Perceived social support on postpartum mental health:  An instrumental variable analysis

Inekwe, John Nkwoma; Lee, Evelyn

doi:10.1371/journal.pone.0265941

Cited by 15 publications

(14 citation statements)

References 70 publications

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Section: Discussionsupporting

confidence: 93%

“…The current study also found that adult mothers with medium social support had 51% lower odds of experiencing PPD compared to women with low social support. Similar findings were also observed in previous studies (Cho et al, 2022; Inekwe & Lee, 2022). Furthermore, the provision of intensive and professional support such as home visits, telephone support, and interpersonal psychotherapy during the postpartum period is effective in reducing PPD (Dennis & Dowswell, 2013).…”

Section: Discussionsupporting

confidence: 92%

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Prevalence and determinants of postpartum depression among adolescent and adult mothers in Northwest Ethiopia

Kassa,

Batchelder,

Gross

2023

Research in Nursing & Health

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Postpartum depression (PPD) is a common mental health issue in resource‐limited settings that negatively affects the well‐being of mothers and children. However, PPD often remains untreated, leading to long‐term consequences for families. Therefore, we examined the prevalence and determinants of PPD among adolescent and adult mothers in northwest Ethiopia. Data were collected from 374 adolescent (10–19 years) and 760 adult (20–34 years) mothers 6 weeks after childbirth. Data were analyzed using binary and multiple logistic regression. Adolescent mothers had a significantly higher proportion of PPD (37.4%) than adult mothers (20.1%) and were more likely to report low self‐esteem (13.1% vs. 8.2%) and low social support (28.3% vs. 23.3%). Factors associated with PPD differed between adolescent and adult mothers. Adolescent mothers with PPD were more likely to report household food insecurity, low self‐esteem, low knowledge of postpartum complications, and working in agriculture or professional/technical occupations. For adult mothers, factors associated with PPD included distance to the nearest health facility, medium social support, inadequate dietary diversity, and food insecurity. Results suggest that targeted interventions by age group are needed to reduce the burden of PPD in Ethiopia.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Prevalence and determinants of postpartum depression among adolescent and adult mothers in Northwest Ethiopia

Kassa,

Batchelder,

Gross

2023

Research in Nursing & Health

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“…63 In the postpartum period, maternal social support is also known to serve as a protective factor for maternal mental health. 64,65 In their study, Hatch, Swerbenski, and Gray 33 observed that the association between maternal ACEs and children’s behavioural problems postnatally was conditional on the level of maternal social support, where moderate to high levels buffered the negative impacts of maternal ACEs on children’s behaviour. Therefore, not only may social support act as a protective factor for maternal mental health, it can also prevent the intergenerational transmission of poor behavioural outcomes to children.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the association between maternal adverse childhood experiences and preschool children’s behavioural problems: a systematic review of mediators and moderators

Kurbatfinski,

Letourneau,

Dewey

et al. 2023

Clinical Medicine Insights: Psychiatry

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Background Adverse childhood experiences (ACEs) are pernicious events (e.g., physical abuse) that occur before 18 years of age within the household. Mothers’ ACEs are associated intergenerationally with their preschool children’s (two-to-five-year-old) behavioural problems, impacting lifelong mental health trajectories. Mediators (e.g., mental health) may explain how mothers’ ACEs exert their influence on children's behavioural development whereas moderators (e.g., child sex) may affect the strength and direction of the association, revealing potential points of intervention. Therefore, this study aimed to: (1) identify mediators and moderators of this association; and (2) describe and compare moderation and mediation outcomes. Methods This review (#CRD42022307214) extracted data from peer-reviewed literature formally analyzing at least one moderating or mediating variable of the association between maternal ACEs and preschool children’s behavioural problems using MEDLINE, Embase, APA PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL, SCOPUS, and Web of Science databases (n = 7). Validity was assessed using the Joanna Briggs Institute checklists. Results Thirteen full-text studies with moderate-to-high validity were identified. Most studies examined mediating variables, with unanimous support for mediation through maternal depression. The mediating roles of adult attachment styles and anxiety were conflicting. No studies examined environmental factors (e.g., neurotoxins). Conclusions Mothers’ depression is a significant contributor to children’s behavioural problems in the context of ACEs and should be a target of early intervention to prevent lifelong challenges. Future research should focus on examining more moderating variables and consider the roles of environmental factors. More research is needed on the moderating and mediating roles of genes.

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“…The themes identified within this review are consistent with other literature exploring perinatal mental health. Social support is identified in several studies exploring perinatal mental health distress in general populations and is found to be protective, reducing the impact of stress during pregnancy, and mitigating the impact of stress during the postnatal period (Lavender et al 2016;Inekwe & Lee 2022;Shorey et al 2015;Li et al 2021). Perinatal interventions that strengthen social support are therefore recommended for both preventing and treating mental health distress.…”

Section: Characteristics Of Approaches and The Cultural Continuummentioning

confidence: 99%

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

Meredith

McKerchar

Lacey

2023

Arch Womens Ment Health

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Indigenous mothers and birthing parents experience significant inequities during the perinatal period, with mental health distress causing adverse outcomes for mothers/birthing parents and their infants. Limited literature is available to inform our understanding of solutions to these issues, with research primarily focusing on inequities. Our aim was to conduct a systematic review of Indigenous approaches to treatment of perinatal mental health illness. Following the PRISMA guidelines for systematic literature reviews, an electronic search of CINAHL, Medline, PubMed, Embase, APA PsycInfo, OVID Nursing, Scopus, Web of Science, and Google Scholar databases was conducted in January and February 2022 and repeated in June 2022. Twenty-seven studies were included in the final review. A critical interpretive synthesis informed our approach to the systematic review. The work of (Yamane and Helm J Prev 43:167–190, 2022) was drawn upon to differentiate studies and place within a cultural continuum framework. Across the 27 studies, the majority of participants were healthcare workers and other staff. Mothers, birthing parents, and their families were represented in small numbers. Outcomes of interest included a reduction in symptoms, a reduction in high-risk behaviours, and parental engagement/attachment of mothers/birthing parents with their babies. Interventions infrequently reported significant reductions in mental health symptoms, and many included studies focused on qualitative assessments of intervention acceptability or utility. Many studies focused on describing approaches to perinatal mental health distress or considered the perspectives and priorities of families and healthcare workers. More research and evaluation of Indigenous interventions for perinatal mental health illness is required. Future research should be designed to privilege the voices, perspectives, and experiences of Indigenous mothers, birthing parents, and their families. Researchers should ensure that any future studies should arise from the priorities of the Indigenous population being studied and be Indigenous-led and designed.

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Perceived social support on postpartum mental health: An instrumental variable analysis

Cited by 15 publications

References 70 publications

Prevalence and determinants of postpartum depression among adolescent and adult mothers in Northwest Ethiopia

Prevalence and determinants of postpartum depression among adolescent and adult mothers in Northwest Ethiopia

Factors affecting the association between maternal adverse childhood experiences and preschool children’s behavioural problems: a systematic review of mediators and moderators

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

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