Parenting Interventions and Secondary Outcomes Related to Maternal Mental Health: A Systematic Review

Waldrop, Julee; Baker, Maureen; Salomon, Rebecca E.; Moreton, Elizabeth

doi:10.1007/s10995-021-03130-6

Cited by 10 publications

(6 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A similar study evaluating repeated home visits conducted by a social worker found that the intervention may result in elevated maternal stress levels ( Lever et al, 2019 ). A systematic review examining multi-modal group parenting programs found no significant improvement in maternal stress, anxiety or depression ( Waldrop et al, 2021 ). At UNM, the organization home to the present study, several institution-based initiatives have been implemented, including a volunteer-doula birth companion program as well as a specialized, multidisciplinary perinatal psychiatric clinic ( Del Fabbro, 2016 ; Kivlighan et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Potentially modifiable risk and protective factors affecting mental and emotional wellness in pregnancy

Wohrer,

Ngo,

DiDomenico

et al. 2024

Front. Hum. Neurosci.

View full text Add to dashboard Cite

IntroductionImpaired mental and emotional wellness often co-occurs with prenatal substance use, and both affect infant socio-emotional, cognitive, language, motor, and adaptive behavioral outcomes. Guided by the modified biopsychosocial framework, this study examined the role of common substance exposures during pregnancy (i.e., alcohol and cannabis), socio-cultural factors (social support during pregnancy, adverse childhood experiences), and reproductive health factors on maternal mental health (MMH).MethodsData were obtained from a prospective cohort study–Ethanol, Neurodevelopment, Infant, and Child Health (ENRICH-2), and included 202 pregnant persons. Alcohol and cannabis exposures were assessed through repeated prospective interviews and a comprehensive battery of drug and ethanol biomarkers. MMH outcomes were evaluated during the third trimester through the Perceived Stress Scale, Edinburgh Depression Scale, Generalized Anxiety Disorders-7, and Post-traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders. Univariate and multivariable linear regression models evaluated significant predictors of MMH.ResultsResults of multivariable analysis indicate that both maternal adverse childhood experiences and alcohol exposure, even at low-to-moderate levels, during pregnancy were associated with poorer scores for most MMH measures, while higher level of social support and Spanish as the primary language at home (as a proxy of enculturation) had protective effects (all p’s < 0.05).ConclusionThese findings highlight the importance of assessing substance use, including periconceptional alcohol exposure, and mental health in pregnant persons as closely related risk factors which cannot be addressed in isolation. Our findings also emphasize a strong protective effect of socio-cultural factors on maternal mental and emotional wellbeing—a strong precursor to maternal-infant bonding and infant neurodevelopment.

show abstract

Section: Discussionmentioning

confidence: 99%

Potentially modifiable risk and protective factors affecting mental and emotional wellness in pregnancy

Wohrer,

Ngo,

DiDomenico

et al. 2024

Front. Hum. Neurosci.

View full text Add to dashboard Cite

show abstract

“…There is also evidence of positive benefits of MBSR interventions on mental health outcomes for parents of children with disabilities (Dykens et al, 2014). Although a recent systematic review of parenting interventions and their secondary impact on maternal mental health was inconclusive (Waldrop et al, 2021), two studies of online parent education programs had higher participant retention than face to face comparison groups (Boyd et al, 2019; Farris et al, 2013). Increased retention may be an advantage for developing online programs to target maternal mental health.…”

Section: Discussionmentioning

confidence: 99%

Examining Family Process among Infants and Toddlers and Implications for Maternal–Child Intervention

LaForett

Salomon

Waldrop

et al. 2022

Journal of Early Intervention

View full text Add to dashboard Cite

This article examined the associations between family processes and children’s development among mothers and their children participating in early intervention (EI) services. Data from mothers and their infants and toddlers ( n = 100) participating in EI were analyzed using regression methods to test the predictive power of maternal depressive symptoms, self-efficacy, and quality of mother–child interactions on children’s behavior problems and social and emotional competence. Mother–child interactions were the most robust predictor of child behavior problems and competence. The presence of clinically elevated maternal depressive symptoms was high (30%) and associated with more child behavior problems. Stronger endorsement of self-efficacy also was related to higher levels of child social and emotional competence. We discuss our findings related to opportunities and challenges to support mothers experiencing depressive symptoms. EI services that strive toward an integrated approach could identify mothers with depressive symptoms and play an increased role in directly addressing their needs.

show abstract

“…Numerous studies have investigated the mother-infant relationship identifying factors including breastfeeding [14], maternal mental health [15], perinatal depression [16,17], preterm birth [18], infants with colic, infants with or at risk of developing a sleeping problem, and parents with an insensitive parenting style [19] that may negatively influence the developing relationship. In response, interventions have been developed, largely responding to the impact that a disrupted mother-infant relationship can have on infant wellbeing.…”

Section: Mother-infant Relationshipmentioning

confidence: 99%

“…Summarizing the evidence in relation to the purpose of the review, making conclusions and noting any implications of the findings Adapted from: JBI 2020, Scoping Review [24] Table 2). An initial review of the sample [15] was undertaken by (CS) and then discussed with (LM). Following the pilot test, the titles and abstracts were screened by the lead author (CS), and then the full text of selected citations was assessed by two independent reviewers (CS, LM).…”

Section: Selecting the Evidencementioning

confidence: 99%

The role of midwives in supporting the development of the mother-infant relationship: a scoping review

et al. 2023

View full text Add to dashboard Cite

Background The mother-infant relationship is complex and dynamic, informing the psychological development of the infant through bonding and attachment. Positive early interactions influence the quality of this relationship. Midwives are well placed to support the developing relationship between the mother and baby, yet there has been limited research exploring the role of the midwife in this context. Aim To explore interventions that have been provided by the midwife which support the development of the maternal-fetal or mother-infant relationship amongst a low-risk population from pregnancy, and up to six weeks postnatal. The review also sought to understand the types of interventions developed, format and delivery, outcomes measured and if cultural considerations had been incorporated. Methods A scoping review of the research literature was undertaken using the Joanna Briggs Institute framework. Five online databases were searched for relevant articles published in English from 2000 to 2021. Findings Sixteen articles met the inclusion criteria. Three themes emerged: (1) viewing the fetus as separate from the mother, (2) focused activities on the maternal-infant relationship and (3) targeted educational interventions. Discussion Providing focused activities and targeted education during the pre and postnatal periods support the development of the mother-infant relationship. Significantly, there was insufficient research that considered the influence of culture in supporting the mother-infant relationship. Conclusion Further research is required to develop interventions that include a diverse sample to ensure culturally appropriate activities can be integrated into care during pregnancy and/or the postnatal period provided by midwives.

show abstract

Parenting Interventions and Secondary Outcomes Related to Maternal Mental Health: A Systematic Review

Cited by 10 publications

References 32 publications

Potentially modifiable risk and protective factors affecting mental and emotional wellness in pregnancy

Potentially modifiable risk and protective factors affecting mental and emotional wellness in pregnancy

Examining Family Process among Infants and Toddlers and Implications for Maternal–Child Intervention

The role of midwives in supporting the development of the mother-infant relationship: a scoping review

Contact Info

Product

Resources

About