Modifiable partner factors associated with perinatal depression and anxiety: A systematic review and meta-analysis

Pilkington, Pamela D.; Milne, Lisa; Cairns, Kathryn; Lewis, James J.; Whelan, Thomas A.

doi:10.1016/j.jad.2015.02.023

Cited by 137 publications

(126 citation statements)

References 101 publications

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“…However, there are proven benefits that including fathers can improve the physical and emotional wellbeing of all family members and increase the 11 capacity to support mothers from within the family unit, and thus potentially more efficient in the long-term. For example, a mother experiencing postnatal depression is more likely to recover more quickly if she has a supportive partner (Pilkington et al, 2015).…”

Section: Workload Capacitymentioning

confidence: 99%

Engaging fathers: Acknowledging the barriers

Bateson

Darwin

Galdas

et al. 2017

Journal of Health Visiting

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E mental health and development. B attainment, social competence, positive self-esteem and reduced incidence of emotional and behavioural problems. However, the barriers to father-inclusive practice are real and numerous and include personal, organisational, strategic and societal factors. This article reviews the need to work more closely and fruitfully with fathers, and acknowledges some of the barriers.

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Section: Workload Capacitymentioning

confidence: 99%

Engaging fathers: Acknowledging the barriers

Bateson

Darwin

Galdas

et al. 2017

Journal of Health Visiting

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“…No conclusive findings have yet been identified regarding the immigration status or ethnicity of pregnant women [46,48]. Consistent social risk factors for symptoms of depression or anxiety in pregnancy were lack of or inadequate social support by the womanʼs partner and conflicts with their partner [46,[48][49][50]. The emotional support and practical help given by the partner or by close friends or relatives plays an important role in adjusting to motherhood, managing events and coping with difficulties which can develop in the context of pregnancy and the birth of a child [45].…”

Section: Correlates Of Depression and Anxiety In Pregnancymentioning

confidence: 99%

“…Frequent conflicts in their intimate relationship or dissatisfaction with their partner may be perceived as distressing by the pregnant woman and can significantly affect her adjustment to motherhood. Appreciative and sympathetic support by the partner and emotional closeness are an important resource during the transition to parenthood which can reduce the risk of perinatal depression or anxiety [50]. Previous psychiatric illnesses of the pregnant woman -both illnesses experienced during prior pregnancies or at other stages in the womanʼs life -play an important role for the development of depression and anxiety in pregnancy [45][46]49].…”

Section: Correlates Of Depression and Anxiety In Pregnancymentioning

confidence: 99%

“…Many of the factors described as affecting the health-related behavior or mental condition of pregnant women can easily be identified during routine antenatal check-ups or even prior to the pregnancy. The focus of antenatal care should therefore not be exclusively on assessing potential medical risks for the preg- [45,46,50], conflicts [49,50], violence [45,47]) " lack of social support [46,49,50] nant women and her unborn child. Instead, gynecologists should take enough time when taking the medical history of their pregnant patients to record social and psychological factors in addition to medical risks and also to frankly address the pregnant womanʼs consumption of alcohol and nicotine and her diet.…”

mentioning

confidence: 99%

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Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy – A Review

Ulrich

Petermann

2016

Geburtshilfe Frauenheilkd

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!In recent decades, the understanding of the short and longer term effects of health-damaging behaviors and mental health problems in pregnant women and the underlying mechanisms of these behaviors and illnesses has significantly increased. In contrast, little is known about the factors affecting individual pregnant women which contribute to health-damaging behaviors and mental illness. The aim of this paper was therefore to summarize the current state of research into the consequences of nicotine and alcohol consumption, malnutrition, excessive weight gain or obesity, and impaired mental health (depression and anxiety) during pregnancy. In addition, the characteristics of pregnant women which increase their risk of developing such behaviors or mental disorders are described. A better knowledge of these risks should make it easier for clinicians to identify cases at risk early on and put measures of support in place. A review of the literature has shown that certain characteristics of pregnant women (e.g. her relationship with her partner, a previous history of mental illness prior to pregnancy) are associated with various healthdamaging behaviors as well as with impaired mental health. Affected women often show an accumulated psychosocial stress which was already present prior to the pregnancy and which may persist even after the birth of the child. Zusammenfassung Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy -A ReviewAuswirkungen und mögliche Prädiktoren gesundheitsschädigender Verhaltensweisen und psychischer Beeinträchtigungen in der Schwangerschaft -ein Überblick

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“…Indeed, a meta-analysis reported that good-quality marital relationships contributed greatly to individuals' good health (Robles et al, 2014). Of greater interest were findings from a combined systematic review and meta-analysis which showed women whose partners were emotionally close and supportive appeared to be protected against developing perinatal depression and anxiety (Pilkington et al, 2015). Likewise findings from another large systematic review (Yim et al, 2015) and a review of longitudinal studies (Schmied et al, 2013) showed poor-quality partner-relationships strongly predicted women's experience of depression in the postnatal period.…”

Section: External Factorsmentioning

confidence: 99%

Women’s mental health following the birth of a child: a life course approach

Kingsbury¹

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Does the experience of being pregnant, giving birth and becoming a mother affect women's mental health over their reproductive life course? Much of the research on maternal mental health has focused on the perinatal period. In recent times, research has extended to patterns of women's mental health over the years following the birth of their baby. In this thesis, associations between women's experiences around pregnancy and giving birth, and patterns of their mental health impairment in the years following the baby's birth, are examined.Participants: Three datasets were used for this thesis. The primary dataset was the Mater and Methods: Six studies are the core contribution of this body of research. These studies, five cohort studies and one cross-sectional study, addressed the thesis' aims and objectives.Studies' outcome measures generally related to women's mental health, rated by the Delusions-Symptoms-States-Inventory: state of Anxiety and Depression (DSSI/sAD) (Bedford et al., 1976) and assessed at time-points post-birth. In three studies, women's DSSI depression measures at various time-points were combined to create depressive-symptoms trajectories. The Mental Disorder Screening Tool (MDST), constructed from women's DSSI/sAD responses (Saiepour et al., 2014) and measuring mental health impairment, was an outcome measure for one study. Another study's outcomes were based on women's reported alcohol consumption before pregnancy and at their first clinic visit. A broad range of predictor and potential confounding variables, taken at different MUSP survey phases, were included in the studies' analyses. Descriptive and inferential analyses were used. Univariate and multivariable regression analysis derived odds ratios and relative risk ratios with 95% confidence intervals. Pregnancy and birth events were found to contribute little to women's experience of depression. Pregnant women who experienced stressful life events (that is, financial, housing and relational events), were at higher risk of having depressive symptoms over the 27-year period. The proportion of women with mental health impairment was higher at 21 years post birth than at six months post birth. Women whose offspring had behaviour problems were themselves at risk of mental health impairment at 21 years post birth. As well, mental health problems in pregnancy; young motherhood; not completing high school and low family income; and having poor social networks around baby's birth, and marital discord in pregnancy, predicted women's poorer mental health over time. Today's pregnant women are more likely to be older and have higher body mass indexes, more likely to be anxious but not depressed, and more are sure about wanting to be pregnant, compared to pregnant women from previous decades. Today's pregnant women are also less likely to be smokers but are more often consuming alcohol prior to pregnancy, though they substantially reduce their alcohol consumption in pregnancy. Socio-economic disadvantage and psychosocial problems in pregnancy ...

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Modifiable partner factors associated with perinatal depression and anxiety: A systematic review and meta-analysis

Cited by 137 publications

References 101 publications

Engaging fathers: Acknowledging the barriers

Engaging fathers: Acknowledging the barriers

Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy – A Review

Women’s mental health following the birth of a child: a life course approach

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