Association of the previous history of maternal depression with post-partum depression, anxiety, and stress in the neonatal intensive care unit

Das, Anirudha; Gordon-Ocejo, Gloria; Kumar, M Gireesh; Kumar, Nitin; Needlman, Robert

doi:10.1080/14767058.2019.1647162

Cited by 13 publications

(11 citation statements)

References 28 publications

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“…A description of the included studies is provided in Table 1 . In total, 21 studies, published in 24 records, 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 reported prevalence of anxiety among 3,639 parents. The sample sizes varied from 29 to 600 participants.…”

Section: Resultsmentioning

confidence: 99%

“…The sample sizes varied from 29 to 600 participants. Five studies enrolled both mothers and fathers; 24 , 33 , 35 , 40 , 43 15 studies, published in 18 records, included mothers only; 22 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 34 , 36 , 37 , 38 , 39 , 41 , 42 , 44 , 45 One study included only fathers. Study characteristics…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 shows anxiety prevalence by assessment tool used in each included study. Clinical interviews were used in one study, 33 self-report scales were used in 19 studies published in 21 records, 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 34 , 35 , 36 , 37 , 40 , 41 , 42 , 43 , 44 , 45 and both clinical interview and self-report scale were used in one study reported in two records. 38 , 39 Six different self-report scales were used to assess anxiety, most commonly the State-Trait Anxiety Inventory (STAI).…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis

et al. 2022

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Background Parents of babies admitted to neonatal units (NNU) are exposed to a range of potentially distressing experiences, which can lead to mental health symptoms such as increased anxiety and post-traumatic stress (PTS). This review aimed to describe how anxiety and PTS are defined and assessed, and to estimate anxiety and PTS prevalence among parents of babies admitted to NNU.Method Medline, Embase, PsychoINFO, Cumulative Index to Nursing and Allied Health literature were searched to identify studies published prior to April 14, 2021. Included studies were assessed using Hoy risk of bias tool. A random-effects model was used to estimate pooled prevalence with 95% CIs. Potential sources of variation were investigated using subgroup analyses and meta-regression. The review is registered with PROSPERO (CRD42020162935).Findings Fifty six studies involving 6,036 parents met the review criteria; 21 studies assessed anxiety, 35 assessed PTS, and 8 assessed both. The pooled prevalence of anxiety was 41.9% (95%CI:30.9, 53.0) and the pooled prevalence of PTS was 39.9% (95%CI:30.8, 48.9) among parents up to one month after the birth. Anxiety prevalence decreased to 26.3% (95%CI:10.1, 42.5) and PTS prevalence to 24. 5% (95%CI:17.4, 31.6) between one month and one year after birth. More than one year after birth PTS prevalence remained high 27.1% (95%CI:20.7, 33.6). Data on anxiety at this time point were limited. There was high heterogeneity between studies and some evidence from subgroup and meta-regression analyses that study characteristics contributed to the variation in prevalence estimates.Interpretation The prevalence of anxiety and PTS was high among parents of babies admitted to NNU. The rates declined over time, although they remained higher than population prevalence estimates for women in the perinatal period. Implementing routine screening would enable early diagnosis and effective intervention.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis

et al. 2022

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“…For at-term births, there is a two-fold increase in small for gestational age births among individuals who suffer from depression [ 9 ]. Poor mental health during pregnancy is also known to affect a range of postnatal outcomes including reduced breastfeeding, mother–child interactions, sleep and bonding [ 10 , 11 ]. Collectively, poor mental health creates a less-than-ideal environment for mothers and can adversely impact child development.…”

Section: Introductionmentioning

confidence: 99%

Maternal Metabolites Indicative of Mental Health Status during Pregnancy

et al. 2022

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Approximately 25% of individuals report poor mental health during their pregnancy or postpartum period, which may impact fetal neurodevelopment, birth outcomes, and maternal behaviors. In the present study, maternal serum samples were collected from pregnancies at 28–32 weeks gestation from the All Our Families (Alberta, Canada) cohort and assessed using nuclear magnetic resonance spectroscopy (1H-NMR) and inductively coupled plasma-mass spectrometry (ICP-MS). Individuals with poor mental health at 34–36 weeks gestation were age-matched with mentally healthy pregnant controls. Metabolites were examined against validated self-reported mental health questionnaires for associations with depressive symptoms (Edinburgh Perinatal Depression Scale) and anxiety symptoms (Spielberger State-Trait Anxiety Inventory). 1H-NMR metabolites were identified for depression (alanine, leucine, valine, methionine, phenylalanine, glucose, lactate, 3-hydroxybutyrate, and pyruvate) and anxiety (3-hydroxybutyrate). For ICP-MS, antimony and zinc were significant for depression and anxiety, respectively. Upon false discovery rate (FDR) correction at 10%, five 1H-NMR metabolites (alanine, leucine, lactate, glucose, and phenylalanine) for depression remained significantly increased. Although results warrant further validation, the identified metabolites may serve as a predictive tool for assessing mental health during pregnancy as earlier identification has the potential to aid intervention and management of poor mental health symptomology, thus avoiding harmful consequences to both mother and offspring.

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“…[7][8][9][10][11] NBs'parents, weakened by hospitalization, present, in addition stress, depressive symptoms, anxiety, anguish, difficulty of mothers to perform their maternal role and interrupt interactions with the NBs. [12][13][14] Therefore, the treatment for parents is also essential. 15 Taking care of parents is important to preserve their mental health and the NBs, studies suggest that the emotional state of the parents interfere in the child's psychic development .…”

Section: Introductionmentioning

confidence: 99%

Frequency of maternal stress and psychic risk in newborns who have been hospitalized in a neonatal intensive care unit

Paula

Celli

Mariotto

et al. 2022

Rev. Bras. Saude Mater. Infant.

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Objectives: describe the frequency of maternal stress and psychic risk indicators in newborns who were exposed to the neonatal intensive care unit (NICU) after hospital discharge. Methods: observational, analytical, cohort study, sample of 26 participants (13 exposed and 13 not exposed to the NICU). Maternal stress was assessed by Inventário de Sintomas de Stress para Adultos de Lipp (ISSL) (Lipp’s Stress Symptoms Inventory for Adults) and psychological risk by Indicadores Clínicos de Risco para o Desenvolvimento Infantil (IRDI) (Clinical Risk Indicators for Child Development), 15 days after hospital discharge and at 4 months of corrected age. Results: the study found a frequency of stress of 23.1% in mothers of newborns who were exposed to NICUs and 38.5% of psychological risk in these newborns. The following associations were found: maternal stress and newborn exposure to the NICU (p=0.037); maternal stress and newborn exposure time to NICU (p=0.031); psychological risk and prematurity (p=0.014). There were no association between psychic risk and maternal stress; and there was no diference in the frequency of psychological risk between the groups of newborns. Conclusions: newborn hospitalization in the NICU is associated with maternal stress, but not with psychological risk. Prematurity can cause psychological risk. Maternal stress was not associated with psychological risk.

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Association of the previous history of maternal depression with post-partum depression, anxiety, and stress in the neonatal intensive care unit

Cited by 13 publications

References 28 publications

Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis

Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis

Maternal Metabolites Indicative of Mental Health Status during Pregnancy

Frequency of maternal stress and psychic risk in newborns who have been hospitalized in a neonatal intensive care unit

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