Interventions during pregnancy or up to two years after birth for parents who are experiencing complex trauma or have experienced maltreatment in their childhood (or both) to improve parenting capacity or socio-emotional well-being

Reid, Catherine; McKenzie, Joanne E.; Brennan, Sue; Bennetts, Shannon K.; Clark, Yvonne; Mensah, Fiona; Hokke, Stacey; Ralph, Naomi; Brown, Stephanie; Gee, Graham; Nicholson, Jan M.; Chamberlain, Catherine

doi:10.1002/14651858.cd014874

Cited by 6 publications

(3 citation statements)

References 136 publications

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“…The Power Threat Meaning Framework offers a holistic and empowering approach to understanding and addressing the impact of power imbalances caused by social, cultural, and political factors. PTMF moves away from traditional medical and psychiatric models, instead understanding mental distress through the lens of what has happened to an individual (power), how it affects them (threat), what this means to them (meaning), and how they survived or coped (threat response) [ 7 , 8 ]. The model has been used both to conceptualize and understand distress in pregnancy [ 8 ] and in relation to COVID-19 [ 9 ]), as well as a host of other circumstances where mental and emotional distress arises.…”

Section: Introductionmentioning

confidence: 99%

“…PTMF moves away from traditional medical and psychiatric models, instead understanding mental distress through the lens of what has happened to an individual (power), how it affects them (threat), what this means to them (meaning), and how they survived or coped (threat response) [ 7 , 8 ]. The model has been used both to conceptualize and understand distress in pregnancy [ 8 ] and in relation to COVID-19 [ 9 ]), as well as a host of other circumstances where mental and emotional distress arises. Ordinarily, women are up to twice as likely to experience depression than men and are more vulnerable during childbearing years [ 10 , 11 , 12 ], which can also be explained using the PTMF.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of COVID-19 Related Distress on Antenatal Depression in Australia

Frankham

Thorsteinsson

Bartik

2023

IJERPH

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Globally, the impact of COVID-19 on mental health has been significant. Pregnant women are known to be a vulnerable population in relation to mental health. In Australia, there was an unprecedented demand during the pandemic for mental health services, including services for pregnant women. Maternal mental health has unique and enduring features that can significantly shape a child’s overall development and poor maternal mental health can have considerable social and economic costs. This cross-sectional study evaluated symptoms of antenatal depression and COVID-19-related distress in a sample of two hundred and sixty-nine pregnant women residing in Australia aged between 20 and 43 (M = 31.79, SD = 4.58), as part of a larger study. Social media advertising was used to recruit participants between September 2020 and November 2021. Prevalence rates for antenatal depression were found to be higher in this study (16.4%) compared with previous Australian prevalence rates (7%). COVID-19 distress in relation to having a baby during a COVID-19 outbreak significantly predicted symptoms of antenatal depression, B = 1.46, p < 0.001. Results from this study suggest that mothers and families may have increased mental health vulnerabilities as a consequence of the pandemic for some time yet.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Impact of COVID-19 Related Distress on Antenatal Depression in Australia

Frankham

Thorsteinsson

Bartik

2023

IJERPH

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“…That is, Healing the Past by Nurturing the Future (Chamberlain et al, 2019a). Thirdly, this is often the first time since childhood that parents have scheduled contacts and continuity with service providers – offering a unique ‘window of opportunity’ to build relationships and ensure health care contacts are safe and not re‐traumatising, and to identify people at risk and enable support (Reid et al, 2021a).…”

Section: Introductionmentioning

confidence: 99%

Community views on ‘Can perinatal services safely identify Aboriginal and Torres Strait Islander parents experiencing complex trauma?’

et al. 2022

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Family and extended kinship systems which nurture healthy, happy children are central to Aboriginal and Torres Strait Islander cultures. Since colonisation, Aboriginal and Torres Strait Islander communities have been impacted by intergenerational cycles of trauma, stemming from colonial violence, genocidal policies and discrimination, including the forced removal of children from their families. Becoming a parent offers a unique life‐course opportunity for trauma recovery and preventing intergenerational trauma. However, identifying or ‘recognising’ complex trauma carries significant risk of harm for Aboriginal and Torres Strait Islander parents due to reactive prenatal child protection involvement potentially compounding experiences of trauma, and limited benefits due to lack of culturally appropriate support. The Aboriginal‐led participatory Healing the Past by Nurturing the Future project aims to co‐design safe, accessible and feasible perinatal awareness, recognition, assessment and support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma. This paper presents views of 38 workshop participants to determine prerequisites for ensuring benefits outweigh risks of assessment to safely recognise parents experiencing complex trauma, consistent with screening criteria. Six essential elements were identified from thematic analysis: high‐quality holistic care; cultural, social and emotional safety; empowerment, choice and control; flexible person‐centred approaches; trusting relationships; and sensitive, skilled communication. Key Practitioner Messages The impacts of colonisation and rates of Aboriginal and Torres Strait children in out‐of‐home care mean that there can be a myriad of issues facing Aboriginal and Torres Strait Islander parents with regard to perinatal child protection involvement. The benefits must outweigh the risks of identifying parents experiencing complex trauma. Assessment must be offered within foundations of supportive relationships and holistic care in culturally‐safe, empowering settings, where choices are respected and skilled communication approaches are used.

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