Childbearing depressive symptomatology in high–risk pregnancies: The roles of working models and social support

Besser, Avi; Priel, Beatriz; Wiznitzer, Arnon

doi:10.1111/1475-6811.00026

Cited by 35 publications

(31 citation statements)

References 83 publications

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“…This especially applies to the stress score; thus, health care professionals should devote more attention to such women. This is all the more important because the most effective support in high risk pregnancy comes from the woman's physician or her mother rather than from her partner (7,18,19). In contrast to the women in our study, their partners did not report either greater state anxiety or greater stress than normal, and their levels were significantly lower than that of their partners (10,11).…”

Section: Discussioncontrasting

confidence: 71%

“…Pregnant women who perceived to receive more effective support from their partner experienced less anxiety, both concurrently and prospectively (6). However, husband's support was found to be more effective in low-risk than in highrisk pregnancies (7). A perceived lack of husband's support could be related to his low awareness of the stressfulness of the situation and low involvement in it (7).…”

mentioning

confidence: 99%

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Stress and Anxiety in Relation to Amniocentesis: Do Women Who Perceive Their Partners To Be More Involved in Pregnancy Feel Less Stressed and Anxious?

et al. 2010

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Aim To assess whether imminent amniocentesis is associated with the perception of increased stress and state anxiety in women and their partners and whether greater partner's involvement during pregnancy alleviates women's stress and anxiety.Methods Two hundred twenty women awaiting amniocentesis and 90 male partners participated in the study. The State-Trait Anxiety Inventory, Perceived Stress Scale, and Partner's Involvement in Pregnancy Scale were administered. Statistical analysis was performed using t test, one way ANOVA, and Pearson correlation test.Results Imminent amniocentesis caused increased stress (17.6 ± 6.8; t = 7.32, P < 0.001) and anxiety (42.0 ± 11.9; t = 8.51, P < 0.001) in pregnant women, but not their partners (stress: 14.3 ± 6.1; t = 0.17, P = 0.862; anxiety: 36.4 ± 10.40; t = 0.66, P = 0.510). Stress was even more pronounced in women who experienced another stressor, like unplanned pregnancy, prenatal-related nausea and vomiting, or chromosomal aberration in a previous pregnancy. Significant negative correlation was found for women's stress and their perception of their partner's involvement during pregnancy (r = -0.23; P = 0.001); the same was not found for women's anxiety.Conclusion Greater partner's involvement during pregnancy could diminish women's stress, but elevated state anxiety just before amniocentesis could not be alleviated in the same way. Thus, health care professionals must pay greater attention to the psychological status of women undergoing amniocentesis to help them better cope with the situation.

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Section: Discussioncontrasting

confidence: 71%

mentioning

confidence: 99%

Stress and Anxiety in Relation to Amniocentesis: Do Women Who Perceive Their Partners To Be More Involved in Pregnancy Feel Less Stressed and Anxious?

et al. 2010

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“…Blatt & Shichman, 1983; for a review, see Blatt, 2004) concerning the personality dimensions of self-criticism and dependency (Besser, Priel, & Wiznitzer, 2002;Besser, Priel, Flett, & Wiznitzer, 2007;Priel & Besser, 1999Vliegen, Luyten, Meurs, & Cluckers, 2006). Selfcritical individuals are described as being overly preoccupied with self-defi nition, control and perfection, while dependent individuals are mainly preoccupied with fears for abandonment and loss (Luyten, Blatt, Van Houdenhove, & Corveleyn, 2006).…”

Section: Ppd Anxiety and Personalitymentioning

confidence: 99%

Dependency and self‐criticism in post‐partum depression and anxiety: a case control study

Vliegen

Luyten

2009

Clin Psychology and Psychoth

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This study investigates the role of self-criticism and dependency in inpatient post-partum depressed women (n = 55) and non-depressed controls (n = 37) as well as the relationship between both personality dimensions and severity of depression and anxiety. As expected, mothers with post-partum depression showed not only increased levels of depression but also anxiety compared with non-depressed mothers. Furthermore, they had significantly higher levels of self-criticism, but not of dependency. In the post-partum depressed mothers, both personality dimensions were positively associated with severity of depression. However, in non-depressed mothers, self-criticism was positively associated with depression, while there was an inverse relationship between dependency and severity of depression. In both samples, self-criticism, but not dependency, was related to state anxiety. The cross-sectional nature of this study limits the ability to draw causal conclusions. The study was based on self-report and conducted in relatively small samples.

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“…Besser, Priel, and Wiznizer (2002), for example, explored the effects of interactions between pregnancy risk, perceptions of social support, and internal working models related to attachment on PPD in women with low (n ϭ 103) and high (n ϭ 110) risk pregnancies. Both attachment to and social support from the spouse reduced depressive symptoms in childbearing.…”

Section: Redefining Self and Othermentioning

confidence: 99%

Systematic empirical investigation of vulnerability to postpartum depression from a psychodynamic perspective: Commentary on issues raised by Blum (2007).

Besser¹,

Vliegen²,

Luyten³

2008

Psychoanalytic Psychology

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In a recent paper, Lawrence Blum (2007) identified emotional conflicts in three areas typical in postpartum depression: (1) dependency, (2) aggression, and (3) motherhood. In this commentary, the authors consider agreements and disagreements with Blum's views on the psychodynamics of postpartum depression. In contrast to Blum's assertion, a theoretically derived extensive empirical psychoanalytic database exists which confirms and extends Blum's analysis of the core dynamics involved in this disorder. This recent research derives primarily from the comprehensive theoretical framework proposed by Blatt (1974Blatt ( , 2004Blatt ( , 2006Blatt ( , 2008 on the psychodynamics of depression that are part of a broad theory of normal and pathological personality development which Blum (2007), in his otherwise thorough search of the literature, seems to have overlooked. The authors close with reflections on how psychoanalysis and psychodynamically inspired research might increasingly influence mainstream clinical practice and research.

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Childbearing depressive symptomatology in high–risk pregnancies: The roles of working models and social support

Cited by 35 publications

References 83 publications

Stress and Anxiety in Relation to Amniocentesis: Do Women Who Perceive Their Partners To Be More Involved in Pregnancy Feel Less Stressed and Anxious?

Stress and Anxiety in Relation to Amniocentesis: Do Women Who Perceive Their Partners To Be More Involved in Pregnancy Feel Less Stressed and Anxious?

Dependency and self‐criticism in post‐partum depression and anxiety: a case control study

Systematic empirical investigation of vulnerability to postpartum depression from a psychodynamic perspective: Commentary on issues raised by Blum (2007).

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