Perinatal Depression in Low-Income Women: A Literature Review and Innovative Screening Approach

Klawetter, Susanne; McNitt, Cassidy; Hoffman, Jill A.; Glaze, Kelly; Sward, Ashley; Frankel, Karen A.

doi:10.1007/s11920-019-1126-9

Cited by 37 publications

(18 citation statements)

References 33 publications

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“…37 In addition, low-income women may have poor access to mental health services. 38 Although screening alone is associated with some clinical benefits, it is most effective when coupled with confirmatory diagnostic assessment and access to treatment. 39 This study has a number of strengths, including high rate of study participant retention and the prospective design with validated measures of maternal stress and depression repeated annually.…”

Section: Discussionmentioning

confidence: 99%

Maternal stress and depression are associated with respiratory phenotypes in urban children

Ramratnam

Lockhart

Visness

et al. 2021

Journal of Allergy and Clinical Immunology

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Section: Discussionmentioning

confidence: 99%

Maternal stress and depression are associated with respiratory phenotypes in urban children

Ramratnam

Lockhart

Visness

et al. 2021

Journal of Allergy and Clinical Immunology

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“…A recent review of the literature revealed mixed findings, in which some studies reported that up to 50% of low-income women experienced PND, while other studies that focused on women who received public assistance or used public-sector services reported 12-month depression rates of 12%-36%. 9 None of these studies is nationally representative and they differ in designs, instruments, and settings; thus, any evidence regarding racial/ethnic and income differences in PND rates is inconclusive.…”

Section: Prevalence Of Depression In the Perinatal Periodmentioning

confidence: 99%

Perinatal Depression: Challenges and Opportunities

Dagher

Bruckheim

Colpe

et al. 2021

Journal of Women's Health

123

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Perinatal depression (PND) is a major depressive episode during pregnancy or within 4 weeks after childbirth up to a year. Risk factors for PND include stressful life events, history of depression, poor social support, unplanned and unwanted pregnancies, poor relationship quality, current or previous abuse, and low socioeconomic status. This mental disorder has been shown to have negative effects on mothers' quality of life and their intimate relationships, birth outcomes, and breastfeeding likelihood, as well as long-term effects on children's cognitive and emotional development. To date, no nationally representative study has examined whether there are socioeconomic and/or racial/ethnic differences in PND. This study discusses the prevalence and risk factors for PND, as well as its health consequences for mothers and children, the reasons for its underreporting and undertreatment, the evidence for different screening instruments and different treatment options, and the existing supportive policies to address this disorder in the United States. We conclude with outlining next steps in addressing the gaps in the literature on PND.

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“…Moreover, the increased percentage of patient deaths results in an augmented exposure to emotional and psychological suffering: a recent systematic review on HCWs' mental health during the COVID-19 pandemic found an anxiety incidence of 24.6%, a depression incidence of 22.8%, and an insomnia incidence of 34.3% ( 14 ). Regarding the psychological impact of the outbreak, the literature points out a prevalence of post-traumatic stress disorder (PTSD) among HCWs between 11 and 73.4% ( 15 ). The continuous exposure to stressful events may result in post-traumatic stress symptoms, which, in turn, may mine professionals' ability to cope with the situation.…”

Section: Introductionmentioning

confidence: 99%

Worries, Preparedness, and Perceived Impact of Covid-19 Pandemic on Nurses' Mental Health

Galletta

Piras

Finco

et al. 2021

Front. Public Health

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Background: In times of global public health emergency, such as the COVID-19 pandemic, nurses stand at the front line, working in close contact with infected individuals. Being actively engaged in fighting against COVID-19 exposes nurses to a high risk of being infected but can also have a serious impact on their mental health, as they are faced with excessive workload and emotional burden in many front-line operating contexts.Purpose: The aim of the study is to analyze how risk factors such as perceived impact, preparedness to the pandemic, and worries were associated with mental health outcomes (crying, rumination and stress) in nurses.Methods: A cross-sectional study design was performed via an online questionnaire survey. Participants included 894 registered nurses from Italy. Participation was voluntary and anonymous. Multiple binary logistic regression was carried out to analyze the relationship between risk factors and health outcomes.Results: Increased job stress was related to higher levels of rumination about the pandemic (OR = 4.04, p < 0.001), job demand (OR = 2.00, p < 0.001), impact on job role (OR = 2.56, p < 0.001), watching coworkers crying at work (OR = 1.50, p < 0.05), non-work-related concerns (OR = 2.28, p < 0.001), and fear of getting infected (OR = 2.05, p < 0.001). Job stress (OR = 2.52, p < 0.01), rumination (OR = 2.28, p < 0.001), and watching colleagues crying (OR = 7.92, p < 0.001) were associated with crying at work. Rumination was associated with caring for patients who died of COVID-19 (OR = 1.54, p < 0.05), job demand (OR = 1.70, p < 0.01), watching colleagues crying (OR = 1.81, p < 0.001), non-work-related worries (OR = 1.57, p < 0.05), and fear of getting infected (OR = 2.02, p < 0.001).Conclusions: The psychological impact that this pandemic may cause in the medium/long term could be greater than the economical one. This is the main challenge that health organizations will have to face in the future. This study highlights that the perceived impact and worries about the pandemic affect nurses' mental health and can impact on their overall effectiveness during the pandemic. Measures to enhance nurses' protection and to lessen the risk of depressive symptoms and post-traumatic stress should be planned promptly.

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Perinatal Depression in Low-Income Women: A Literature Review and Innovative Screening Approach

Cited by 37 publications

References 33 publications

Maternal stress and depression are associated with respiratory phenotypes in urban children

Maternal stress and depression are associated with respiratory phenotypes in urban children

Perinatal Depression: Challenges and Opportunities

Worries, Preparedness, and Perceived Impact of Covid-19 Pandemic on Nurses' Mental Health

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