Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study

Helle, Nadine; Barkmann, Claus; Ehrhardt, Stephan; Bindt, Carola

doi:10.1016/j.jad.2018.04.013

Cited by 52 publications

(48 citation statements)

References 26 publications

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“…One of the most frequent consequences for maternal mental health is a heightened risk of experiencing different kinds of symptoms, such as traumatic stress symptomatology, depression, anxiety and acute stress disorder (Koutra et al, 2013;Rogers et al, 2013;Pace et al, 2016). In fact, preterm birth is a potential traumatic event for mothers, especially when the baby is VLBW or ELBW (Helle et al, 2018). Symptoms of depression and anxiety can also persist in parents (Pace et al, 2016) due to cumulative stress and daily challenges in learning the baby's signals and how to reply to his/her needs sensitively.…”

Section: Introductionmentioning

confidence: 99%

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Developmental Dimensions in Preterm Infants During the 1st Year of Life: The Influence of Severity of Prematurity and Maternal Generalized Anxiety

et al. 2020

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Background: The literature has recognized premature birth as a risk factor for infant development and maternal anxiety. This study investigated the impact of the severity of birth weight, as well as of maternal anxiety at 3 months of infants' corrected age, on infants' outcomes during the 1st year postpartum. Moreover, it described the longitudinal trajectories of developmental outcomes, additionally exploring the impact of anxiety. Methods: The study compared 147 mothers and their 147 newborns, differentiated in 25 Extremely Low Birth Weight (ELBW), 41 Very Low Birth Weight (VLBW), and 81 Full-Term (FT) infants. At 3, 9, and 12 months (corrected age in the case of preterm infants) the level of infants' development was investigated according to the 5 quotients (Locomotor, Personal and Social, Hearing and Language, Eye-hand Coordination and Performance) of the Griffiths Mental Development Scales (GMDS-R). During the assessment of 3 months, mothers fulfilled Penn State Worry Questionnaire (PSWQ) to evaluate the presence of generalized anxiety. Results: Among the 5 GMDS-R quotients, significant effect of severity of birth weight emerged only for Performance quotient: preterm infants (ELBW at 3 months; VLBW at 12 months) showed lower scores than FT ones. Moreover, this quotient decreased from 3 to 9 and to 12 months for VLBW and FT infants, while it was stable for ELBW ones. A significant interaction between severity of birth weight and maternal anxiety emerged for Hearing and Language and Locomotor quotients. In the first case, scores for ELBW infants, independently from maternal anxiety, decreased from 9 to 12 months. The same results emerged for VLBW infants, in the case of non-anxious mothers. Regarding Locomotor quotient, mean scores decreased from 3 to 9 and to 12 months for all groups in the case of non-anxious mothers. Conversely, when mothers were anxious, this decrease emerged only for VLBW infants. Lastly, ELBW, VLBW and FT showed difference in the growth and slope of the trajectories of different quotients.

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Section: Introductionmentioning

confidence: 99%

“…In fact, VLBW has been recognized as a relevant risk factor for preterm babies' mothers, increasing the risk of being postnatally depressed from 4 to 18 times (Helle et al, 2015). Also, VLBW mothers showed a higher risk of developing acute stress disorder and high levels of posttraumatic stress symptoms (Helle et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Developmental Dimensions in Preterm Infants During the 1st Year of Life: The Influence of Severity of Prematurity and Maternal Generalized Anxiety

et al. 2020

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“…These statistics yield important contextual information about the risks associated with being a male LBW baby, especially several decades ago. Importantly, parents of LBW babies were at an increased risk for mental distress symptoms 47 , and interactions of mothers and their preterm infants differed from those of mothers with offspring who had been born to term 48 . In a Canadian study of extremely low birth weight survivors, overprotective parental behavior was related to the presence of anxiety, alcohol and substance abuse disorders in adulthood 49 .…”

Section: Discussionmentioning

confidence: 99%

Sex-dependent associations of low birth weight and suicidal ideation in adulthood: a community-based cohort study

Ernst

Reiner

Fieß

et al. 2020

Sci Rep

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Low birth weight (LBW; < 2,500 g) has been identified as a risk factor for adverse mental health outcomes over the life span. However, little is known about the association of LBW and suicidal ideation in middle and late adulthood. We investigated N = 8,278 participants of a representative community cohort: 3,849 men (46.5%) and 4,429 women (53.5%) (35-74 years of age). We assessed standardized measures of mental distress, sociodemographics, health behavior, and somatic factors (based on an extensive medical assessment). Controlling for these confounders, we examined the relationship of birth weight and suicidal ideation in logistic regression models. As men and women differ with regard to their susceptibility to suicidal ideation and behavior, we tested sex-dependent effects. LBW was reported by 458 participants (5.5%). In men, LBW was associated with a higher likelihood of reporting suicidal ideation (OR 2.92, 95% CI 1.58-5.12). In women, there was no such relationship. The findings underscore the interrelatedness of the physical and psychological domain, the role of early adversity in suicidal ideation, and they identify a vulnerable group whose numbers are expected to grow. they also indicate other risk factors for suicidal ideation in the community (mental distress, lack of social support, and health risk behavior). Suicide is a major mental health problem which annually accounts for more than 150,000 deaths in Europe and 800,000 deaths worldwide. In many countries, rates of death by suicide are currently on the rise in numerous populations 1. Thus, paramount aims of research are the identification of risk factors and the advancement of explanatory models in order to better recognize those at risk and to provide evidence-based prevention and intervention efforts. This is still a difficult task 2 as the etiology of suicidal ideation and behavior is complex. Diverse biological, social, and psychological variables play a role 3 , and some established risk factors (such as higher age, male sex, and mental disorders, including drug/alcohol abuse disorders) are very common in the community 2 .

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“…Among those subjects, 1,173 participated in the second survey, and 636 participated in the first, second, and eighth surveys. Then, the subjects who omitted > 20% of items on the IES-R items or potential risk factors were excluded based on previous studies 21 – 23 , and those who omitted > 50% of items on the questionnaire were also excluded based on the literature reviewed 24 – 26 .…”

Section: Methodsmentioning

confidence: 99%

Machine learning to reveal hidden risk combinations for the trajectory of posttraumatic stress disorder symptoms

Takahashi

Yoshizoe

Ueki

et al. 2020

Sci Rep

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The nature of the recovery process of posttraumatic stress disorder (PTSD) symptoms is multifactorial. The Massive Parallel Limitless-Arity Multiple-testing Procedure (MP-LAMP), which was developed to detect significant combinational risk factors comprehensively, was utilized to reveal hidden combinational risk factors to explain the long-term trajectory of the PTSD symptoms. In 624 population-based subjects severely affected by the Great East Japan Earthquake, 61 potential risk factors encompassing sociodemographics, lifestyle, and traumatic experiences were analyzed by MP-LAMP regarding combinational associations with the trajectory of PTSD symptoms, as evaluated by the Impact of Event Scale-Revised score after eight years adjusted by the baseline score. The comprehensive combinational analysis detected 56 significant combinational risk factors, including 15 independent variables, although the conventional bivariate analysis between single risk factors and the trajectory detected no significant risk factors. The strongest association was observed with the combination of short resting time, short walking time, unemployment, and evacuation without preparation (adjusted P value = 2.2 × 10−4, and raw P value = 3.1 × 10−9). Although short resting time had no association with the poor trajectory, it had a significant interaction with short walking time (P value = 1.2 × 10−3), which was further strengthened by the other two components (P value = 9.7 × 10−5). Likewise, components that were not associated with a poor trajectory in bivariate analysis were included in every observed significant risk combination due to their interactions with other components. Comprehensive combination detection by MP-LAMP is essential for explaining multifactorial psychiatric symptoms by revealing the hidden combinations of risk factors.

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Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study

Cited by 52 publications

References 26 publications

Developmental Dimensions in Preterm Infants During the 1st Year of Life: The Influence of Severity of Prematurity and Maternal Generalized Anxiety

Developmental Dimensions in Preterm Infants During the 1st Year of Life: The Influence of Severity of Prematurity and Maternal Generalized Anxiety

Sex-dependent associations of low birth weight and suicidal ideation in adulthood: a community-based cohort study

Machine learning to reveal hidden risk combinations for the trajectory of posttraumatic stress disorder symptoms

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