196 results on '"maternal distress"'
Search Results
2. Impact of the Korea Early Childhood Home-visiting Intervention (KECHI)
- Author
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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
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- 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.
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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
- Full Text
- View/download PDF
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 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
- Full Text
- View/download PDF
8. 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.
- Published
- 2024
- Full Text
- View/download PDF
9. 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
10. 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
11. 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
12. 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
13. Maternal prenatal distress exposure negatively associates with the stability of neonatal frontoparietal network
- Author
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Jetro J. Tuulari, Olli Rajasilta, Joana Cabral, Morten L. Kringelbach, Linnea Karlsson, and Hasse Karlsson
- Subjects
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
- View/download PDF
14. 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
15. 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
16. 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
17. The Effectiveness of Expressive Writing on a Sample of New Mothers
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Carlo Lai, Associate Professor
- Published
- 2021
18. Postpartum Depression in the Covid-19 Pandemic and the Impact of Anaesthesia
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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
19. Tax Preparation Pilot
- Author
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BU Clinical and Translational Science Institute
- Published
- 2020
20. 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
21. Maternal Distress during Pregnancy and the Postpartum Period: Underlying Mechanisms and Child's Developmental Outcomes—A Narrative Review.
- Author
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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
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22. Prenatal Immune and Endocrine Modulators of Offspring's Brain Development and Cognitive Functions Later in Life
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Schepanski, Steven, Buss, Claudia, Hanganu-Opatz, Ileana L, and Arck, Petra C
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Behavioral and Social Science ,Neurosciences ,Pediatric ,Brain Disorders ,Intellectual and Developmental Disabilities (IDD) ,Genetics ,Mental Health ,2.1 Biological and endogenous factors ,Aetiology ,Reproductive health and childbirth ,Mental health ,Good Health and Well Being ,Animals ,Brain ,Child ,Child Development ,Cognition ,Cytokines ,Disease Models ,Animal ,Female ,Fetal Development ,Fetus ,Glucocorticoids ,Humans ,Maternal-Fetal Exchange ,Mental Disorders ,Mice ,Placenta ,Pregnancy ,Pregnancy Complications ,Prenatal Exposure Delayed Effects ,Stress ,Psychological ,pregnancy ,fetal brain development ,prenatal infection ,maternal distress ,maternal microchimeric cells ,cytokines ,glucocorticoids ,epigenetic aberrations ,Immunology ,Medical Microbiology - Abstract
Milestones of brain development in mammals are completed before birth, which provide the prerequisite for cognitive and intellectual performances of the offspring. Prenatal challenges, such as maternal stress experience or infections, have been linked to impaired cognitive development, poor intellectual performances as well as neurodevelopmental and psychiatric disorders in the offspring later in life. Fetal microglial cells may be the target of such challenges and could be functionally modified by maternal markers. Maternal markers can cross the placenta and reach the fetus, a phenomenon commonly referred to as "vertical transfer." These maternal markers include hormones, such as glucocorticoids, and also maternal immune cells and cytokines, all of which can be altered in response to prenatal challenges. Whilst it is difficult to discriminate between the maternal or fetal origin of glucocorticoids and cytokines in the offspring, immune cells of maternal origin-although low in frequency-can be clearly set apart from offspring's cells in the fetal and adult brain. To date, insights into the functional role of these cells are limited, but it is emergingly recognized that these maternal microchimeric cells may affect fetal brain development, as well as post-natal cognitive performances and behavior. Moreover, the inheritance of vertically transferred cells across generations has been proposed, yielding to the presence of a microchiome in individuals. Hence, it will be one of the scientific challenges in the field of neuroimmunology to identify the functional role of maternal microchimeric cells as well as the brain microchiome. Maternal microchimeric cells, along with hormones and cytokines, may induce epigenetic changes in the fetal brain. Recent data underpin that brain development in response to prenatal stress challenges can be altered across several generations, independent of a genetic predisposition, supporting an epigenetic inheritance. We here discuss how fetal brain development and offspring's cognitive functions later in life is modulated in the turnstile of prenatal challenges by introducing novel and recently emerging pathway, involving maternal hormones and immune markers.
- Published
- 2018
23. 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
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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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24. 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]
- Published
- 2022
- Full Text
- View/download PDF
25. Maternal immune response during pregnancy and neurodevelopmental outcomes: A longitudinal approach.
- Author
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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.)
- Published
- 2024
- Full Text
- View/download PDF
26. The uses of maternal distress in British society, c.1948-1979
- Author
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Crook, Sarah
- Subjects
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.
- Published
- 2017
27. 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
- Subjects
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.
- Published
- 2021
- Full Text
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28. 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
- Subjects
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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29. 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
30. 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
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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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31. 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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32. Do the Temperamental Characteristics of Both Mother and Child Influence the Well-Being of Adopted and Non-Adopted Children?
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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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33. 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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- 2021
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34. 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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35. 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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36. 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
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37. Brief screening for maternal mental health in Vietnam: Measures of positive wellbeing and perceived stress predict prenatal and postnatal depression
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Huyen Phuc Do, Philip RA Baker, Thang Van Vo, Bao-Yen Luong-Thanh, Lan Hoang Nguyen, Sara Valdebenito, Manuel Eisner, Bach Xuan Tran, Tuyen Dinh Hoang, and Michael P Dunne
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Pregnant women ,WHO-5 ,PSS-10 ,Low wellbeing ,Maternal distress ,Maternal depression ,Mental healing ,RZ400-408 - Abstract
Background: In many countries, there is limited consideration of the psychological wellbeing of women during antenatal and postnatal care. Among a range of contributing factors, one practical reason is that brief, valid and reliable screening tools are not widely used to guide clinical interviews. The present study evaluated psychometric properties of three brief scales that measure recent wellbeing (the WHO-5 index), perceived stress (the PSS-10) and depression (the PHQ-9). Methods: A prospective birth cohort study was completed in Hue City, central Vietnam with 148 pregnant women in the third trimester of pregnancy, with follow-up 3–5 months after childbirth. Moderate-to-severe antenatal depressive symptoms were used as the reference standard to validate the WHO-5 and PSS-10. Results: Approximately one-third of the women indicated significant stress and 12% reported moderate to severe depressive symptoms during pregnancy. The WHO-5 and PSS had good internal consistency (Cronbach's alpha=0.76–0.81) and good discriminant properties against prenatal depression. Area Under the Curve (AUC) values showed good predictive validity to detect postpartum depressive symptoms for the WHO-5 [AUC=0.73, 95% CI (0.60 – 0.86)] and the PSS-10 [AUC=0.69, 95% CI (0.45 – 0.92)]. WHO-5 scores ≤ 60/100 and PSS-10 scores ≥ 20/40 provided good sensitivity (approx.83%) and fair specificity (approx.61%) to detect depression pre- and post-natally. Conclusions: Given these satisfactory psychometric properties, brief but broad screening that includes questions about positive wellbeing and recent stress in addition to depressive symptoms should be integrated into routine psychosocial care for pregnant women in Vietnam and similar cultural contexts.
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- 2021
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38. Personalized Mobile Health-Enhanced Cognitive Behavioral Intervention for Maternal Distress: Examining the Moderating Role of Adverse Childhood Experiences.
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Goldstein E, Merrick JS, Edwards RC, Zhang Y, Sinche B, Raven J, Krislov S, Robledo D, Brown RL, Moskowitz JT, Tandon SD, and Wakschlag LS
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- Adolescent, Adult, Female, Humans, Pregnancy, Cognition, Postpartum Period, Risk Factors, Infant, Newborn, Infant, Adverse Childhood Experiences
- Abstract
Background: Maternal history of trauma is a risk factor for distress during pregnancy. The purpose of this paper was to examine the theorized differential impact of a cognitive behavioral intervention (Mothers and Babies Personalized; MB-P) on maternal distress and emotional regulation for those with ≥ 1 adverse childhood experiences (ACEs; vs no ACEs) from pregnancy to 3 months postpartum., Methods: Between August 2019 and August 2021, eligible pregnant individuals aged ≥ 18 years, < 22 weeks' gestation, and English-speaking were recruited from 6 university-affiliated prenatal clinics. Participants (N = 100) were randomized to MB-P (n = 49) or control (n = 51). Analyzable data were collected for 95 participants. Analyses tested progression of change (slope) and at individual timepoints (panel analysis) for perinatal mental health outcomes., Results: The majority of participants (n = 68, 71%) reported experiencing > 1 ACE (median = 1, range: 0-11). Participants demonstrated significant differential effects for depressive symptoms in absence of ACEs (standardized mean differences [SMD] = 0.82; 95% confidence interval [CI] = [0.13-1.51]) vs in presence of ACEs (SMD = 0.39; 95% CI = [-0.20 to 0.97]) and perceived stress in absence of ACEs (SMD = 0.92; 95% CI = [0.23-1.62]) vs in presence of ACEs (SMD = -0.05; 95% CI = [-0.63 to 0.53]). A panel analysis showed significantly reduced depressive symptoms postintervention and increased negative mood regulation at 3 months postpartum for individuals with ACEs., Conclusions: Findings support effectiveness of the MB-P intervention to reduce prenatal distress for all pregnant individuals. Preliminary exploration suggests the possibility that individuals with ACEs may benefit from enhanced trauma-informed content to optimize the effects of a perinatal intervention., Competing Interests: Conflict of InterestNone declared
- Published
- 2024
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39. FACTORIAL VALIDITY AND CUTOFF SCORE OF THE POSTPARTUM DISTRESS MEASURE.
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GIUNTOLI, LAURA, NUCCI, MASSIMO, CECCARINI, FRANCESCO, and VIDOTTO, GIULIO
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- *
PSYCHOLOGICAL distress , *RECEIVER operating characteristic curves , *MENTAL health screening , *PRODUCT management software , *FACTORIALS - Abstract
Screening for postpartum mental health has a crucial role in identifying women needing psychological support. The present study aims to evaluate the psychometric properties of the Postpartum Distress Measure (PDM) in Italian women in the first six months postpartum (n = 818). The PDM is a 10-item self-report questionnaire composed of two subscales assessing general distress and obsessivecompulsive symptoms. CFA supported the two-dimensional structure of the PDM, showing good fit indices as well as high internal consistency. Furthermore, ROC analysis revealed high sensitivity and specificity of the PDM in detecting possible cases of postnatal distress with an optimal cutoff of 9. Given its good psychometric properties and its sensitivity, the PDM may be confidently used as a screening tool for maternal distress in the first six months postpartum, covering a wide range of typical perinatal psychological symptoms. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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40. Course of depression symptoms between 3 and 8 months after delivery using two screening tools (EPDS and HSCL-10) on a sample of Sudanese women in Khartoum state
- Author
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Dina Sami Khalifa, Kari Glavin, Espen Bjertness, and Lars Lien
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Postnatal depression ,Course of depression ,Maternal distress ,Screening ,EPDS ,HSCL-10 ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Effects of depression on parenting and on cognitive development of newborns are augmented when symptoms continue throughout the first postnatal year. Current classification systems recognize maternal depression as postnatal if symptoms commence within four to six weeks. Traditional cultural rituals in Sudan offer new mothers adequate family support in the first 6–8 weeks postpartum. The course of postnatal depression symptoms beyond that period is not explored in such settings. We therefore aim to investigate the change in screening status and in severity of depression and distress symptoms between three and eight months postpartum among a sample of Sudanese women using the Edinburgh Postnatal Depression Scale (EPDS) and a locally used tool: the 10-items Hopkins Symptoms Checklist (HSCL-10). Methods Three hundred pregnant women in their 2nd or 3rd trimester were recruited from two clinics in Khartoum state. They were followed up and screened for depression symptoms eight months after delivery by EPDS at ≥12, and by HSCL-10 at ≥1.85. The same sample was previously screened for depression at three months after birth. Results Prevalence of postnatal depression symptoms by EPDS was lower at eight months compared to three months after birth (3.6% at eight months (8/223) compared to 9.2% at three months (22/238), p
- Published
- 2018
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41. Prevalence and factors related to psychiatric symptoms in low risk pregnancy.
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Faramarzi, Mahbobeh, Kheirkhah, Farzan, Barat, Shahnaz, Cuijpers, Pim, O'Connor, Elizabeth, Ghadimi, Reza, Hajian-Tilaki, Karimollah, Pahlavan, Zeynab, Hamidia, Angela, Mirtabar, Seyyedeh Mahboubeh, Zeinalzadeh, Mahtab, and Basirat, Zahra
- Subjects
PATHOLOGICAL psychology ,SOCIODEMOGRAPHIC factors ,REGRESSION testing (Computer science) ,MENTAL depression ,PREGNANT women - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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42. Early adversity and psychiatric symptoms – a prospective study on Ethiopian mothers and their children
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Johan Isaksson, Negussie Deyessa, Yemane Berhane, and Ulf Högberg
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Perinatal ,Maternal distress ,Intimate partner violence ,Programming theory ,Child psychiatric symptoms ,Psychiatry ,RC435-571 - Abstract
Abstract Background Maternal exposure to adversity during the perinatal period has been associated with increased susceptibility for psychiatric symptoms in the offspring. The aim of this study was to investigate a possible developmental effect of maternal perinatal stressors on emotional and behavioural symptoms in the offspring in a developing country. Methods We followed an Ethiopian birth cohort (N = 358), assessing intimate partner violence (IPV) and maternal psychiatric symptoms during the perinatal period and at follow-up 10 years later, as a proxy for adversity, and maternal ratings on the Child Behavior Checklist (CBCL) 10 years later as the outcome. Results Among the women, exposure to IPV was common (60.6%) during the perinatal period and predicted IPV (29.9% of the mothers) at follow-up (ρ = 0.132; p = 0.012). There was also an association between maternal psychiatric symptoms at the two time points (ρ = 0.136; p = 0.010) and between maternal symptoms and IPV. Current maternal symptoms of anxiety and depression (β = 0.057; p
- Published
- 2017
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43. Maternal prenatal distress exposure negatively associates with the stability of neonatal frontoparietal network.
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Tuulari JJ, Rajasilta O, Cabral J, Kringelbach ML, Karlsson L, and Karlsson H
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- Male, Infant, Newborn, Pregnancy, Female, Child, Humans, Brain Mapping, Magnetic Resonance Imaging, Mothers, Stress, Psychological, Brain diagnostic imaging
- 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 identified functional networks. Second, we searched 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 negatively associated with 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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- 2024
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44. "It's Hard Being a Mama": Validation of the Maternal Distress Concept in Becoming a Mother.
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Copeland, Debra Beach and Harbaugh, Bonnie Lee
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MOTHERHOOD & psychology ,ADAPTABILITY (Personality) ,CONCEPTS ,CONTENT analysis ,INTERVIEWING ,RESEARCH methodology ,METROPOLITAN areas ,MOTHERHOOD ,STATISTICAL sampling ,PSYCHOLOGICAL stress ,QUALITATIVE research ,SECONDARY analysis ,SOCIOECONOMIC factors ,SOCIAL learning theory ,ATTITUDES of mothers ,CROSS-sectional method ,DESCRIPTIVE statistics - Abstract
New mothers actively adapt to new demands and challenges in the mothering role but some may find this adjustment difficult and distressing, depending on their perceptions and resources. Previous research on maternal distress is primarily concentrated on needs of mothers with depression but nonpathological approaches of viewing difficulties in early parenting should be explored. A secondary analysis of a descriptive, qualitative study was completed on new, low-income mothers in early parenthood to determine how maternal distress influences mothers' transition to becoming a mother and to validate the use of the Maternal Distress Concept in the clinical setting. Findings reveal new mothers experience maternal distress on various levels: stress, adaptation, functioning, and connecting. Implications for practice and education are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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45. Music Therapy in Preterm Infants Reduces Maternal Distress
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Susann Kobus, Marlis Diezel, Monia Vanessa Dewan, Britta Huening, Anne-Kathrin Dathe, Peter B. Marschik, Ursula Felderhoff-Mueser, and Nora Bruns
- Subjects
Medizinische Fakultät » Universitätsklinikum Essen » Zentrum für Kinder- und Jugendmedizin » Klinik für Kinderheilkunde I/Perinatalzentrum ,preterm infants ,maternal distress ,neonatology ,preterm infants -- maternal distress -- neonatology ,Health, Toxicology and Mutagenesis ,Medizin ,Public Health, Environmental and Occupational Health ,ddc:610 ,Medizinische Fakultät » Universitätsklinikum Essen » Center for Translational and Behavioral Neuroscience - Abstract
Preterm delivery is a stressful event for mothers, posing them at risk for post-traumatic stress reactions. This study examined the degree of depressive symptoms and post-traumatic stress in mothers of preterm infants born before 32 gestational weeks depending on whether the infant received music therapy in the neonatal intensive care unit (NICU) or not. We included 33 mothers of preterm infants enrolled in a previously described prospective randomized controlled trial, of whom 18 received music therapy (mean mothers’ age 34.1 ± 4.6 years) and 15 did not (mean mothers’ age 29.6 ± 4.2). The degree of depressive symptoms, anxiety and acute stress reactions of these mothers were measured by using the German version of the Center for Epidemiologic Studies Depression Scale (CES-D) and Impact of Events Scale-Revised (IES-R) one week after birth (T1) and at infants’ hospital discharge (T2). 605 music therapy sessions with a mean duration of 24.2 ± 8.6 min (range 10 to 50 min) were conducted two times a week from the second week of life (T1) until discharge (T2) to the infants from the intervention group. The infants from the control group received standard medical care without music therapy. The mean total CES-D score decreased from T1 (mean 34.7, 95% Confidence Interval (CI) 31.1–38.1) until T2 in all mothers (mean 16.3, 95% CI 12.6–20.1). Mothers whose infants received music therapy showed stronger declines of depressive and stress symptoms (with music therapy: CES-D mean difference of total score 25.7, 95% CI 20.0–31.3, IES-R mean difference of total score 1.7, 95% CI 0.9–2.5, IES-R mean difference of subcategory hyperarousal 10.2, 95% CI 6.2–14.3; without music therapy: CES-D mean difference of total score 9.5, 95% CI 3.8–15.3, IES-R mean difference of total score 0.1, 95% CI −1.0–1.2, IES-R mean difference of subcategory hyperarousal 1.6, 95% CI −4.7–7.9). Effect sizes were strong for CES-D, IES-R, and the hyperarousal subcategory, moderate for intrusion, and low for avoidance. These findings show that mothers of preterm infants are highly susceptible to supportive non-medical interventions such as music therapy to reduce psychological symptoms and distress during their infants’ NICU stay.
- Published
- 2022
46. Prenatal Immune and Endocrine Modulators of Offspring's Brain Development and Cognitive Functions Later in Life
- Author
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Steven Schepanski, Claudia Buss, Ileana L. Hanganu-Opatz, and Petra C. Arck
- Subjects
pregnancy ,fetal brain development ,prenatal infection ,maternal distress ,maternal microchimeric cells ,cytokines ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Milestones of brain development in mammals are completed before birth, which provide the prerequisite for cognitive and intellectual performances of the offspring. Prenatal challenges, such as maternal stress experience or infections, have been linked to impaired cognitive development, poor intellectual performances as well as neurodevelopmental and psychiatric disorders in the offspring later in life. Fetal microglial cells may be the target of such challenges and could be functionally modified by maternal markers. Maternal markers can cross the placenta and reach the fetus, a phenomenon commonly referred to as “vertical transfer.” These maternal markers include hormones, such as glucocorticoids, and also maternal immune cells and cytokines, all of which can be altered in response to prenatal challenges. Whilst it is difficult to discriminate between the maternal or fetal origin of glucocorticoids and cytokines in the offspring, immune cells of maternal origin—although low in frequency—can be clearly set apart from offspring's cells in the fetal and adult brain. To date, insights into the functional role of these cells are limited, but it is emergingly recognized that these maternal microchimeric cells may affect fetal brain development, as well as post-natal cognitive performances and behavior. Moreover, the inheritance of vertically transferred cells across generations has been proposed, yielding to the presence of a microchiome in individuals. Hence, it will be one of the scientific challenges in the field of neuroimmunology to identify the functional role of maternal microchimeric cells as well as the brain microchiome. Maternal microchimeric cells, along with hormones and cytokines, may induce epigenetic changes in the fetal brain. Recent data underpin that brain development in response to prenatal stress challenges can be altered across several generations, independent of a genetic predisposition, supporting an epigenetic inheritance. We here discuss how fetal brain development and offspring's cognitive functions later in life is modulated in the turnstile of prenatal challenges by introducing novel and recently emerging pathway, involving maternal hormones and immune markers.
- Published
- 2018
- Full Text
- View/download PDF
47. Mothers’ and Children’s Mental Health During the COVID-19 Pandemic Lockdown: The Mediating Role of Parenting Stress
- Author
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Elena Cattelino, Lucia Lombardi, Roberto Baiocco, Alessandra Babore, Sonia Monique Bramanti, Antonio Chirumbolo, Mara Morelli, Maria Luisa Viceconti, Carmen Trumello, Carla Candelori, and Silvia Pignataro
- Subjects
medicine.medical_specialty ,Public health ,Parenting stress ,COVID-19 ,Mental health ,Child depression ,Mother–child relations ,Psychiatry and Mental health ,Distress ,Maternal distress ,Pediatrics, Perinatology and Child Health ,Pandemic ,Developmental and Educational Psychology ,medicine ,Normative ,Original Article ,Association (psychology) ,Psychology ,mother-child relations ,Depression (differential diagnoses) ,child depression ,maternal distress ,parenting stress ,Clinical psychology - 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.
- Published
- 2021
48. Breastfeeding and Human Lactation.
- Author
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Perrella, Sharon and Geddes, Donna
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Andean region ,Arachidonic acid ,Breastfeeding ,Cambodia ,Canada ,Docosahexaenoic acid ,Ecuador ,GDM ,HGF ,ICP-OES ,IgA ,Ireland ,N-acylethanolamines ,NMR spectroscopy ,OEA ,PEA ,Quito ,SEA ,TGF-? ,adequate intake ,adipokines ,adiponectin ,anthropometrics ,antibodies ,antimicrobial proteins ,antisecretory factor ,appetite regulation ,attitudes ,babywearing ,barriers ,bioelectrical impedance spectroscopy ,body composition ,bottle ,breast milk ,breastfed infants ,breastfeeding ,breastfeeding support ,breastmilk ,caesarean section ,calculated daily intakes ,candida ,casein ,choline ,chromatography ,co-sleeping ,colostrum ,composition ,cytomegalovirus ,diet ,dietary recommendations ,docosahexaenoic acid ,early life nutrition ,endocannabinoids ,enteral nutrition ,ethnicity ,expressing ,fat synthesis ,fatty acids ,feeding ,feeding cues ,formula supplementation ,galactogogues ,geographical location ,glycerophosphocholine ,growth factors ,human lactation ,human milk ,human milk composition ,immune cells ,immunity ,infant ,infant feeding ,infant growth ,infant health ,infants ,infection ,inflammation ,ion selective electrode ,justification of supplementation ,knowledge ,lactating women ,lactation ,lactoferrin ,leptin ,lipidomics ,lipids ,long-chain polyunsaturated fatty acids ,mass spectrometry ,maternal diet ,maternal distress ,maternal factors ,maternal responsiveness ,maternal wellbeing ,metabolites ,microbiome ,midwifery ,milk cells ,milk composition ,milk intake ,milk metabolites ,milk metabolomics ,milk synthesis ,milk-acquired infections ,mode of delivery ,mother-infant interaction ,mother-infant physical contact ,mothers of preterm infants ,n-6 and n-3 polyunsaturated fatty acid ,nipple shield ,obesity ,omega-3 fatty acids ,omega-6 fatty acids ,partner support ,passive immunity ,paternal role ,peptidomics ,phosphocholine ,plasma zinc ,post-partum distress ,postnatal outcomes ,potassium ,practice ,pregnancy ,premature ,prematurity ,preterm ,preterm infant ,professional support ,protein ,proteolysis ,proton nuclear magnetic resonance ,proximal care ,raw breast milk ,responsive feeding ,sex-specificity ,social support ,sodium ,thyroid ,thyroid antibodies ,thyroxine ,triiodothyronine ,ultrasound skinfolds ,whey ,zinc deficiency ,zinc supplementation - Abstract
Summary: Human lactation has evolved to produce a milk composition that is uniquely-designed for the human infant. Not only does human milk optimize infant growth and development, it also provides protection from infection and disease. More recently, the importance of human milk and breastfeeding in the programming of infant health has risen to the fore. Anchoring of infant feeding in the developmental origins of health and disease has led to a resurgence of research focused in this area. Milk composition is highly variable both between and within mothers. Indeed the distinct maternal human milk signature, including its own microbiome, is influenced by environmental factors, such as diet, health, body composition and geographic residence. An understanding of these changes will lead to unravelling the adaptation of milk to the environment and its impact on the infant. In terms of the promotion of breastfeeding, health economics and epidemiology is instrumental in shaping public health policy and identifying barriers to breastfeeding. Further, basic research is imperative in order to design evidence-based interventions to improve both breastfeeding duration and women's breastfeeding experience.
49. Arts Therapies with Children and Adolescents.
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Regev, Dafna and Regev, Dafna
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Painting & paintings ,The arts ,Autism Spectrum Disorders ,COVID-19 ,EAT ,EF ,OAT ,OS-ID ,PICU ,PPAT ,adolescents ,affect ,anxiety ,art ,art materials ,art process ,art products ,art therapy ,arts therapies ,at-risk children ,autism spectrum disorders ,behavioral problems ,change processes ,child abuse ,children ,creative arts therapy ,dance movement therapy ,drama therapy ,dramatherapy ,education system ,emotional abuse ,experience of art making ,foster care ,identity development ,intellectual disability ,intercultural therapy ,joint painting procedure ,maternal distress ,mechanisms of change ,medical clowning ,mental health ,mother-adolescent relationship ,music ,music therapy ,n/a ,online psychotherapy ,open studio ,parent-child arts therapy ,parents' perceptions ,physical abuse ,physiotherapy ,political violence ,prevention ,process evaluation ,psychodrama ,psychosocial problems ,quality improvement ,questionnaires ,randomised controlled study (RCT) ,refugee children/adolescents ,rehabilitation ,remote therapeutic response ,remote therapy ,resilience ,review ,role theory ,school arts therapies ,schools ,self-figure drawing ,self-potency ,sense of belonging ,sexual abuse ,social anxiety ,supported autonomy ,the creative arts ,ultra-Orthodox Jews ,well-being ,youth - Abstract
Summary: Arts therapy is a form of psychotherapy that uses artistic media, the creative process, and artwork as its primary forms of communication. The arts therapies cover six areas of specialization: visual arts, music, dance and movement, drama, psychodrama, and bibliotherapy. Several studies and reviews have demonstrated its effectiveness for adult populations (e.g., Regev and Cohen-Yatziv, 2018), as well as for children and adolescents (e.g., Cohen-Yatziv and Regev, 2019). Academic writing and research, which have evolved extensively in recent decades, have underscored the considerable significance of arts therapies especially for children and adolescents.This Special Issue, "Arts Therapies with Children and Adolescents", is dedicated to presenting research and clinical writing in the field of the Arts Therapies with Children and Adolescents in a variety of settings, including hospitals, the education system, mental health clinics, and others. I hope that this Special Issue will serve as a repository of knowledge for arts therapists and as a fertile terrain for further research in the field. It should also pave the way for more professionals working with children and adolescents to better understand the meaning and uniqueness of the therapeutic work in arts therapies and the dedicated ways in which arts therapists use assessment tools and arts-based interventions to better understand the world of children and adolescents.
50. Maternal Distress and Adolescent Mental Health in Poor Chinese Single-Mother Families: Filial Responsibilities—Risks or Buffers?
- Author
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Janet T. Y. Leung, Daniel T. L. Shek, Siu-Ming To, and So-Wa Ngai
- Subjects
filial responsibility ,maternal distress ,adolescent mental health ,single-mother families ,poverty ,Chinese ,Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health - Abstract
Single motherhood and poverty have a significant, negative impact on mothers and their children. When their mothers experience maternal distress, adolescent children have to take up more instrumental and emotional filial responsibilities to comfort their mother and adapt to related changes. Based on 325 mother–child dyads of Chinese single-mother families experiencing economic disadvantage, this study examined the relationship between maternal distress and adolescent mental health problems (indexed by anxiety and depression) and the moderating roles of instrumental and emotional filial responsibilities. Results indicated that maternal distress was positively associated with anxiety and depression in adolescent children. In addition, instrumental filial responsibility intensified the associations of maternal distress with adolescent anxiety and depression. Moreover, the moderating role of emotional filial responsibility in the predictive relationship between maternal distress and adolescent anxiety was different in boys and girls. Adolescent girls with more emotional filial responsibility reported higher adolescent anxiety than did those who shouldered less emotional filial responsibility when their mother exhibited more distress, whereas the relationship between maternal distress and adolescent anxiety was stable in boys, regardless of emotional filial responsibility. In short, the present study showed that parentification was likely to occur in poor Chinese single-mother families, and adolescent children who took up a more caregiving role in the family exhibited poorer mental health. Family counselling and tangible support for single-mother families experiencing economic disadvantage are urged.
- Published
- 2023
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