Unique trajectories of anxiety among Chinese-Canadian women across the first postpartum year: A longitudinal cohort study

Dennis, Cindy‐Lee; Brennenstuhl, Sarah; Wanigaratne, Susitha; Brown, Hilary K.; Grigoriadis, Sophie; Marini, Flavia; Vigod, Simone N.

doi:10.1016/j.jad.2018.01.005

Cited by 7 publications

(2 citation statements)

References 35 publications

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“…According to a meta-analysis, with increasing maternal age, music interventions reduce prenatal anxiety in a nonsignificant manner ( 69 ). Additionally, there were three unique trajectories of postpartum anxiety among women, and different combinations of risk factors may result in different responses to interventions among these groups of women ( 70 ). In this study, we did not strictly limit maternal age and distinguish subtypes of anxiety of the included population, which may influence the intervention effects on women.…”

Section: Discussionmentioning

confidence: 99%

Art-based interventions for women’s mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials

Qian

Sun²,

Wang³

et al. 2023

Front. Psychiatry

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ObjectivePregnant and postpartum women are vulnerable to psychological problems with a high estimated prevalence. To date, there is no meta-analysis that specifically assesses the effectiveness of art-based interventions to improve mental health in pregnant and postpartum women. The objective of this meta-analysis was to assess the efficacy of art-based interventions when delivered to pregnant and postpartum women.MethodsSystematic literature searches were conducted from the inception to 6 March 2022 in seven English databases, including PubMed, Embase, Cochrane Central Register, CINAHL, ProQuest, Scopus, and Web of Science. Randomised controlled trials (RCTs) reporting art-based interventions targeting the improvement of women’s mental health in pregnancy and postpartum were included. Cochrane risk of bias tool was applied to assess evidence quality.ResultsTwenty-one randomised controlled trials (RCTs) involving 2,815 participants were eligible for data analysis. A pooled analysis demonstrated that art-based interventions significantly reduced anxiety (SMD = −0.75, 95% CI = −1.10 to −0.40) and depression symptoms (MD = −0.79, 95% CI = −1.30 to −0.28). However, art-based interventions did not alleviate stress symptoms as expected in our findings. Subgroup analysis demonstrated that intervention implementation time, intervention duration and music selected by the participants vs. not could have influence on the efficacy of art-based intervention for anxiety.ConclusionIn perinatal mental health, art-based interventions may be effective in alleviating anxiety and depression. In the future, we still need to conduct high-quality RCTs to validate our findings and enrich clinical application of art-based interventions.

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Section: Discussionmentioning

confidence: 99%

Art-based interventions for women’s mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials

Qian

Sun²,

Wang³

et al. 2023

Front. Psychiatry

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“…Similar definition of mental healthcare utilization has been applied in prior research. [23][24][25] We explored the patterns of mental health care utilization using number of consultations for depression/anxiety seen by psychiatric specialists and/or psychologists registered in KUHR including psychiatric specialists/psychologists of outpatient clinics, public-contracted psychiatrists, and public-contracted psychologists. Of note, public-contracted specialists are practicing specialists, in this case psychiatrists or psychologists, who receive an operating subsidy from the public sector.…”

Section: Mental Health Care Utilizationmentioning

confidence: 99%

Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: an interrupted time-series analysis

Trinh

Nordeng

Bandoli

et al. 2021

Preprint

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Objectives To assess mental health care utilization patterns during and after pregnancy in women with depression and/or anxiety in Norway according to antidepressant fill trajectories in pregnancy. Method We conducted a registry-linkage cohort study of pregnancies within women having outpatient visit for depression and/or anxiety and antidepressant fills in the six months prior to pregnancy identified from four national registries of Norway (2009-2018). Number of consultations for depression/anxiety per 100 pregnancies as proxy of mental health care utilization were modelled using interrupted time-series analysis with first month into pregnancy and first month after delivery as interruption points. We investigated the time window including six months prior to pregnancy, eight months into pregnancy and one year postpartum. Antidepressant fill trajectories in the corresponding time window were identified using longitudinal k-means trajectory modelling. Results The cohort included 8,460 pregnancies within 8,062 women with depression/anxiety. We observed reduced mental health care utilization when pregnant women entered the course of pregnancy (negative slopes during pregnancy for all psychiatric specialists and psychologists). The declines were observed for all antidepressant fill trajectories (i.e., discontinuers and continuers) except interrupters (i.e., discontinued then resumed treatment). We found increased mental health care utilization in the postpartum year, notably in interrupters (positive slopes in consultation rates with specialists of outpatient clinics and public-contracted psychiatrists).. Conclusions Pregnancy was associated with reduced mental health care utilization regardless of whether antidepressant treatment was maintained during pregnancy or not. Increases in mental health care utilization were observed in the postpartum year, especially in interrupters.

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Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: An interrupted time-series analysis

Trinh

Nordeng

Bandoli

et al. 2022

Journal of Affective Disorders

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Unique trajectories of anxiety among Chinese-Canadian women across the first postpartum year: A longitudinal cohort study

Cited by 7 publications

References 35 publications

Art-based interventions for women’s mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials

Art-based interventions for women’s mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials

Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: an interrupted time-series analysis

Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: An interrupted time-series analysis

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