Trajectories of Maternal Mental Health: A Prospective Study of Mothers of Infants With Congenital Heart Defects From Pregnancy to 36 Months Postpartum

Solberg, Øivind; Dale, Maria Teresa Grønning; Holmstrøm, Henrik; Eskedal, Leif; Landolt, Markus A.; Vollrath, Margarete E.

doi:10.1093/jpepsy/jss044

Cited by 30 publications

(39 citation statements)

References 53 publications

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“…This is in line with previous studies showing higher rates of anxiety, depression or post-traumatic stress disorder in mothers of children with CHD (Lawoko & Soares, 2002. As previous studies with samples from the MoBa have shown, mothers of children with severe CHD are most probably at the highest risk (Solberg et al 2011(Solberg et al , 2012. This suggests that a considerable share of mothers may need psychological support after giving birth to a child with CHD.…”

Section: Mental Health Of Children With Chd and Their Motherssupporting

confidence: 91%

“…As M and C are the background factors for mental health, the effects of M and C work indirectly through the third paths of mutual influences. Given that mothers of children with CHD and mothers of children in the normal cohort did not differ in distress before birth (Solberg et al 2012), we assume that the child's CHD causes distress in both mothers and children after birth. Such an additional cause creates additional variance.…”

Section: Structural Equation Modelingmentioning

confidence: 99%

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Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study

et al. 2013

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BACKGROUND: A congenital heart defect (CHD) can increase the risk of mental health problems in affected children and their parents. The extent to which risk factors for these problems are shared in families or are specific to the individual family member is unclear. METHOD: Prospective data from the Norwegian Mother and Child Cohort Study (MoBa; n = 93 009) were linked with a nationwide CHD registry, and 408 children with CHD were identified. Mothers' reports on child internalizing problems and their own distress were assessed by questionnaires at child ages 6, 18 and 36 months. A structural model was applied to distinguish between familial (shared) factors and individual-specific factors for mental health problems. RESULTS: CHD was a substantial risk factor for problems in children and their mothers at all time points. CHD contributed on average 31% and 39% to the variance in children's and mothers' problems respectively. Both shared familial and individual-specific factors unique to CHD families contributed to risk for mental health problems. Whereas individual-specific risk factors contributed to the stability of problems in mothers, the effect of these factors lasted only a short time in children. Mutual influences over time were found between the mother's and the child's mental health at 18 and 36 months. CONCLUSIONS: The burden of CHD in a child is shared between family members but is also specific to the individual. This study points to a need for both an individual and a family-based approach to provide psychological support to children with CHD and their parents. Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study Background. A congenital heart defect (CHD) can increase the risk of mental health problems in affected children and their parents. The extent to which risk factors for these problems are shared in families or are specific to the individual family member is unclear.

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Section: Mental Health Of Children With Chd and Their Motherssupporting

confidence: 91%

Section: Structural Equation Modelingmentioning

confidence: 99%

Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study

et al. 2013

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“…), while a study on families with a child with Down Syndrome found that the highest proportion of divorce took place in these families in the first two years following birth (Solberg et al . ). However, these studies have limitations in terms of generalizability and transferability of their conclusions.…”

Section: Introductionmentioning

confidence: 99%

Severe congenital malformations, family functioning and parents' separation/divorce: a longitudinal study

Brenner

Côté

Boivin

et al. 2015

Child

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“…Mothers of infants with congenital heart disease experience short and long-term depression and anxiety 32,33,34 . This maternal depression may interfere with normal early bonding, and bonding problems may persist to 1 year 15 .…”

Section: Discussionmentioning

confidence: 99%

Improving maternal–infant bonding after prenatal diagnosis of CHD

et al. 2018

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Trajectories of Maternal Mental Health: A Prospective Study of Mothers of Infants With Congenital Heart Defects From Pregnancy to 36 Months Postpartum

Abstract: Mothers of infants with severe CHD are at risk of compromised mental health from delivery to 36 months postpartum. Strain due to CHD-related interventions is identified as a possible partial mediator of the distress.

Cited by 30 publications

References 53 publications

Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study

Exploring causal pathways of child behavior and maternal mental health in families with a child with congenital heart disease: a longitudinal study

Severe congenital malformations, family functioning and parents' separation/divorce: a longitudinal study

Improving maternal–infant bonding after prenatal diagnosis of CHD

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