Postpartum Depression

Stewart, Donna E.; Vigod, Simone N.

doi:10.1056/nejmcp1607649

Cited by 328 publications

(257 citation statements)

References 40 publications

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“…Supportive parenting might be encouraged by psychoeducation and direct training of the mother on how to engage in positive interactions with the child . Finally, mothers reporting high levels of depression might benefit from a pharmacological intervention and/or psychotherapy treatment either in person or web‐based video‐conferencing with positive changes in multiple domains of parenting . Parenting interventions that apply multiple strategies might be particularly successful in improving the mother‐child relationship and have been associated with changes in maternal brain activity and circuits …”

Section: Discussionmentioning

confidence: 99%

Dissecting maternal care: Patterns of maternal parenting in a prospective cohort study

Unternäehrer

Cost

Bouvette‐Turcot

et al. 2019

J Neuroendocrinology

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Parental care has a strong impact on neurodevelopment and mental health in the offspring. Although numerous animal studies have revealed that the parental brain is a highly complex system involving many brain structures and neuroendocrine systems, human maternal parenting as a multidimensional construct with cognitive, emotional, and behavioural components has not been characterised comprehensively. This unique multi‐method analysis aimed to examine patterns of self‐reported and observed parenting from 6 to 60 months postpartum in a cohort of 496 mothers (mean maternal age = 32 years). Self‐report questionnaires assessed motivational components of mothering, parenting stress, parenting‐related mood, maternal investment, maternal parenting style, mother‐child relationship satisfaction, and mother‐child bonding at multiple time points. Observed parenting variables included the Ainsworth Sensitivity Scales at 6 and 18 months, the Behavioral Evaluation Strategies Taxonomies at 6 months, an Etch‐A‐Sketch cooperation task at 48 months, and the Parent‐Child Early Relationship Assessment at 60 months. To examine whether different latent constructs underlie these measures of maternal parenting, we conducted an exploratory factor analysis. Self‐report measures of parenting correlated only weakly with behavioural observations. Factor analysis on a subsample (n = 197) revealed four latent factors that each explained from 7% to 11% of the variance in the data (32% total variance explained). Based on the loadings of the instruments, the factors were interpreted as: Supportive Parenting, Self‐Enjoyment Parenting, Overwhelmed Parenting, and Affectionate Parenting. These factor scores showed specific associations with maternal education and depressive symptoms, as well as with child outcomes, including maternally reported internalising and externalising behavioural problems, school readiness, and child‐reported symptoms of mental health. These findings parallel the complexity of the parental brain, suggesting that maternal parenting consists of multiple components, each of which is associated with different maternal characteristics and child outcomes.

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Section: Discussionmentioning

confidence: 99%

Dissecting maternal care: Patterns of maternal parenting in a prospective cohort study

Unternäehrer

Cost

Bouvette‐Turcot

et al. 2019

J Neuroendocrinology

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“…Such depression can also increase the risk for low birthweight and prematurity (Grigoriadis et al, 2013). Postnatal depression may result in unhealthy parenting behaviours (Paulson, Dauber, & Leiferman, 2006), poorer mother-infant attachment (Letourneau et al, 2012;Stewart & Vigod, 2016) and even increased risk for infanticide (Kamperman, Veldman-Hoek, Wesseloo, Robertson Blackmore, & Bergink, 2017;Lindahl, Pearson, & Colpe, 2005). Thus, maternal psychological health warrants considerable attention.…”

Section: Introductionmentioning

confidence: 99%

Profiles and characteristics of clinical subtypes of perinatal depressive symptoms: A latent class analysis

Sun

Cao

et al. 2019

Journal of Advanced Nursing

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Aims To investigate clinically relevant subtypes of perinatal depressive symptoms. Design Cross‐sectional study. Methods A sample of 2,783 women at different prenatal and postnatal periods was recruited between August 2015 – August 2017. The Patient Health Questionnaire–9 (PHQ‐9) was used to assess depressive symptoms. Data analyses consisted of latent class analysis (LCA), analysis of variance and multinomial logistic regression. Results (a) Five latent subtypes (Classes 5/4/3/1/2) were identified: ‘no symptoms’, ‘mild physio‐somatic symptoms’, ‘severe physio‐somatic symptoms and moderate anhedonia’, ‘moderate‐to‐severe symptoms’ and ‘severe symptoms’; (b) Postpartum women were more likely to belong to the severe depressive symptoms group, whereas pregnant women were likely to report severe physio‐somatic symptoms; and (c) History of abortion and perinatal complications increased the likelihood of belonging to all moderate‐to‐severe classes. Lower levels of education increased the probability of belonging to Class 2. Younger women were more likely to be categorized into Classes 1 and 2. Conclusions This is the first study to examine heterogeneity of perinatal depressive symptoms and delineate the characteristics of subtypes at different prenatal and postnatal periods via the PHQ‐9, using LCA in a Chinese general population. Impact This research details the heterogeneity of perinatal depressive symptoms and delineates the characteristics of subtypes at different prenatal and postnatal periods in a Chinese general population.

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“…Although in the scientific literature SSRIs are generally reported to be quite safe during pregnancy,4 three recent studies raised concerns that these drugs may have a negative impact on fetal brain development with long-term consequences on offspring, especially autism. Focusing on exposure to SSRIs in utero and risk of autism, Brown and colleagues analysed data from nearly 36 000 births in Ontario, Canada, between 2002 and 2010 5.…”

Section: Backgroundsetting the Scenementioning

confidence: 99%

Increased attention should be paid to perinatal mental health and to the need of dedicated services

Tomelleri¹,

Pariante

2018

Evid Based Mental Health

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Postpartum Depression

Cited by 328 publications

References 40 publications

Dissecting maternal care: Patterns of maternal parenting in a prospective cohort study

Dissecting maternal care: Patterns of maternal parenting in a prospective cohort study

Profiles and characteristics of clinical subtypes of perinatal depressive symptoms: A latent class analysis

Increased attention should be paid to perinatal mental health and to the need of dedicated services

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