Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis

Littleton, Heather; Breitkopf, Carmen Radecki; Berenson, Abbey B.

doi:10.1016/j.ajog.2007.03.042

Cited by 215 publications

(163 citation statements)

References 47 publications

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“…Likewise, the protective effect of breastfeeding on ADHD symptoms attenuated, but did not modify the effects of PPNA and PPND, which may suggest independent mechanisms. In contrast to previous results (Littleton, Breitkopf, & Berenson, 2007) we found no modifying and minor attenuation of the effects of PPNA or PPND by gestational length or birth weight. A possible explanation could be small variability, as most children in this sample were born at term and had a standard birth weight.…”

Section: Discussioncontrasting

confidence: 57%

The Associations Between Pre- and Postnatal Maternal Symptoms of Distress and Preschooler’s Symptoms of ADHD, Oppositional Defiant Disorder, Conduct Disorder, and Anxiety

et al. 2015

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Objective: To examine the association between perinatal maternal symptoms of anxiety or depression and preschooler's symptoms of ADHD-IA, ADHD-HI, ODD, and CD, and whether associations varied by time of exposure or gender.Method: Children, aged 3.5 years (n = 1195), recruited from the Norwegian Mother and Child Cohort Study, were assessed with a semi-structured psychiatric interview.Questionnaires (SCL-5) provided information about perinatal maternal symptoms of anxiety and depression. We used mixed effect Poisson regression.Results: No significant timing effects were shown for perinatal maternal symptoms of anxiety or depression, which increased the average number of ADHD-IA symptoms by 1.4%, ADHD-HI by 1.1% and ODD by 2.1% and 2.6%. The effects on ADHD symptoms were most marked for boys, whereas girls were more susceptible for ODD symptoms. Conclusion:Perinatal maternal symptoms of anxiety and depression represented stable, but modest risk factors for developing symptoms of ADHD and ODD in preschool children.

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Section: Discussioncontrasting

confidence: 57%

The Associations Between Pre- and Postnatal Maternal Symptoms of Distress and Preschooler’s Symptoms of ADHD, Oppositional Defiant Disorder, Conduct Disorder, and Anxiety

et al. 2015

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“…32 There is evidence that these emotional states can influence pregnancy outcome: diagnosis and management of maternal anxiety and depression may reduce the risk of preterm birth and possibly other adverse pregnancy outcomes. [33][34][35][36] In view of this, formal assessment of the woman's (and probably her partner's) level of depression and anxiety to identify pathological grief responses is worthwhile. Simple self-administered instruments such as the Edinburgh Postnatal Depression Scale 37 and the Spielberger State-Trait Anxiety Inventory 32 are readily available and allow accurate assessment of women who might benefit from referral for further psychological assessment before embarking on another pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Management of subsequent pregnancy after an unexplained stillbirth

Robson

Leader

2009

J Perinatol

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Purpose: To review the management of pregnancy after an unexplained stillbirth.Epidemiology: Approximately 1 in 200 pregnancies will end in stillbirth, of which about one-third will remain unexplained. Unexplained stillbirth is the largest single contributor to perinatal mortality. Subsequent pregnancies do not appear to have an increased risk of stillbirth, but are characterized by increased rates of intervention (induction of labor, elective cesarean section) and iatrogenic adverse outcomes (low birth weight, prematurity, emergency cesarean section and post-partum hemorrhage). Conclusions:There is no level-one evidence to guide management in this situation. Pre-pregnancy counseling is very important to detect and correct potential risk factors such as obesity, smoking and maternal disease. As timely delivery is the mainstay of management, early accurate determination of gestational age is vital. There is controversy regarding the pattern of surveillance, but evidence exists only for ultrasound and not for regular non-stress testing, nor formal fetal movement charting. There is an urgent need for more studies in this important area.

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“…[60][61][62][63][64] Traumatic life events are also associated with pregnancy complications, including miscarriage, highrisk pregnancy, hyperemesis, preterm contractions, 65 and delivery complications. [66][67][68][69][70][71] Perinatal depression and eating disorder comorbidity Perinatal depression is common in women with an ED history. [10][11][12][13][14][15][16][17] 75 …”

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confidence: 99%

Eating Disorders and Trauma History in Women with Perinatal Depression

Meltzer‐Brody

Zerwas

Leserman

et al. 2011

Journal of Women's Health

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Objective: Although the prevalence of perinatal depression (depression occurring during pregnancy and postpartum) is 10%, little is known about psychiatric comorbidity in these women. We examined the prevalence of comorbid eating disorders (ED) and trauma history in women with perinatal depression. Methods: A research questionnaire was administered to 158 consecutive patients seen in a perinatal psychiatry clinic during pregnancy (n = 99) or postpartum (n = 59). Measures included Structured Clinical Interview for DSM (SCID) IV-based questions for lifetime eating psychopathology and assessments of comorbid psychiatric illness including the State/Trait Anxiety Inventory (STAI), Patient Health Questionnaire (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS), and Trauma Inventory. Results: In this cohort, 37.1% reported a putative lifetime ED history; 10.1% reported anorexia nervosa (AN), 10.1% reported bulimia nervosa (BN), 10.1% reported ED not otherwise specified-purging subtype (EDNOS-P), and 7.0% reported binge eating disorder (BED). Women with BN reported more severe depression (EPDS score, 19.1, standard deviation [SD 4.3], p = 0.02; PHQ-severity 14.5, SD 7.4, p = 0.02) than the referent group of women with perinatal depression and no ED history (EPDS 13.3, SD = 6.1; PHQ 9.0, SD = 6.2). Women with AN were more likely to report sexual trauma history than the referent group (62.5% vs. 29.3%, p < 0.05), and those with BN were more likely report physical (50.0%, p < 0.05) and sexual (66.7%, p < 0.05) trauma histories. Conclusions: ED histories were present in over one third of admissions to a perinatal psychiatry clinic. Women with BN reported more severe depression and histories of physical and sexual trauma. Screening for histories of eating psychopathology is important in women with perinatal depression.

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Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis

Cited by 215 publications

References 47 publications

The Associations Between Pre- and Postnatal Maternal Symptoms of Distress and Preschooler’s Symptoms of ADHD, Oppositional Defiant Disorder, Conduct Disorder, and Anxiety

The Associations Between Pre- and Postnatal Maternal Symptoms of Distress and Preschooler’s Symptoms of ADHD, Oppositional Defiant Disorder, Conduct Disorder, and Anxiety

Management of subsequent pregnancy after an unexplained stillbirth

Eating Disorders and Trauma History in Women with Perinatal Depression

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