Early Childhood Mental Health

Lenze, Shannon N.

doi:10.1016/j.chc.2017.02.001

Cited by 6 publications

(2 citation statements)

References 118 publications

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“…These include: compliance with medication, the deterioration of maternal functions, deterioration of medical illnesses, the deterioration of interpersonal relations and economic losses, smoking and substance abuse, developmental problems for the baby and general infant health concerns [3,4]. Despite these negative effects, mental illnesses are not often recognized in the perinatal period; even when identified, they seldom receive adequate treatment [5,6]. Screening studies in our country and around the world suggest that these mental illnesses affect women during and after the perinatal period [7,8].…”

Section: Introductionmentioning

confidence: 99%

Perinatal Anxiety Screening Scale validiy and reliability study in Turkish (PASS-TR validity and reliability)

Yazıcı

Pek

Yuvacı

et al. 2018

Psychiatry and Clinical Psychopharmacology

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BACKGROUND: Anxiety disorders are common in women. This sensitivity extends into the perinatal period as well. Thus, screening for anxiety disorders during the aforementioned period is important for the proper management and treatment of conditions. This study was conducted to assess the validity and reliability of the Perinatal Anxiety Screening Scale, which was determined to be beneficial for the purposes listed above. METHOD: For this study, the "Perinatal Anxiety Screening Scale" (PASS) was translated into Turkish and relabelled "Perinatal Anksiyete Tarama Ölçeği" (PASS-TR). 312 perinatal women were then evaluated with: the ICD 10 diagnosis system, SCID-1, the Hamilton Anxiety Scale, Hamilton Depression Scale, Beck Anxiety Scale, and PASS-TR. The resulting data was examined using Pearson Correlation analysis, Reliability tests, ROC analysis, and Factor analysis. The generated sub-dimensions were reexamined again by confirmatory factor analysis and Root Mean Square Error of Approximation (RMSEA), Root Mean Square Residual (RMR), Standardized Root Mean Square Residual (SRMR) χ 2 /sd, the Goodness of Fit Index (GFI), Adjusted Goodness of Fit Index (AGFI), Comparative Fit Index (CFI), Akaike's Information Criterion (AIC), and the Bayesian Information Criterion (BIC). RESULTS: In this assessment, Cronbach's Alpha value for the scale is = 0.95, and the subdimensions obtained by explanatory factor analysis are: (1) general anxiety and specific fear, (2) perfectionism and control, (3) social anxiety and adjustment disorder, (4) acute anxiety and trauma. The cutoff score for the scale is 16. As a result, it was determined that PASS-TR is an accurate method for the scanning of anxiety disorders in the perinatal period. CONCLUSION: PASS-TR can be validly and reliably used to scan for anxiety disorders amongst perinatal women.

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Section: Introductionmentioning

confidence: 99%

Perinatal Anxiety Screening Scale validiy and reliability study in Turkish (PASS-TR validity and reliability)

Yazıcı

Pek

Yuvacı

et al. 2018

Psychiatry and Clinical Psychopharmacology

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“…IPT is a highly effective treatment for depression and anxiety [25–30]. Randomized controlled trials of IPT in perinatal women found that IPT improved symptoms of depression and anxiety [20, 31–35] and functioning [9, 36]. The US Preventive Services Task Force showed convincing evidence that IPT is effective in preventing perinatal depression [13].…”

Section: Introductionmentioning

confidence: 99%

Internet-based interpersonal psychotherapy for stress, anxiety, and depression in prenatal women: study protocol for a pilot randomized controlled trial

Bright

Mughal

Wajid

et al. 2019

Trials

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BackgroundPsychological distress, defined as depression, anxiety and perceived stress, during pregnancy is common, with 15–25% of women experiencing clinically significant levels of such distress. Despite the far-reaching impact of prenatal psychological distress on mothers and their children, and that women are receptive to screening, few providers routinely screen for prenatal psychological distress and less than one in five women will receive the mental health care that they require. There is a lack of certainty regarding the most effective treatments for prenatal psychological distress. No online interpersonal psychotherapy (IPT) trials have been conducted that focus on improving psychological distress in prenatal women. The purpose of this pilot randomized controlled trial is to evaluate the perspectives of pregnant women on the feasibility and acceptability of online IPT (e-IPT) delivered during pregnancy.MethodsA pilot randomized controlled trial design with repeated measures will evaluate the feasibility and acceptability of e-IPT for pregnant women compared to routine prenatal care. Qualitative interviews with 15–30 individuals in the intervention group will provide further data on the feasibility and acceptability of the intervention. Assessment of feasibility will include the ease of accessing and completing the intervention. Women will also be asked about what barriers there were to starting and completing the e-IPT. Assessment of acceptability will inquire about the perception of women regarding the intervention and its various features. A sample size of 160 consenting pregnant women aged 18 years and older will be enrolled and randomized into the experimental (e-IPT) or control (routine care) condition. The secondary outcome measures include: depression, anxiety and stress symptoms; self-efficacy; self-mastery; self-esteem; relationship quality (spouse, immediate family members); coping; and resilience. All participants will complete the aforementioned measures at baseline during pregnancy (T1), 3 months postrandomization (T2), at 8 months of pregnancy (T3), and 3 months postpartum (T4).DiscussionThe results of this pilot randomized controlled trial will provide data on the feasibility and acceptability of the intervention and identify necessary adaptations. This study will allow for optimization of full trial processes and inform the evaluation strategy, including sample size calculations for the full randomized controlled trial.Trial registrationClinicalTrials.gov, NCT01901796. Registered on 18 December 2014.

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Midwives’ experiences of caring for women’s emotional and mental well‐being during pregnancy

Fletcher

Murphy

Leahy‐Warren

2021

Journal of Clinical Nursing

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Aims and Objectives To explore midwives’ experiences of caring for women's emotional and mental well‐being during pregnancy. Background Transitioning to motherhood is a major life event for any woman and while it is a joyful experience for the majority, 15%–25% of women will experience a perinatal mental health problem. Providing psychological support to mothers by midwives is acknowledged internationally. The 2016 Irish National Maternity Strategy identifies midwives as being ideally placed to assess women's emotional needs. The research revealed a paucity of qualitative research from an Irish context in this area; therefore, this study addressed this gap in the literature. Design Qualitative descriptive design. Methods Semi‐structured interviews were conducted with a purposive sample of 10 midwives recruited from the Irish midwifery e‐group. Data were analysed using Burnard (Nurse Educ. Today, 11, 1991, 461) thematic content analysis. Transcripts were coded, and meanings were formulated to reflect significant statements, which were categorised. Categories were then evolved into subthemes, and eventually, three themes were emerged using the COREQ checklist. Results Three salient themes emerged from the data are as follows: ‘awareness of Perinatal Mental Health’, ‘discussing emotional well‐being’ and ‘the woman has something to divulge’. The themes convey the midwife's awareness, recognition and perceptions of mental well‐being during pregnancy. How midwives discuss and assess emotional well‐being, the observational skills they use, and what they perceive as the barriers and facilitators to discussing mental well‐being were all identified. Conclusions Midwives reported an awareness and acceptance that women's emotional health was as important as their physical health. Midwives used every antenatal opportunity to raise awareness about perinatal mental health, whilst also identifying key challenges in getting women to talk. Relevance to Clinical Practice Care pathways for assessing and identifying Perinatal Mental Health issues should be available in all maternity services. More support for midwives is required to debrief, which would assist them in supporting women's emotional well‐being.

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Early Childhood Mental Health

Cited by 6 publications

References 118 publications

Perinatal Anxiety Screening Scale validiy and reliability study in Turkish (PASS-TR validity and reliability)

Perinatal Anxiety Screening Scale validiy and reliability study in Turkish (PASS-TR validity and reliability)

Internet-based interpersonal psychotherapy for stress, anxiety, and depression in prenatal women: study protocol for a pilot randomized controlled trial

Midwives’ experiences of caring for women’s emotional and mental well‐being during pregnancy

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