Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety

Kendig, Susan; Keats, John P.; Hoffman, M. Camille; Kay, Lisa B.; Miller, Emily S.; Simas, Tiffany A. Moore; Frieder, Ariela; Hackley, Barbara; Indman, Pec; Raines, Christena; Semenuk, Kisha; Wisner, Katherine L.; Lemieux, Lauren A.

doi:10.1016/j.jogn.2017.01.001

Cited by 102 publications

(87 citation statements)

References 25 publications

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“…Parents’ and children’s characteristics and their relationship can also lead to parenting stress (Misri et al, 2010). Current literature identifies an association between mental health—defined as depressive and anxious symptoms (Kendig et al, 2017)—and parenting stress, confirming that parenting stress results in depression (Soliday et al, 1999; Leigh and Milgrom, 2008; Gray et al, 2012; Prino et al, 2016; Riva Crugnola et al, 2016; Vismara et al, 2016) and anxiety (Leigh and Milgrom, 2008; Prino et al, 2016; Riva Crugnola et al, 2016; Vismara et al, 2016). …”

Section: Introductionmentioning

confidence: 79%

Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model

et al. 2017

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Objective: In the 1st year of the post-partum period, parenting stress, mental health, and dyadic adjustment are important for the wellbeing of both parents and the child. However, there are few studies that analyze the relationship among these three dimensions. The aim of this study is to investigate the relationships between parenting stress, mental health (depressive and anxiety symptoms), and dyadic adjustment among first-time parents.Method: We studied 268 parents (134 couples) of healthy babies. At 12 months post-partum, both parents filled out, in a counterbalanced order, the Parenting Stress Index-Short Form, the Edinburgh Post-natal Depression Scale, the State-Trait Anxiety Inventory, and the Dyadic Adjustment Scale. Structural equation modeling was used to analyze the potential mediating effects of mental health on the relationship between parenting stress and dyadic adjustment.Results: Results showed the full mediation effect of mental health between parenting stress and dyadic adjustment. A multi-group analysis further found that the paths did not differ across mothers and fathers.Discussion: The results suggest that mental health is an important dimension that mediates the relationship between parenting stress and dyadic adjustment in the transition to parenthood.

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Section: Introductionmentioning

confidence: 79%

Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model

et al. 2017

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“…The DSM‐5 PTSD diagnosis now incorporates the low mood and negative cognitions of depression into PTSD when these symptoms are related to the traumatic event . Women with PTSD also often meet the full diagnostic criteria for major depression, and this appears to be the case in pregnancy as well . Depression co‐occurs in 40% of pregnant women who meet PTSD diagnostic criteria .…”

Section: Current Perspectives On Trauma‐related Sequelae Of Maltreatmmentioning

confidence: 98%

“…PTSD diagnosis also includes elements of anxiety such as hypervigilance, trouble concentrating, and sleep disorders. Current practice for perinatal mental health screening does not usually include screening for trauma history and PTSD . It is still rare for assessment to distinguish whether the woman sees her depression and anxiety as related to trauma.…”

Section: Current Perspectives On Trauma‐related Sequelae Of Maltreatmmentioning

confidence: 99%

“…29 Women with PTSD also often meet the full diagnostic criteria for major depression, 34 and this appears to be the case in pregnancy as well. 35 Depression co-occurs in 40% of pregnant women who meet PTSD diagnostic criteria. 14 PTSD diagnosis also includes elements of anxiety such as hypervigilance, trouble concentrating, and sleep disorders.…”

Section: Ptsd Depression and Anxietymentioning

confidence: 99%

“…Current practice for perinatal mental health screening does not usually include screening for trauma history and PTSD. 35 It is still rare for assessment to distinguish whether the woman sees her depression and anxiety as related to trauma. Evidence-based psychological treatments for PTSD, depression, and anxiety differ but can be compatible and likely are synergistic.…”

Section: Ptsd Depression and Anxietymentioning

confidence: 99%

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Integrating Trauma‐Informed Care Into Maternity Care Practice: Conceptual and Practical Issues

Sperlich¹,

Seng²,

Li³

et al. 2017

J Midwife Womens Health

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Adverse childhood experiences have a strong negative impact on health and are a significant public health concern. Adverse childhood experiences, including various forms of child maltreatment, together with their mental health sequelae (eg, posttraumatic stress disorder, depression, dissociation) also contribute to adverse pregnancy outcomes (eg, preterm birth, low birth weight), poor postpartum mental health, and impaired or delayed bonding. Intergenerational patterns of maltreatment and mental health disorders have been reported that could be addressed in the childbearing year. Trauma-informed care is increasingly used in health care organizations and has the potential to assist in improving maternal and infant health. This article presents an overview of traumatic stress sequelae of childhood maltreatment and adversity, the impact of traumatic stress on childbearing, and technical assistance that is available from the National Center for Trauma-Informed Care (NCTIC) before articulating some steps to conceptualizing and implementing trauma-informed care into midwifery and other maternity care practices.

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Suicide Mortality During the Perinatal Period

Zivin,

Zhong,

Rodríguez-Putnam

et al. 2024

JAMA Netw Open

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ImportanceThe US has the highest maternal mortality rate among developed countries. The Centers for Disease Control and Prevention deems nearly all of these deaths preventable, especially those attributable to mental health conditions. Coordination between US health care and social service systems could help further characterize circumstances and risks associated with perinatal suicide mortality.ObjectiveTo examine contextual and individual precipitating circumstances and risks associated with perinatal suicide.Design, Setting, and ParticipantsThis cross-sectional observational study used a convergent mixed methods design to explore factors contributing to maternal suicides and deaths of undetermined intent (hereinafter, undetermined deaths) identified in National Violent Death Reporting System (NVDRS) data for January 1, 2003, to December 31, 2021. Analyses included decedents who were aged 10 to 50 years and pregnant or post partum at death (collectively, the perinatal group) and demographically matched female decedents who were not pregnant or recently pregnant (nonperinatal group) at death. Analyses were performed between December 2022 and December 2023.ExposuresPregnancy status at death (perinatal or nonperinatal).Main Outcomes and MeasuresThe main outcomes included contributing circumstances associated with suicides and undetermined deaths cited in coroner, medical examiner, or law enforcement case narratives. The study examined quantitative differences between groups using a matched analysis and characterized key themes of salient suicide circumstances using qualitative content analysis.ResultsThis study included 1150 perinatal decedents identified in the NVDRS: 456 (39.6%) were pregnant at death, 203 (17.7%) were pregnant within 42 days of death, and 491 (42.7%) were pregnant within 43 to 365 days before death, yielding 694 postpartum decedents. The nonperinatal comparison group included 17 655 female decedents aged 10 to 50 years. The mean (SD) age was 29.1 (7.4) years for perinatal decedents and 35.8 (10.8) years for nonperinatal decedents. Compared with matched nonperinatal decedents, perinatal decedents had higher odds of the following identified contributing circumstances: intimate partner problems (IPPs) (odds ratio [OR], 1.45 [95% CI, 1.23-1.72]), recent argument (OR, 1.33 [95% CI, 1.09-1.61]), depressed mood (OR, 1.39 [95% CI, 1.19-1.63]), substance abuse or other abuse (OR, 1.21 [95% CI, 1.03-1.42]), physical health problems (OR, 1.37 [95% CI, 1.09-1.72]), and death of a family member or friend (OR, 1.47 [95% CI, 1.06-2.02]). The findings of the qualitative analysis emphasized the importance of mental health and identified 128 decedents (12.4%) with postpartum depression.Conclusions and RelevanceThis study provides insights into complex factors surrounding maternal suicide, and it highlights opportunities for further research to understand long-term consequences of perinatal mental health. These findings also underscore the need for targeted evidence-based interventions and effective policies targeting mental health, substance use, and IPPs to prevent maternal suicide and enhance maternal health outcomes.

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Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety

Cited by 102 publications

References 25 publications

Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model

Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model

Integrating Trauma‐Informed Care Into Maternity Care Practice: Conceptual and Practical Issues

Suicide Mortality During the Perinatal Period

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