The co-existence of depression, anxiety and post-traumatic stress symptoms in the perinatal period: A systematic review

Agius, Andee; Xuereb, Rita Borg; Carrick-Sen, Debbie; Sultana, Roberta; Rankin, Judith

doi:10.1016/j.midw.2016.02.013

Cited by 58 publications

(51 citation statements)

References 74 publications

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“…Another possible explanation was the substantial heterogeneity in the previous meta-analysis ( I 2 =80%) [10] compared with homogeneity in our review ( I 2 =0%). One possible explanation for the differences could be high normative levels of anxiety during the postpartum period [20] because of the conspicuous changes to the roles, lifestyles, and responsibilities of the expecting mother [17]. Directly comparing the current findings was impossible because the evidence was based on different populations with different health condition.…”

Section: Discussionmentioning

confidence: 99%

“…The postpartum period is a highly challenging time for women because of changes in physical, familial, financial, occupational, and other realms [17]. Changes may affect a woman’s psychosocial and physical resources, resulting in stress, anxiety, and depressive symptoms [17,18].…”

Section: Introductionmentioning

confidence: 99%

“…Changes may affect a woman’s psychosocial and physical resources, resulting in stress, anxiety, and depressive symptoms [17,18]. Reported prevalence rates suggest that 14.3% of women suffer from general stress [18], 1%-30% from post-traumatic stress symptoms [19], 24.9% from anxiety [20], and 13%-19% from depressive symptoms [21] during the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

“…Reported prevalence rates suggest that 14.3% of women suffer from general stress [18], 1%-30% from post-traumatic stress symptoms [19], 24.9% from anxiety [20], and 13%-19% from depressive symptoms [21] during the postpartum period. In addition, evidence indicates that the coexistence of stress, anxiety, and depressive symptoms occur during the postpartum period [17]. Timely and efficacious intervention is important during the postpartum period, especially when considering the adverse short- and long-term maternal health outcomes and child development outcomes [22-24].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

122

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BackgroundA growing number of meta-analyses have supported the application of therapist-supported Internet-based cognitive behavior therapy (iCBT) for psychological disorders across different populations, but relatively few meta-analyses have concentrated on postpartum women.ObjectiveThis meta-analysis evaluated the efficacy of therapist-supported iCBT in improving stress, anxiety, and depressive symptoms among postpartum women.MethodsA total of 10 electronic databases were used to search for published and unpublished trials. Cochrane Collaboration tool for assessing risk of bias was utilized to measure methodological quality. Meta-analysis was performed using the RevMan software (Review Manager version 5.3 for Windows from the Nordic Cochrane Centre, the Cochrane Collaboration, 2014). Among the 789 studies identified, 8 randomized controlled trials were selected, involving 1523 participants across 6 countries.ResultsMore than half (65%) of the eligible studies had a low risk of bias with no heterogeneity. Results revealed that therapist-supported iCBT significantly improved stress (d=0.84, n=5), anxiety (d=0.36, n=6), and depressive symptoms (d=0.63, n=8) of the intervention group compared with those of the control group at post-intervention.ConclusionsThis review revealed that therapist-supported iCBT significantly improves stress, anxiety, and depressive symptoms among postpartum women with small to large effects. Future effectiveness studies should establish the essential components, format, and approach of iCBT with optimal levels of human support to maximize a long-term effect.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

122

View full text Add to dashboard Cite

show abstract

“…Notably, even after controlling for prior PTSD symptoms, depressive and anxiety symptoms were still predictive of PTSS at 6-months postpartum, suggesting that changes in PTSS may also depend on increases or decreases in depressive and anxiety symptomatology. This is not surprising given the triple comorbidity of depression, anxiety and PTSD after birth (Agius et al, 2016). However, antepartum depression fails to predict early and chronic PTSS.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with post-traumatic stress symptoms (PTSS) 4–6 weeks and 6 months after birth: A longitudinal population-based study

Dikmen-Yildiz

Ayers

Phillips

2017

Journal of Affective Disorders

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Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health

Huffhines

Coe

Busuito

et al. 2022

Infant Mental Health Journal

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Maternal posttraumatic stress symptoms (PTSS) are associated with adverse consequences for older children, but very few studies have examined links between perinatal maternal PTSS and infant outcomes. Trauma exposure and psychopathology, including PTSS, is often heightened for women during pregnancy through 1 year postpartum. Therefore, the perinatal period may be a critical time for understanding the risk maternal PTSS and other mental health factors pose to the socioemotional and physical health of infants. The present study explored the relation between maternal PTSS and infant socioemotional and physical health problems in a sample of racially and ethnically diverse mother-infant dyads (N = 295) assessed prenatally and at 12 months postpartum. This study also examined whether there are: (1) moderating effects of maternal depressive symptoms and parenting stress on these associations and (2) indirect effects of PTSS on infant outcomes through observed maternal sensitivity. Results indicated that postpartum depressive symptoms and parenting stress, rather than PTSS, were associated with greater infant socioemotional health problems. However, prenatal PTSS were associated with greater infant physical health problems when mothers also reported clinically significant levels of postpartum depressive symptoms. Maternal sensitivity was not associated with maternal PTSS, depressive symptoms, or parenting stress, nor was it related to infant socioemotional and physical health; thus, maternal sensitivity was not tested as an intermediary mechanism linking maternal mental health with infant outcomes. Implications for promoting maternal mental health in the perinatal period to bolster socioemotional and physical health of infants are discussed.

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The co-existence of depression, anxiety and post-traumatic stress symptoms in the perinatal period: A systematic review

Cited by 58 publications

References 74 publications

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Factors associated with post-traumatic stress symptoms (PTSS) 4–6 weeks and 6 months after birth: A longitudinal population-based study

Understanding links between maternal perinatal posttraumatic stress symptoms and infant socioemotional and physical health

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