consider candidate mediators, moderators and mechanisms of maternal distress, and suggest a wider breadth of research is needed, along with the incorporation of advanced -omics technologies, in order to understand the neurodevelopmental etiology of psychiatric risk. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
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