Early perinatal diagnosis of mothers at risk of developing post-partum depression – a concise guide for obstetricians, midwives, neonatologists and paediatricians

Ambrosini, Alessandra; Donzelli, Gianpaolo; Stanghellini, Giovanni

doi:10.3109/14767058.2011.622011

Cited by 8 publications

(4 citation statements)

References 65 publications

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“…In former studies [48][49][50] we hypothesized that women with a particular values constellation referred to in psychopathological literature as typus melancholicus (TM), experience motherhood as a social duty to perform in conformity to the dictates of tradition and that the adoption of this attitude is likely to turn motherhood into a traumatic event. TM is a personality type which is more likely to develop major depression (melancholia) .…”

Section: Motherhood As Diseasementioning

confidence: 99%

Myths of motherhood. The role of culture in the development of postpartum depression

Ambrosini

Stanghellini

2012

Annali Dell'Istituto Superiore Di Sanità

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Abstract.Objectives. This paper intends to offer a theoretical insight into the myths of motherhood and how these myths can bear on the pathogenesis of postpartum depression. Methods. From a man's view motherhood is conceptualized as a necessary stage in the progress towards the attainment of femininity. This view is impersonal and external to the experience of motherhood. From a female perspective, motherhood presents itself as a conflicting situation. We will then focus on the necessity to construct a discourse on motherhood by using a code which belongs to women rather than men. The analysis of a blog and a comedy show will provide evidence concerning the evolution of the female discourse on motherhood thus contributing to the debunking of the myths of motherhood. The final section discusses ways in which myths of motherhood can bear on the pathogenesis of postpartum. Conclusions. Among "melancholic type" women, who tend to abide by social norms, play established social roles and hide their inner conflicts, myths of motherhood contribute to suppress the contradiction which is intrinsic to motherhood itself making this contradiction uncontrollable and potentially devastating.Key words: postpartum depression, motherhood, feminine identity, typus melancholicus, phenomenology. Riassunto (I miti della maternità. Il ruolo della cultura nello sviluppo della depressione postpartum).Obiettivi. Questo articolo intende presentare delle riflessioni teoriche in merito ai miti della maternità e al loro peso nella patogenesi dei disturbi depressivi legati al postpartum. Metodi. Dal punto di vista degli uomini la maternità sembra essere vista come funzione sociale e come passaggio obbligatorio per il pieno sviluppo della femminilità. A fianco a questa visione esterna e impersonale della maternità si propone la prospettiva femminile che ne evidenzia le criticità, complessità e conflittualità. Inoltre si analizza la necessità di costruire un discorso sulla maternità a partire da codici femminili. L'analisi di un blog e di uno spettacolo evidenziano che il discorso femminile sulla maternità tende a sfatare i miti sulla maternità stessa. Infine viene discusso il modo in cui questi miti possono avere un peso sulla patogenesi della depressione postpartum. Conclusioni. Nelle donne con struttura di personalità "typus melancholicus" la necessità di incarnare i miti della maternità contribuisce alla creazione di contraddizioni ingestibili tra le rigide aspettative sociali e i normali conflitti insiti nella condizione materna.Parole chiave: depressione postpartum, maternità, identità femminile, typus melancholicus, fenomenologia.

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Section: Motherhood As Diseasementioning

confidence: 99%

Myths of motherhood. The role of culture in the development of postpartum depression

Ambrosini

Stanghellini

2012

Annali Dell'Istituto Superiore Di Sanità

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“…They do all they can in planning how not to neglect their duties as a mother, wife, and worker. These duties cannot be delegated to others without experiencing guilt or feelings of being a “bad mother,” paving the way for falling into a depressive condition [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

MMPI-2: Cluster Analysis of Personality Profiles in Perinatal Depression—Preliminary Evidence

Meuti

Marini

Grillo

et al. 2014

The Scientific World Journal

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Background. To assess personality characteristics of women who develop perinatal depression. Methods. The study started with a screening of a sample of 453 women in their third trimester of pregnancy, to which was administered a survey data form, the Edinburgh Postnatal Depression Scale (EPDS) and the Minnesota Multiphasic Personality Inventory 2 (MMPI-2). A clinical group of subjects with perinatal depression (PND, 55 subjects) was selected; clinical and validity scales of MMPI-2 were used as predictors in hierarchical cluster analysis carried out. Results. The analysis identified three clusters of personality profile: two “clinical” clusters (1 and 3) and an “apparently common” one (cluster 2). The first cluster (39.5%) collects structures of personality with prevalent obsessive or dependent functioning tending to develop a “psychasthenic” depression; the third cluster (13.95%) includes women with prevalent borderline functioning tending to develop “dysphoric” depression; the second cluster (46.5%) shows a normal profile with a “defensive” attitude, probably due to the presence of defense mechanisms or to the fear of stigma. Conclusion. Characteristics of personality have a key role in clinical manifestations of perinatal depression; it is important to detect them to identify mothers at risk and to plan targeted therapeutic interventions.

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“…Intolerance of uncertainty may create a negative bias in the individual's thinking, lead to rumination and impair the ability to solve problems and deal with ambiguous and distressing situations (Greco & Roger, 2003 ). Furthermore, more intolerance of uncertainty has been related to more dysfunctional maternal behaviours in the postpartum period (Ambrosini et al, 2012 ). However, although intolerance of uncertainty has been associated with anxiety disorders (Boswell et al, 2013 ), which were found to contribute to a greater perception of infant invasiveness (Davies et al, 2008 ; Lefkovics et al, 2018 ), to the best of our knowledge, no previous studies have examined the relationship between intolerance of uncertainty and parents' perceptions of the infant.…”

Section: Introductionmentioning

confidence: 99%

Parenthood in the shadow of COVID‐19: The contribution of gender, personal resources and anxiety to first time parents' perceptions of the infant

Chasson

Ben-Yaakov

Ben‐Ari

2021

Child & Family Social Work

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We sought to examine new parents' perceptions of their infant during the worldwide spread of COVID‐19, exploring the contribution of gender, personal resources (attachment orientation, presence of meaning in life and intolerance of uncertainty) and COVID‐19‐related anxieties. A convenience sample of 606 Israeli first‐time parents (137 fathers and 469 mothers), whose child was 3–12 months old, was recruited through social media during April 2020. Findings indicate that being a woman, younger age, lower education, better physical health, older infant's age, lower attachment anxiety, higher presence of meaning in life and greater COVID‐19‐related anxiety over the infant's health contributed significantly to a greater perception of infant's warmth; being a father, higher education and economic status, poorer physical health, higher attachment anxiety and intolerance of uncertainty and less presence of meaning in life contributed significantly to a greater perception of infant's invasiveness. Gender moderated the associations between the personal resources and infant's perception, and both the presence of meaning in life and intolerance of uncertainty mediated the associations between COVID‐19‐related anxieties and parent's perception of the infant. The findings reveal the crucial contribution of gender, and both risk and resilience factors, to the parent's perception of the infant in the shadow of COVID‐19.

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Early perinatal diagnosis of mothers at risk of developing post-partum depression – a concise guide for obstetricians, midwives, neonatologists and paediatricians

Abstract: We hope to provide those clinicians who are engaged in the care of pregnant women and their children with a valuable and user-friendly instrument for understanding and making a timely diagnoses of at-risk psychopathological phenomena.

Cited by 8 publications

References 65 publications

Myths of motherhood. The role of culture in the development of postpartum depression

Myths of motherhood. The role of culture in the development of postpartum depression

MMPI-2: Cluster Analysis of Personality Profiles in Perinatal Depression—Preliminary Evidence

Parenthood in the shadow of COVID‐19: The contribution of gender, personal resources and anxiety to first time parents' perceptions of the infant

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