The structure of emotional symptoms in the postpartum period: Is it unique?

Cunningham, Nadia K.; Brown, Philippa M.; Brooks, Janette; Page, Andrew C.

doi:10.1016/j.jad.2013.08.002

Cited by 35 publications

(32 citation statements)

References 35 publications

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“…The DASS-21 has been successfully used to assess increased negative emotional symptoms among postpartum women (Cunningham et al 2013). In prior validation studies, the depressive and anxiety symptom subscales were highly correlated with the Beck Depression Inventory and the Beck Anxiety Inventory (Lovibond and Lovibond 1995).…”

Section: Methodsmentioning

confidence: 99%

“…Stress was modeled as a continuous variable, with higher scores indicating a greater experience of stress. The DASS-21 has been successfully used to assess increased negative stress symptoms with postpartum women ( Cunningham et al 2013). Prior research indicated that the three subscales of the DASS measured three distinct categories of negative emotional symptoms (Sinclair et al 2012) and should be considered separately to understand the nature of psychological well-being (Shea, Tennant, and Pallant 2009).…”

Section: Methodsmentioning

confidence: 99%

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Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation

2016

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Background Poor maternal mental health during the postpartum period can have significant effects on the health of mothers, infants, and families. The findings from cross-sectional studies suggest that stress and social support are related to maternal mental health. This study contributes to the literature through the use of longitudinal data and examining moderation and mediation among these factors. Methods In 2012–2013, mothers completed surveys assessing stress, social support, and depressive and anxiety symptoms following birth (n=125), and three (n=110) and six months (n=99) after birth. We examined temporal associations, moderation, and mediation of social support on the relationship between stress and postpartum depressive and anxiety symptoms using modified Poisson regression models and the counterfactual approach to mediation. Results Current levels of stress and social support were associated with depressive and anxiety symptoms, both independently and when considered together at multiple time points. Social support did not strongly moderate or mediate the relationships between stress and maternal mental health. Conclusions Interventions to reduce current perceptions of stress and increase social support for mothers during the postpartum period may help improve maternal mental health symptoms. Efforts are needed to assess the current needs of mothers continuously.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation

2016

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“…Each item has 4 response options ranging from 0 (“Did not apply to me at all”) to 3 (“Applied to me most of the time”) [94]. If questionnaire scores indicate significant emotional stress, psychosocial support will be offered.…”

Section: Methodsmentioning

confidence: 99%

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

et al. 2016

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BackgroundPreterm infants follow an altered neurodevelopmental trajectory compared to their term born peers as a result of the influence of early birth, and the altered environment. Infant massage in the preterm infant has shown positive effects on weight gain and reduced length of hospital stay. There is however, limited current evidence of improved neurodevelopment or improved attachment, maternal mood or anxiety. The aim of this study is to investigate the effects of infant massage performed by the mother in very preterm (VPT) infants. Effects on the infant will be assessed at the electrophysiological, neuroradiological and clinical levels. Effects on maternal mood, anxiety and mother-infant attachment will also be measured.Methods/DesignA randomised controlled trial to investigate the effect of massage therapy in VPT infants. Sixty VPT infants, born at 28 to 32 weeks and 6 days gestational age, who are stable, off supplemental oxygen therapy and have normal cranial ultrasounds will be recruited and randomised to an intervention (infant massage) group or a control (standard care) group. Ten healthy term born infants will be recruited as a reference comparison group. The intervention group will receive standardised massage therapy administered by the mother from recruitment, until term equivalent age (TEA). The control group will receive care as usual (CAU). Infants and their mothers will be assessed at baseline, TEA, 12 months and 24 months corrected age (CA), with a battery of clinical, neuroimaging and electrophysiological measures, as well as structured questionnaires, psychoanalytic observations and neurodevelopmental assessments.DiscussionOptimising preterm infant neurodevelopment is a key aim of neonatal research, which could substantially improve long-term outcomes and reduce the socio-economic impact of VPT birth. This study has the potential to give insights into the mother-baby relationship and any positive effects of infant massage on neurodevelopment. An early intervention such as massage that is relatively easy to administer and could alter the trajectory of preterm infant brain development, holds potential to improve neurodevelopmental outcomes in this vulnerable population.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12612000335897. Date registered: 22/3/2012.

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“…Both versions of the DASS are well-validated and demonstrate high internal consistency and construct validity (Osman et al, 2012). The DASS 42 has demonstrated sound reliability and validity for a postpartum inpatient sample (Cunningham et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

Detecting the severity of perinatal anxiety with the Perinatal Anxiety Screening Scale (PASS)

Somerville

Byrne

Dedman

et al. 2015

Journal of Affective Disorders

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107

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The structure of emotional symptoms in the postpartum period: Is it unique?

Cited by 35 publications

References 35 publications

Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation

Associations of social support and stress with postpartum maternal mental health symptoms: Main effects, moderation, and mediation

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

Detecting the severity of perinatal anxiety with the Perinatal Anxiety Screening Scale (PASS)

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