Prevalence and correlates of perinatal depression

Al-Abri, Khalood; Edge, Dawn; Armitage, Christopher J.

doi:10.1007/s00127-022-02386-9

Cited by 46 publications

(20 citation statements)

References 69 publications

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“…Confirmation of the findings described in our earlier work [30] was found in review papers published in the past 4 years ([9,34 ▪ ,72,73 ▪▪ ,74 ▪▪ ,75–80,81 ▪ ]. Alteration or disruption in the parent-infant relationship has been mentioned in several reviews, including a review on effects of perinatal interventions on parent anxiety, infant socio-emotional development and parent-infant relation outcomes [82].…”

Section: Perinatal Mental Health and Offspring Outcome: Results Mecha...supporting

confidence: 70%

Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation

Van den Bergh,

Antonelli,

Stein

2024

Current Opinion in Psychiatry

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Purpose of review Perinatal mental health research provides an important perspective on neurobehavioral development. Here, we aim to review the association of maternal perinatal health with offspring neurodevelopment, providing an update on (self-)regulation problems, hypothesized mechanistic pathways, progress and challenges, and implications for mental health. Recent findings (1) Meta-analyses confirm that maternal perinatal mental distress is associated with (self-)regulation problems which constitute cognitive, behavioral, and affective social-emotional problems, while exposure to positive parental mental health has a positive impact. However, effect sizes are small. (2) Hypothesized mechanistic pathways underlying this association are complex. Interactive and compensatory mechanisms across developmental time are neglected topics. (3) Progress has been made in multiexposure studies. However, challenges remain and these are shared by clinical, translational and public health sciences. (4) From a mental healthcare perspective, a multidisciplinary and system level approach employing developmentally-sensitive measures and timely treatment of (self-)regulation and coregulation problems in a dyadic caregiver-child and family level approach seems needed. The existing evidence-base is sparse. Summary During the perinatal period, addressing vulnerable contexts and building resilient systems may promote neurobehavioral development. A pluralistic approach to research, taking a multidisciplinary approach to theoretical models and empirical research needs to be fostered.

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Section: Perinatal Mental Health and Offspring Outcome: Results Mecha...supporting

confidence: 70%

Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation

Van den Bergh,

Antonelli,

Stein

2024

Current Opinion in Psychiatry

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“…This contrasts starkly with perinatal depression. A recent publication found 128 META analyses of PND [12]. It is clear that the small number of studies of perinatal BPD in only a few countries needs replication more widely and systematically.…”

Section: Prevalencementioning

confidence: 99%

The Management of Perinatal Borderline Personality Disorder

Sved Williams,

Hill

2023

JCM

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Borderline personality disorder (BPD) is highly prevalent in clinical perinatal mental health settings, although there are few systematic programmes to identify BPD at this time. Retrospective studies show compromised birth outcomes for women with this condition, and several authors have highlighted a significant range of problem outcomes for offspring identifiable from early infancy through the adult years, including the intergenerational transfer of mental health problems from mother to child. A literature review identifies the varying prevalence rates found in non-clinical and clinical settings and the paucity of published studies on the management of perinatal BPD, in particular focused both on the mother and mother-infant relationships. A case study is presented to show both the potential benefits of inpatient mother-baby unit protocols and of specialised longer-term group therapy. Many knowledge gaps can be identified for further clinical research that could potentially benefit families with perinatal BPD, including systematic identification of perinatal BPD and intensive programmes that not only could perhaps improve birth outcomes but also provide skills to mothers to help with their emotional regulation and potentially improve mother-infant relationships and longer-term offspring developmental pathways.

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“…Prenatal depression is highly prevalent, yet it exhibits significant variability across diverse populations and cultures, as evidenced by systematic reviews indicating rates ranging from 15% to 28.5% (Al-abri et al, 2023;Roddy Mitchell et al, 2023;Yin et al, 2021). In the absence of a universally accepted prevention strategy, the identification of risk factors is vital for early detection.…”

Section: Introductionmentioning

confidence: 99%

The Relationships Between Multidimensional Symptom Burden, Adaptation, and Depression During Pregnancy: A Cross-sectional Study

Wu,

Lee,

Tsai

et al. 2024

Clin Nurs Res

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Prenatal depression is highly prevalent, but its relationship with the multidimensional burden of physical symptoms during pregnancy remains underexplored. The aim of this study was to examine the relationship between pregnancy-related physical symptom burden, including frequency, severity, and impact on life and pregnancy adaptation to prenatal depression, and to identify predictors of depression during pregnancy. The study was cross-sectional in design. A hospital-based setting providing comprehensive maternity care services from outpatient to inpatient. The sample consisted of two hundred forty-three pregnant individuals aged 20 and above with no major obstetrical complications. Structured questionnaires including demographic and obstetrical characteristics, depression, symptom burden, and pregnancy adaptation were used for data collection. Multiple linear regression analyses were performed to identify significant predictors of depression. The study revealed that approximately 32% of the variance in depression scores could be explained by the combined effects of pregnancy-related physical symptom burden and pregnancy adaptation. Specifically, low-level pregnancy adaptation, high-level symptom impact on life, unmarried status, and mid-level symptom severity were identified as the main predictors of prenatal depression among low-risk pregnant individuals. The findings contribute to the existing knowledge base, emphasizing the significance of addressing and managing pregnancy-related physical symptom burden while promoting effective adaptation to pregnancy as a means to mitigate the risk of prenatal depression.

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Prevalence and correlates of perinatal depression

Cited by 46 publications

References 69 publications

Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation

Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation

The Management of Perinatal Borderline Personality Disorder

The Relationships Between Multidimensional Symptom Burden, Adaptation, and Depression During Pregnancy: A Cross-sectional Study

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