Informal and formal social support during pregnancy and joint maternal and paternal postnatal depression: Data from the French representative ELFE cohort study

Nakamura, Aurélie; Sutter-Dallay, Anne-Laure; El-Khoury, Fabienne; Thierry, Xavier; Gressier, Florence; Melchior, Maria; Waerden, Judith van der

doi:10.1177/0020764020911409

Cited by 18 publications

(23 citation statements)

References 38 publications

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“…Social support difficulties included not having a partner at appointments and full labour, losing child care and restricted access to healthcare support. This is in agreement with previous research showing that perceived low social support is a risk factor to postnatal depression in both parents, 22 as well as to anxiety and antenatal and postnatal depression in women. 23,24 Another important social barrier to mood and parenting confidence was the loss of physical contact (missing and/or avoiding it).…”

Section: Discussionsupporting

confidence: 93%

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: mixed-methods synthesis survey

Perez

Panagiotopoulou

Curtis³

et al. 2021

BJPsych open

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Background Parental well-being during pregnancy and early parenthood is critical for child development. Environmental stressors can significantly challenge parental well-being. Aims To investigate how COVID-19 and associated restrictions influence mood and parenting confidence of expectant parents and those in early parenthood, identifying barriers and facilitators. Method We used a cross-sectional online survey to collect data from 590 expectant parents and parents of infants (564 women) during the most restrictive phase of lockdown in the UK. We included a mixture of forced-choice and open-ended questions pertaining to mood, perceived social support, media use, online interactions and parenting expectations. Quantitative data were analysed with multiple linear regression and proportional odds models; an inductive thematic analysis was used for qualitative data. Quantitative and qualitative data were qualitatively synthesised. Results Since COVID-19, expectant parents and parents of new-borns reported a decrease in mood and parenting confidence. Barriers included practical difficulties (finding essentials, reliable health information), social difficulties (loss of physical contact, decreased support) and uncertainty during pregnancy. Facilitators included support from others and, for first-time parents, loss of child care resulting in greater parenting confidence. Although online resources and communication were not preferable to face-to-face interactions, technology was a helpful tool for communicating, getting support, and finding essentials and information during lockdown. Conclusions By mid-May 2020, mood and parenting confidence among expectant and parents of new-borns in the UK were significantly reduced. Consideration of barriers and facilitators in healthcare and psychological support provided is likely important for promoting parental mental health and healthy parent–child relationships.

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Section: Discussionsupporting

confidence: 93%

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: mixed-methods synthesis survey

Perez

Panagiotopoulou

Curtis³

et al. 2021

BJPsych open

View full text Add to dashboard Cite

show abstract

“…Social support difficulties included not having a partner at appointments and full labour, losing childcare, and restricted access to healthcare support. This is in agreement with previous research showing that perceived low social support is a risk factor to postnatal depression in both parents, 20 as well as to anxiety and antenatal and postnatal depression in women. 21,22 Another important social barrier to mood and parenting confidence was the loss of physical contact (missing and/or avoiding it).…”

Section: Barrierssupporting

confidence: 93%

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: A mixed-methods synthesis survey

Perez¹,

Panagiotopoulou²,

Curtis³

et al. 2020

Preprint

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Background: Parents’ well-being during pregnancy and early parenthood is critical for children’s development. Environmental stressors can significantly challenge parents’ well-being.Aims: To investigate how COVID-19 and associated restrictions influence mood and parenting confidence of expectant parents and those in early parenthood, identifying barriers and facilitators.Methods: We used a cross-sectional online survey to collect data from 590 expectant parents and parents of infants (564 females) during the most restrictive phase of the lockdown in the UK. Survey included a mixture of forced-choice and open-ended questions pertaining to mood, perceived social support, media use, online interactions, and parenting expectations. Quantitative data were analysed using multiple linear regression and proportional odds models, while an inductive thematic analysis was employed for qualitative data. Quantitative and qualitative data were qualitatively synthesised.Results: A decrease in mood and parenting confidence were found. Barriers included practical difficulties (finding essentials, reliable health information), social difficulties (loss of physical contact, decreased support), and uncertainty during pregnancy. Facilitators included support from others and for first-time parents, loss of childcare resulting in greater parenting confidence. While online resources and communication were not preferable to face-to-face interactions, technology was a helpful tool for communicating, getting support, and finding essentials and information during lockdown.Conclusion: By mid-May 2020, mood and parenting confidence among expectant and parents of newborns in the UK were significantly reduced. Consideration of barriers and facilitators in healthcare and psychological support provided is likely to play an important part in promoting parental mental health and healthy parent-child relationships.

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“…Family function is an important reflection of social support. Insufficient social support during pregnancy could result in an increased risk of joint postnatal depression in mothers and fathers [ 10 ]. A systematic review reported the association between social support and PPD [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Risk assessment of paternal depression in relation to partner delivery during COVID-19 pandemic in Wuhan, China

Sun

Wang

et al. 2021

BMC Psychiatry

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Background The COVID-19 pandemic and relevant prevention and control measures may affect the mental health and induce depressive symptoms in fathers with concurrent partner delivery exposure. This study aims to investigate the prevalence of depression in fathers with simultaneous exposure to COVID-19 pandemic and the effects of family functions on paternal perinatal depression (PPD) risk. Methods A cross-sectional study was conducted among the perinatal fathers recruited in a large tertiary hospital in Wuhan across the whole pandemic period from 31 December 2019 to 11 April 2020. Edinburgh Postnatal Depression Scale (EPDS) and APGAR family function scale were used to evaluate PPD and family function, respectively. Chi-square test and multivariable-adjusted logistic regression model were applied for data analysis. Results Among the 1187 participants, the prevalence of PPD was 13.82% throughout the COVID-19 pandemic. Compared with that in the time period before the announcement of human-to-human transmission on 19 January 2020, the depression risk was significantly lower during the traffic restriction (OR = 0.54, 95% CI: 0.34, 0.86) and public transportation reopening periods (OR = 0.29, 95% CI: 0.14, 0.59). Poor/fair family functions was associated with elevated depression risk (OR = 2.93, 95% CI: 1.90, 4.52). Individuals reporting a low family income and smoking had high depression risks. Conclusions A declined risk of PPD was observed over the traffic restriction period of the COVID-19 pandemic. An improved family function may help alleviate the risk of PPD during the pandemic. Health authorities are recommended to formulate targeted prevention and control strategies to handle PPD.

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Informal and formal social support during pregnancy and joint maternal and paternal postnatal depression: Data from the French representative ELFE cohort study

Cited by 18 publications

References 38 publications

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: mixed-methods synthesis survey

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: mixed-methods synthesis survey

Barriers and facilitators to mood and confidence in pregnancy and early parenthood during COVID-19 in the UK: A mixed-methods synthesis survey

Risk assessment of paternal depression in relation to partner delivery during COVID-19 pandemic in Wuhan, China

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