Maternal mental health problems during pregnancy and the postnatal period are a major public health issue. Despite evidence that symptoms of both depression and anxiety are common during pregnancy and the postpartum, the impact of maternal anxiety on the child has received relatively less attention than the impact of maternal depression. Furthermore, the evidence base for the direct impact of maternal anxiety during pregnancy and the postpartum on children's emotional outcomes lacks cohesion. The aim of this systematic review is to summarise the empirical evidence regarding the impact of maternal prenatal and postnatal anxiety on children's emotional outcomes. Overall, both maternal prenatal and postnatal anxiety have a small adverse effect on child emotional outcomes. However, the evidence appears stronger for the negative impact of prenatal anxiety. Several methodological weaknesses make conclusions problematic and replication of findings is required to improve the identification of at-risk parents and children with appropriate opportunities for intervention and prevention.

In stable, optimized COPD patients who have already completed PR, telemonitoring in addition to best care, reduces primary care chest contacts but not hospital or specialist team utilization.

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Surprisingly little is known about the social dimensions of laughter in preschool children. We studied children’s responses to amusing video clips in the presence or absence of peers. The sample consisted of 9 boys and 11 girls aged 31–49 months (M 39.8, SD 4.2) who watched three cartoons under three different conditions: individually, in pairs, or in groups of 6 or 8. The social viewing conditions showed significantly higher numbers of laughs and smiles than the individual viewing condition. On average children laughed eight times as much in company as on their own and smiled almost three times as much. No differences were found between pairs and groups, and no association was found between subjective funniness ratings and group size. This suggests that the presence of even a single social partner can change behavior in response to humorous material. It supports the idea that laughter and smiles are primarily flexible social signals rather than reflexive responses to humor.