Risk factors of new onset anxiety and anxiety exacerbation in the perinatal period: A systematic review and meta-analysis

Furtado, Melissa; Chow, Cheryl H. T.; Owais, Sawayra; Frey, Benício N.; Lieshout, Ryan J. Van

doi:10.1016/j.jad.2018.05.073

Cited by 82 publications

(55 citation statements)

References 73 publications

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“…Moreover, postpartum women who experienced several complications during pregnancy were more likely to report postpartum PTSD and to report a negative experience of labor and delivery. This result is in line with other studies that have found an association between medical-obstetric dimensions of pregnancy and the subjective experience of childbirth as well as postpartum mental health (Devlin et al, 2016;Fenaroli et al, 2016Fenaroli et al, , 2019Furtado et al, 2018). Finally, women whose partners had not been present during delivery were more likely to experience both postpartum anxiety symptoms (state and trait) and PTSD thus underling the importance of (intra-partum and postpartum) partners' support in preventing postpartum psychological distress (Collins et al, 1993;Hodnett, 2002;Hodnett et al, 2011;Michels et al, 2013;Tani and Castagna, 2017).…”

Section: Discussionsupporting

confidence: 90%

“…as well as a variety of medical-obstetric variables prior to and during pregnancy (e.g., previous miscarriages, high risk pregnancy, etc.) have been found to impact on pregnant women's mental health (e.g., Devlin et al, 2016;Furtado et al, 2018). Again, a personal history of mental illness prior to pregnancy has been reported to increase the risk of developing a psychological disorder during pregnancy, thus underling the continuity of psychological disorders (Cox et al, 2014;Biaggi et al, 2016).…”

Section: Psychological Well-being Of Expectant Mothersmentioning

confidence: 99%

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Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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Section: Discussionsupporting

confidence: 90%

Section: Psychological Well-being Of Expectant Mothersmentioning

confidence: 99%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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“…Psychological distress may be experienced by first time mothers; indeed, high levels of depression and anxiety are frequent during the perinatal period, and are present in around 10–15 % of women ( Dennis et al., 2017 ; Furtado et al., 2018 ). These symptoms are known to be associated with negative short, medium and long effects for both mothers and their children ( Ammaniti et al., 2006 ; Deave et al., 2008 ; Hay et al., 2010 ; Korhonen et al., 2012 ; Loomans et al., 2011 ; Palmer et al.,.…”

Section: Introductionmentioning

confidence: 99%

Reflective parenting home visiting program: A longitudinal study on the effects upon depression, anxiety and parenting stress in first-time mothers

Vismara

Sechi

Lucarelli

2020

Heliyon

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Objective Our study aimed to investigate the effects of a reflective parenting home visiting program in first time-mothers at risk for depression, anxiety, and parenting stress, from three to 12 months after their child's birth. Study design The sample was composed by 77 first-time mothers and their healthy babies (53% boys and 47% girls). Mothers filled out the Edinburgh Postnatal Depression Scale, the State-Trait Anxiety Inventory, and the Parenting Stress Index-SF at 3, 6 and 12 months of the child. Thirty-six mothers were assigned to the experimental group and received the reflective parenting home-visiting program, the other 36 constituted the control group. Results Analyses showed a significant higher reduction in the level of depression, anxiety and parenting stress among mothers belonging to the experimental group, compared to the control group. Conclusion Our findings confirm the benefits of reflective parenting home visiting programs and underline the need to constantly evaluate the levels of depression, anxiety and parenting stress throughout the perinatal period to target effective prevention programs to foster early mother-child attachment bond.

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“…Several predisposing factors for these disorders are known. High-risk pregnancy [14], history of pre-pregnancy psychological disorders [15], stressful events during pregnancy [16], and economic and social factors [17,18], are known risk factors. The importance of identifying women at risk of depression and anxiety during pregnancy has led screening programs to be included in many prenatal care programs in developed countries [19].…”

Section: Introductionmentioning

confidence: 99%

Changes in prenatal depression and anxiety levels in low risk pregnancy among Iranian women: A prospective study

Kazemi

Dadkhah

2020

Asia-Pacific Psychiatry

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Background There is limited information on the changes in uncomplicated pregnancies. Therefore, in the present study, the changes of depression and anxiety changes in uncomplicated pregnancies during the prenatal period was evaluated. Method This longitudinal study was performed on 256 pregnant women at the beginning of the rst trimester of pregnancy. Inclusion criteria included the absence of pre-pregnancy depression and anxiety and poor pregnancy history. Exclusion criteria were the incidence of pregnancy complications. The level of their depression and anxiety at the time of entering the study were completed by self-report using the DASS questionnaire at 9-10, 11-12, 24-25, and 33-35 weeks of pregnancy. Results The results of the study indicated the effect of time on the level of perinatal depression and anxiety (p < 0.001). These ndings showed that the level of depression increased signi cantly from 9 to 24 weeks of pregnancy and decreased in the 32-34 weeks, but did not reach the level of depression at 9 weeks of pregnancy. Also, the anxiety level increased signi cantly from the onset of pregnancy to the 24 weeks gestation but did not change during the second and third trimesters. The ndings of the study showed that depression and anxiety levels in each of the pregnancy termites were related to its level in the previous trimesters. Conclusion The results of the study showed that the level of depression and anxiety of women in uncomplicated pregnancies also increases. Therefore, psychological health screenings in the second trimester of pregnancy should be performed in these women.

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Risk factors of new onset anxiety and anxiety exacerbation in the perinatal period: A systematic review and meta-analysis

Cited by 82 publications

References 73 publications

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Reflective parenting home visiting program: A longitudinal study on the effects upon depression, anxiety and parenting stress in first-time mothers

Changes in prenatal depression and anxiety levels in low risk pregnancy among Iranian women: A prospective study

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