The perception of parental bonding in pregnant adolescents and its association with generalized anxiety disorder

Matos, Mariana Bonati de; Scholl, Carolina Coelho; Trettim, Jéssica Puchalski; Molina, Mariane Lopez; Soares, Mariana Carret; Coelho, Fernanda Teixeira; Castelli, Rochele Dias; Silva, Ricardo Azevedo da; Pinheiro, Karen Amaral Tavares; Coelho, Fábio Monteiro da Cunha; Quevedo, Luciana de Ávila; Pinheiro, Ricardo Tavares

doi:10.1016/j.eurpsy.2018.07.011

Cited by 7 publications

(8 citation statements)

References 31 publications

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“…In the South African context, nurses participating in a study that investigated the multidisciplinary approach of care for adolescent mothers stated that these mothers experienced poor family support, poor parenting, negative attitudes of healthcare providers, poverty, peer pressure, high HIV risk, poor partner support, depression, and dysfunctional parent-adolescent communication as barriers. 13 It has also been argued that adolescent women are likely to experience excessive and persistent anxiety during pregnancy, which is a risk factor for postnatal depression 32 and can affect parental bonding. 21 The current study considers the role of psychosocial assistance, family support, partner support, financial support, and antenatal and postnatal support as essential for pregnant and parenting adolescent mothers.…”

Section: Discussionmentioning

confidence: 99%

<p>Adolescent Pregnancy and Parenting: Perceptions of Healthcare Providers</p>

Govender

Taylor

Naidoo

2020

JMDH

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Section: Discussionmentioning

confidence: 99%

<p>Adolescent Pregnancy and Parenting: Perceptions of Healthcare Providers</p>

Govender

Taylor

Naidoo

2020

JMDH

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“…While investigating generalized anxiety by country income status, we found a higher prevalence among studies performed in lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109) compared with low-income countries (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961). Upper-middle–income countries had the lowest prevalence (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496).…”

Section: Resultsmentioning

confidence: 99%

“…Generalized anxiety disorder (including anxiety not specified) was the most commonly reported anxiety disorder, examined by 184 of 203 studies (90.6%) . The pooled point prevalence for generalized anxiety disorder was 22.2% (95% CI, 19.4%-25.0%; n = 173 553).…”

Section: Resultsmentioning

confidence: 99%

“…Our search identified 10 617 studies; 1231 full texts were reviewed, and of these, 203 studies were included (Figure 1; eTable 2 in Supplement 1). Cumulatively, outcomes were reported for 212 318 perinatal women (from conception to 12 months post birth) from 33 LMICs. The prevalence estimates of 6 anxiety and related disorders were reported: generalized anxiety disorder, social anxiety disorder, posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, and adjustment disorder.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Roddy Mitchell,

Gordon,

Atkinson

et al. 2023

JAMA Netw Open

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ImportanceAnxiety disorders are associated with poor maternal and neonatal outcomes. Women in low- and middle-income countries (LMICs) are thought to be disproportionally burdened by these disorders, yet their prevalence is unclear.ObjectiveTo conduct a systematic review and meta-analysis to determine the prevalence of 6 anxiety and related disorders among perinatal women in LMICs.Data SourcesEmbase, MEDLINE, PsycINFO, Cochrane Library, CINAHL, and Web of Science databases were searched from inception until September 7, 2023.Study SelectionStudies conducted in World Bank–defined LMICs and reporting prevalence of generalized anxiety disorder, obsessive-compulsive disorder, social anxiety disorder, posttraumatic stress disorder, panic disorder, or adjustment disorder during the perinatal period (conception to 12 months post partum) using a validated method were included.Data Extraction and SynthesisThis study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. Study eligibility, extracted data, and risk of bias of included studies were assessed by 2 independent reviewers. Random-effects meta-analysis was used to estimate pooled point prevalence. Subgroup analyses were performed by specific anxiety disorder.Main Outcomes and MeasuresMain outcomes were prevalence estimates of each anxiety disorder, measured as percentage point estimates and corresponding 95% CIs.ResultsAt total of 10 617 studies were identified, 203 of which met the inclusion criteria and reported the outcomes of 212 318 women from 33 LMICs. Generalized anxiety disorder was the most reported (184 studies [90.6%]) and most prevalent disorder at 22.2% (95% CI, 19.4%-25.0%; n = 173 553). Posttraumatic stress disorder was the second most prevalent (8.3%; 95% CI, 5.0%-12.2%; 33 studies; n = 22 452). Adjustment disorder was least prevalent (2.9%; 95% CI, 0.0%-14.1%; 2 studies; n = 475). The prevalence of generalized anxiety varied by country income status, with the highest prevalence among lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109), followed by low-income (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961) and upper-middle–income (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496) countries.Conclusions and RelevanceThese findings suggest that 1 in 5 women living in LMICs experience anxiety disorders during pregnancy and post partum. Targeted action is needed to reduce this high burden.

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“…In the South African context, nurses participating in a study that investigated the multidisciplinary approach of care for adolescent mothers stated that these mothers experienced poor family support, poor parenting, negative attitudes of healthcare providers, poverty, peer pressure, high HIV risk, poor partner support, depression, and dysfunctional parent-adolescent communication as barriers. 13 It has also been argued that adolescent women are likely to experience excessive and persistent anxiety during pregnancy, which is a risk factor for postnatal depression 29 and can affect parental bonding. 20 The current study considers the role of psychosocial assistance, family support, partner support, financial support, and antenatal and postnatal support as essential for pregnant and parenting adolescent mothers.…”

Section: Discussion 25mentioning

confidence: 99%

Adolescent pregnancy and parenting: Perceptions of healthcare providers

Govender¹,

Naidoo

Taylor

2019

Preprint

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Background Adolescent pregnancy and parenting have attracted much attention as global public health and social concerns. Several studies have reported the prevalence of adverse maternal and child health outcomes due to adolescent pregnancy and it has been highlighted that the care rendered by healthcare providers plays a pivotal role in the health and well-being of pregnant and parenting adolescents. However, a dearth of available literature suggests that the role of healthcare providers as a source of sexual-related and reproductive health information is limited, regarding adolescent women in general. Aim The aim of this study was to explore healthcare providers’ perceptions of adolescent pregnancy and parenting. Methods A descriptive qualitative study was conducted at a district hospital in the Ugu district in KwaZulu-Natal, South Africa. Healthcare providers rendering care to pregnant and parenting adolescents were recruited from the maternity, antenatal, paediatrics, psychology, dietetics, physiotherapy and social work departments, as well as from the HIV/AIDS, STIs and TB (HAST) programme. The sample comprised 33 healthcare providers who were individually interviewed. The data were analysed using thematic analysis. Results The healthcare providers acknowledged that adolescent pregnancy is a problematic issue in Ugu district. Furthermore, they felt that the postpartum sexual-related and reproductive health of adolescent mothers was not given priority. In the healthcare providers’ view, the problems experienced by pregnant and parenting adolescents were school dropout, financial constraints, breakdown of relationships, abandonment, stigmatisation, parenting and child rearing difficulties, and both physical and mental health problems. Some of the participants were of the opinion that healthcare services were not channelled towards pregnant and parenting adolescents Conclusion The findings will contribute to existing literature on adolescent pregnancy as perceptions of adolescent pregnancy and parenting were elicited from a diverse group of healthcare providers. When appropriately disseminated, the findings will assist relevant healthcare providers, administrators in healthcare institutions, policy makers, and officials of the Department of Health and the Department of Education in South Africa to address the lack of appropriate care for pregnant and parenting adolescents. Our findings also highlight the need for a multidisciplinary approach to the care of pregnant and parenting adolescents.

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The perception of parental bonding in pregnant adolescents and its association with generalized anxiety disorder

Abstract: The results showed that only the perception of maternal bonding was associated with later GAD. It suggests that an adequate maternal bond is an essential component of psychological health.

Cited by 7 publications

References 31 publications

<p>Adolescent Pregnancy and Parenting: Perceptions of Healthcare Providers</p>

<p>Adolescent Pregnancy and Parenting: Perceptions of Healthcare Providers</p>

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

Adolescent pregnancy and parenting: Perceptions of healthcare providers

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