Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems

Petzoldt, Johanna; Wittchen, Hans‐Ulrich; Einsle, Franziska; Martini, Julia

doi:10.1111/cch.12292

Cited by 115 publications

(103 citation statements)

References 66 publications

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“…On the theoretical side, the association between excessive infant crying and maternal depression and anxiety is well known, but there is little consensus about the direction of causation. For example, a recent study 27 concluded that maternal anxiety during pregnancy predicted excessive infant crying. The present study was not designed to provide causal information and the absence of a control group, in particular, prevents a conclusion regarding whether the reductions in parental anxiety and depression that were observed between baseline and outcome measurements were attributable to the study's parental support package, to reductions in infant crying that would be expected with infant development or to the passage of time.…”

Section: Outcome Measures and Changes Since Baselinementioning

confidence: 99%

“…For instance, parental characteristics, such as depression, anxiety and high levels of arousal, have been found to influence how parents interpret and respond to infant crying. [25][26][27][28] Social isolation, although less studied, may also increase its impact. The implication for clinical practice is that assessments need to take account of parental vulnerabilities and supports, as well as infant crying.…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

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A support package for parents of excessively crying infants: development and feasibility study

James‐Roberts

Garratt

Powell

et al. 2019

Health Technol Assess

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Background Around 20% of 1- to 4-month-old infants cry for long periods without an apparent reason. Traditionally, this was attributed to gastrointestinal disorder (‘colic’), but evidence shows that just 5% of infants cry a lot because of organic disturbances; in most cases, the crying is attributable to normal developmental processes. This has led to a focus on the impact of the crying on parents. Parental vulnerabilities influence how parents evaluate and respond to the crying and predict adverse outcomes. By developing evidence-based services that support parents, this study was designed to take the first steps towards national health services that enhance the coping and well-being of parents whose babies excessively cry. Related aims were to improve these infants’ outcomes and how NHS money is spent. Objectives To develop a novel intervention package to support parents of excessively crying infants and to examine the feasibility of delivering and evaluating it in the NHS. Design Stage 1 of this study aimed to (1) complete a literature review to identify example support materials, (2) obtain parents’ guidance on the support needed when a baby cries excessively, together with their evaluation of the example materials, and (3) develop a support package based on the results. Stage 2 aimed to (1) recruit 60 parents whose babies were currently excessively crying, (2) assess parents’ and NHS professionals’ willingness to complete a study of the support package, (3) measure the use and evaluation of the package components, (4) estimate the package component costs and (5) provide evidence on the feasibility and methods for a large-scale trial. Setting Primary health care. Participants Stage 1: 20 parents of previously excessively crying infants and 55 health visitors (HVs) or specialist community public health nurses (SCPHNs). Stage 2: 57 parents of currently excessively crying infants and 124 HVs/SCPHNs. Interventions The support package included a website, a printed booklet and a programme of cognitive–behavioural therapy-based sessions delivered to parents by a qualified practitioner. Main outcome measures (1) Demographic data, (2) figures for parents’ use of the package components and continuation in the study, (3) parents’ and HVs’/SCPHNs’ ratings of the package components and suitability for NHS use, (4) questionnaire measures of parental well-being and infant health and (5) costs. Results Most parents (95%) accessed the website or printed materials and half (51%) attended the practitioner sessions. All 52 parents and 85% of HVs/SCPHNs providing data would support the inclusion of the package in the NHS. It was associated with reduced parental frustration, anxiety, depression, reported infant crying and contacts with health professionals and increased knowledge about crying. Methods for a full trial and figures for the cost of excessive infant crying for the NHS and each package element were identified. Limitations No control group was included. Most of the recruited parents were white, well educated and in stable relationships. Conclusions Parents and HVs/SCPHNs recognise the need for NHS provisions that support parents of excessively crying babies and consider the materials developed to meet that need. A full-scale randomised controlled trial is feasible and desirable. Trial registration Current Controlled Trials ISRCTN84975637. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 23, No. 56. See the NIHR Journals Library website for further project information.

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Section: Outcome Measures and Changes Since Baselinementioning

confidence: 99%

Section: Chapter 1 Introductionmentioning

confidence: 99%

A support package for parents of excessively crying infants: development and feasibility study

James‐Roberts

Garratt

Powell

et al. 2019

Health Technol Assess

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“…Colic is more common among first-borns, most likely because first-time parents are more anxious than parents of subsequent children (Ståhlberg 1984). While biologic mechanisms may play a role in some cases of infantile colic (Szajewska et al 2013), behavioural and psychosocial mechanisms also appear relevant (Wolke et al 1994, Keefe et al 2006, van Sleuwen et al 2006, Blom et al 2009, Howell et al 2009, Newnham et al 2009, Petzoldt et al 2016. Many studies have focused on the association between psychosocial factors measured during pregnancy such as prenatal maternal depression, anxiety and low social support, as well as prenatal paternal depression and newborn colic or crying or fussiness (Rautava et al 1993, Canivet et al 2005, van den Berg et al 2009, Petzoldt et al 2014.…”

Section: Introductionmentioning

confidence: 99%

Fathers make a difference: positive relationships with mother and baby in relation to infant colic

Alexander

Zhu

Paul

et al. 2017

Child

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“…A crying baby requiring increased attention of the mother contributed to the development of psychological problems in the women in our study. Similarly, Petzoldt et al (2016) found a correlation between anxiety and depressive disorders of mothers and breastfeeding problems, crying babies and babies with sleep disorders. The research led by Kumwar et al (2015) proved an association between the child's health problem and postnatal depression, but this was not confirmed in our study.…”

Section: Discussionmentioning

confidence: 87%

Predictors of increased depressive symptoms in the postpartum period

Banovcinova¹,

Škodová²,

Jakubcikova³

2019

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Introduction: Pregnancy and the postpartum period are a risk period in a woman's life in terms of manifesting mental disorders, such as postpartum depression. Previous research has identified several risk factors affecting the onset and progression of postpartum depression. Aim: (1) to find the occurrence of depressive symptoms in the postpartum women group; (2) to verify the influence of selected factors on the level of postpartum depression. Materials and methods: Study sample consisted of 510 mothers in the postpartum period, mean age 30.6 years (±5.3; range 19-45 years). The Edinburgh postnatal depression scale was used to measure symptoms of depression; a questionnaire of our own design was used to assess selected factors potentially influencing level of depressive symptoms. Results: In the Edinburgh postnatal depression scale, the respondents achieved an average score of 9.3 ± 5.6; and the prevalence of severe depressive symptoms was 25.3%. The linear regression model showed that significant predictors of postpartum depression were: lower education; history of depression; dependence on the opinion of others; concerns about future; low satisfaction with motherhood; problems with partner; problems with breast-feeding; tearful child; negative emotions toward the baby; and poor mastering of maternity. Discussion: Significant predictors of postpartum depression identified in this study can be easily detected in clinical practice using the unique long-term contact that a woman has with her prenatal midwife. Evaluation of mothers' emotional health and screening for postpartum depression risk factors can enable midwives to identify those at risk and intervene in a timely manner.

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Maternal anxiety versus depressive disorders: specific relations to infants' crying, feeding and sleeping problems

Cited by 115 publications

References 66 publications

A support package for parents of excessively crying infants: development and feasibility study

A support package for parents of excessively crying infants: development and feasibility study

Fathers make a difference: positive relationships with mother and baby in relation to infant colic

Predictors of increased depressive symptoms in the postpartum period

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