Virtual psychiatric care for perinatal depression (Virtual-PND): a pilot randomized controlled trial - Dalfen A, Wasserman L, Benipal PK, Lawson A, Young B, de Oliveira C, Hensel J, Dennis CL, Vigod SN.

OBJECTIVEs Barriers to in-person mental health care are common in pregnant and postpartum women with depression. We assessed the feasibility of a trial protocol for evaluating the use of secure, in-home synchronous virtual psychiatric care. Methods In ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

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ConclusionsThe included guidelines recommend screening and/or counselling for the majority of the topics addressed. The results of the report can be used as a basis for decision-making for updating national antenatal care and screening programmes.Key messagesThe majority of the included evidence-based guidelines strongly recommend addressing mental health issues during pregnancy and after birth by offering screening and/or counselling.The recommendations from evidence-based guidelines can serve as a decision support for developing national antenatal and postnatal care programmes.
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
Abstract Evidence has documented how migrant women, and particularly refugees and asylum seekers, are at increased risk of experiencing mental disorders and symptoms during pregnancy and after birth (0-12 months), in part explained by their disproportionate exposure to social marginalization, socioeconomic challenges, acculturative stress, and pre-migration traumatic exposures. Postnatal depression, the most common disorder, may affect up to 40% of migrant women, compared to around 10-15% of women in the host populations. Compromised mental health during pregnancy and early childhood can affect the mother-child bond a...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
AbstractMigration is known to affect an individual's health and social status, and migrant women who are pregnant or postpartum are known to be at high risk of adverse health and social outcomes. They are at particularly high risk of mental disorders, especially perinatal depression (PND). Previous studies have demonstrated the prevalence of PND may be higher amongst migrant women when compared to the general population. The determinants of perinatal mental disorders amongst migrant women are complex and may include social isolation, discrimination, poor healthcare access, and low levels of emotional and practical support....
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
AbstractBackgroundChildhood sleep problems have been associated with adjustment difficulties; furthermore, early-onset sleep problems may persist over the life course. Exposure to stress during pregnancy may be a risk factor for developing sleep problems in childhood due to its effect on the stress reactivity in the child. In the current study, we examined the association between prenatal stressful life events (SLE) and childhood sleep problems, paying attention to their trajectory over time.MethodsData were obtained from the European Longitudinal Cohort Study of Pregnancy and Childhood (ELSPAC-CZ; N = 4,371 mother-child d...
Source: The European Journal of Public Health - Category: General Medicine Source Type: research
In this study, we explored the possible association of inflammatory markers with perinatal depression (PND), measuring serum levels of cytokines (IL-6, TNF-a, IFN-γ), acute phase proteins (CRP), erythrocyte sedimentation rate (ESR), cortisol and brain-derived neurotrophic factor (BDNF) in women at the second trimester of pregnancy. Moreover, we tested whether the biological markers were correlated with the severity of PND, trauma history and resilience level.METHODS: Seventy-nine women including two groups of patients (women with PND at the second trimester of pregnancy with and without history of trauma) and two hea...
Source: Rivista di Psichiatria - Category: Psychiatry Authors: Source Type: research
In this study, 480 cases of normal primiparas who had regular prenatal examination and delivered in hospital were selected as the research object. The Hospital Anxiety and Depression Scale (HAD) was used to record the depressive anxiety state of all study subjects in the third trimester, and we analyzed the effects of age, education background of pregnant women and their spouses, the nature of jobs, family income, prenatal and pregnancy health status, medical insurance status, attend pregnant women's school, and accompanying status of family member on their depressive anxiety state. The influence of depression and anxiety ...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Authors: Source Type: research
CONCLUSIONS: We describe potential psychological risk factors to maternal-infant bonding among postpartum women during the pandemic period. To best support the medical and psychological well-being of the mothers and infants, enhanced interdisciplinary partnerships among perinatal healthcare professionals involved in primary and/or specialty care is needed.IMPACT: Unique COVID-19-related health and grief concerns exist, with implications for maternal-infant bonding. Depression but not anxiety is associated with lower maternal-infant bonding. Caregiving confidence, but not social support, is associated with higher maternal-i...
Source: Pediatric Research - Category: Pediatrics Authors: Source Type: research
CONCLUSIONS: Perinatal women reported decreased social support during the COVID-19 pandemic which was associated with poorer mental health. Using virtual means of social support and support provided by friends had the largest positive effect on perceived social support levels.IMPLICATIONS FOR PRACTICE: Interventions using virtual support means from friends may be helpful to improve social support and mental health in this population.PMID:34649034 | PMC:PMC8485715 | DOI:10.1016/j.midw.2021.103162
Source: Midwifery - Category: Midwifery Authors: Source Type: research
CONCLUSIONS: We describe potential psychological risk factors to maternal-infant bonding among postpartum women during the pandemic period. To best support the medical and psychological well-being of the mothers and infants, enhanced interdisciplinary partnerships among perinatal healthcare professionals involved in primary and/or specialty care is needed.IMPACT: Unique COVID-19-related health and grief concerns exist, with implications for maternal-infant bonding. Depression but not anxiety is associated with lower maternal-infant bonding. Caregiving confidence, but not social support, is associated with higher maternal-i...
Source: Pediatric Research - Category: Pediatrics Authors: Source Type: research
AbstractAlthough prior research has examined associations between blood pressure (BP), depression, and suicidal ideation, few studies have examined this in high-risk populations such as pregnant women with HIV (WHIV). The current study examined the association of BP with depression and suicidal ideation among pregnant WHIV (n  = 217) in rural South Africa. BP data (measured ≤ 1 month before the study visit) was extracted from medical records. Depressive symptomatology and suicidal ideation were assessed using the Edinburgh Postnatal Depression Scale. Diastolic BP was positively associate...
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research
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