Predicting postpartum post-traumatic stress and depressive symptoms in low-risk women from distal and proximal factors: a biopsychosocial prospective study using structural equation modeling

Catalá, Patricia; Suso‐Ribera, Carlos; Marín, Dolores; Peñacoba, Cecilia

doi:10.1007/s00404-020-05857-z

Cited by 4 publications

(2 citation statements)

References 52 publications

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“…A previous study observed that elevated levels of anxiety and depression during pregnancy predicted postpartum PTSD symptoms due to perceived lack of control over childbearing [42]. Another study confirmed that previous psychopathology during the first trimester was also a predictor of the onset of PTSD symptoms [43]. However, only two studies reported significant results on the relationship between personality traits and postpartum PTSD symptoms, confirming that mothers with high levels of neuroticism were at greater risk for PTSD both in pregnancy and after delivery [26,44].…”

Section: Discussionmentioning

confidence: 68%

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

Gutiérrez

Catalá

Écija

et al. 2023

IJERPH

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Post-traumatic stress disorder (PTSD) is a common postpartum problem and influences maternal bonding with the infant. However, the relationship between this disorder, maternal personality, and the infant’s emotional state during feeding is not clear. The aim of the present study was to explore the contribution of neuroticism on the infant’s emotional state during feeding, by attending to the mediating role of postpartum PTSD (P-PTSD) symptoms and the moderating role of worries during pregnancy. A prospective design study was developed with 120 women with a low pregnancy risk. They responded to a questionnaire assessing maternal personality (first trimester), worries during pregnancy (third trimester), P-PTSD symptoms, and mother-baby bonding (4 months postpartum). The results showed a positive association among neuroticism, infant irritability during feeding, and P-PTSD symptoms, suggesting the latter plays a mediating role in the relationship between neuroticism and infant irritability (B = 0.102, standard error (SE) = 0.03, 95% coefficient interval (CI) [0.038, 0.176]). Excessive worries, related to coping with infant care, played a moderating role between neuroticism and P-PTSD symptoms (B = 0.413, SE = 0.084, p = 0.006, 95% CI [0.245, 0.581]). This relationship was interfered with by depressive symptoms in the first trimester (covariate) (B = 1.820, SE = 0.420, p = 0.016, ci [2.314, 0.251]). This study contributes to a better understanding of the role of neuroticism as an influential factor in the occurrence of P-PTSD symptoms, and in the impairment of infant bonding during feeding. Paying attention to these factors may favor the development of psychological support programs for mothers, with the aim of strengthening the bond with their child.

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Section: Discussionmentioning

confidence: 68%

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

Gutiérrez

Catalá

Écija

et al. 2023

IJERPH

Self Cite

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“…Perinatal stress/stressors Perceived Stress Scale (PSS) [118,122,123,126] PRAMS questions about stressors [17,72,88,90,94,95,98,104,107,112] Economic Hardship Scale [91] Antenatal Perceived Stress Inventory (APSI) [105] Postpartum Depression Predictors Inventory (PDPI)-Revised [61] Paykel Scale [114] Prenatal Psychosocial Profile Stress Scale [83] Symptoms Screener for Adults (STRESS-A) Turner Life Events Scale [125] Discrimination Everyday Discrimination Scale (EDS) [124] Discrimination Stress Scale [92] Birth experiences/satisfaction Childbirth Experience Questionnaire [75,76] Birth Satisfaction Scale-Revised (BSS-R) [97] Wijma Delivery Experience Questionnaire [80] Women's View of Birth Labor Satisfaction Questionnaire (WOMBLSQ) [62] First Baby Study Birth Experiences Scale [85] Birth Expectation and Experience Scale [99] Interactions with the maternity care team Support and Control in Birth (SCIB) Questionnaire [73] Mistreatment/disrespect during childbirth…”

Section: Exposure Measurement Tool Included Studies Using Measurement...mentioning

confidence: 99%

The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review

Basile-Ibrahim,

Combellick,

Mead

et al. 2024

IJERPH

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Background: Mental health disorders are the number one cause of maternal mortality and a significant maternal morbidity. This scoping review sought to understand the associations between social context and experiences during pregnancy and birth, biological indicators of stress and weathering, and perinatal mood and anxiety disorders (PMADs). Methods: A scoping review was performed using PRISMA-ScR guidance and JBI scoping review methodology. The search was conducted in OVID Medline and Embase. Results: This review identified 74 eligible English-language peer-reviewed original research articles. A majority of studies reported significant associations between social context, negative and stressful experiences in the prenatal period, and a higher incidence of diagnosis and symptoms of PMADs. Included studies reported significant associations between postpartum depression and prenatal stressors (n = 17), socioeconomic disadvantage (n = 14), negative birth experiences (n = 9), obstetric violence (n = 3), and mistreatment by maternity care providers (n = 3). Birth-related post-traumatic stress disorder (PTSD) was positively associated with negative birth experiences (n = 11), obstetric violence (n = 1), mistreatment by the maternity care team (n = 1), socioeconomic disadvantage (n = 2), and prenatal stress (n = 1); and inverse association with supportiveness of the maternity care team (n = 5) and presence of a birth companion or doula (n = 4). Postpartum anxiety was significantly associated with negative birth experiences (n = 2) and prenatal stress (n = 3). Findings related to associations between biomarkers of stress and weathering, perinatal exposures, and PMADs (n = 14) had mixed significance. Conclusions: Postpartum mental health outcomes are linked with the prenatal social context and interactions with the maternity care team during pregnancy and birth. Respectful maternity care has the potential to reduce adverse postpartum mental health outcomes, especially for persons affected by systemic oppression.

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The association between intravenous iron for antenatal anemia and postnatal depression: a retrospective cohort study

Tan

Guinn

Fuller

et al. 2022

Arch Gynecol Obstet

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Predicting postpartum post-traumatic stress and depressive symptoms in low-risk women from distal and proximal factors: a biopsychosocial prospective study using structural equation modeling

Cited by 4 publications

References 52 publications

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review

The association between intravenous iron for antenatal anemia and postnatal depression: a retrospective cohort study

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