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Anderson CA, Ruiz J. Depressive Symptoms Among Hispanic Adolescents and Effect on Neonatal Outcomes. HISPANIC HEALTH CARE INTERNATIONAL 2021; 20:25-32. [PMID: 33813920 DOI: 10.1177/15404153211003223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Hispanics have the highest birth rate among adolescents and may be vulnerable to experience depression. The purpose of this study was to explore the prevalence of perinatal depression and effects upon neonatal outcomes among Hispanic adolescents 13-19 years old. METHODS Available data from a previously conducted study examining the prevalence of adolescent depression and post-traumatic stress were used for the current secondary analysis. Perinatal data reflected a rating of prenatal depression and scores from the Edinburgh Postpartum Depression Scale (EPDS). Adverse infant outcomes included preterm birth, low birth weight, and neonatal complications. RESULTS Over 20% of adolescents reported an adverse infant outcome. About one third of adolescents reported perinatal depression: prenatally (14%) and postnatally (14% minor depression/12.7% major depression). Significant associations were found between EPDS scores, gestational age, and feelings during pregnancy; however, perinatal depression was not found to predict adverse infant outcomes. CONCLUSION Prenatally depressed adolescents are vulnerable to postpartum depression and if experience an adverse infant outcome, postpartum depression may be more likely reported. Therefore, prenatal- and afterbirth-focused assessments and care, including plans for follow-up, are essential.
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Affiliation(s)
- Cheryl Ann Anderson
- College of Nursing and Health Innovation, 12329The University of Texas at Arlington, TX, USA
| | - Jocelyn Ruiz
- The 12329TUniversity of Texas at Arlington, TX, USA
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Ferrari B, Mesiano L, Benacchio L, Ciulli B, Donolato A, Riolo R. Prevalence and risk factors of postpartum depression and adjustment disorder during puerperium - a retrospective research. J Reprod Infant Psychol 2020; 39:486-498. [PMID: 32584147 DOI: 10.1080/02646838.2020.1786035] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE This observational study was designed to evaluate risk factors and distribution of Adjustment Disorder (AD) and Postnatal Depression (PPD), after delivery and a positive screening at Camposampiero Hospital (2012-2017). BACKGROUND After childbirth, women are vulnerable to develop psychological disorders. Since the effects of psychopathology are relevant, prevention and early intervention are of paramount importance. Recognising risk factors is therefore necessary. METHODS Women were screened after delivery, between the 6th and 8th week, using EPDS. Depressive symptoms were examined by psychological assessment. Socio-demographic, clinical and obstetric variables were analysed to identify women at greater risk for developing perinatal psychological disorders. RESULTS Of the 3102 women screened, 14.6% resulted positive: 23.6% of them suffered from AD and 5.5% from PPD. Regarding AD, previous induced abortion, unwanted pregnancy, unemployment and family history of mental disorders were the most relevant risk factors. Higher risks for PPD were: not attending antenatal classes, unwanted pregnancy, previous psychopathology and family history of mental disorders. CONCLUSION In our study, distribution and risk factors for PPD and AD are in line with those reported in literature. Paying attention to subclinical symptoms co-related to items of EPDS helps healthcare professionals to be more sensitive in detecting suffering women.
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Affiliation(s)
- Barbara Ferrari
- Mental Health Service of Camposampiero General Hospital, ULSS6 Euganea - "Mothers without Depression", Padua, Italy
| | - Luca Mesiano
- Mental Health Service of Camposampiero General Hospital, ULSS6 Euganea - "Mothers without Depression", Padua, Italy
| | | | - Belinda Ciulli
- Mental Health Service of Camposampiero General Hospital, ULSS6 Euganea - "Mothers without Depression", Padua, Italy
| | - Arianna Donolato
- Mental Health Service of Camposampiero General Hospital, ULSS6 Euganea - "Mothers without Depression", Padua, Italy
| | - Rossana Riolo
- Mental Health Service of Camposampiero General Hospital, ULSS6 Euganea - "Mothers without Depression", Padua, Italy
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Anderson CA. Adolescent Substance Use and Effects on the Birth Experience. Issues Ment Health Nurs 2018; 39:988-997. [PMID: 30111219 DOI: 10.1080/01612840.2018.1479904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Depression, violence, and infant complications are recognized risk factors for negative birth experiences. Substance use, which often co-occurs with these risk factors, is unexplored for its role upon the birth experience. The frequency of these risk factors among childbearing adolescents suggests a need for research in this area. This study revealed direct and indirect effects by all risk factors on the adolescent's birth experience. Implications for nursing practice suggest collaboration between maternal child health and mental health nurses in prenatal, hospital, and follow-up healthcare settings to provide essential assessment of risk factors and resources and referrals across the perinatal period.
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Affiliation(s)
- Cheryl Ann Anderson
- a College of Nursing and Health Innovation , University of Texas at Arlington , Arlington , Texas , USA
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Anderson CA, Connolly JP. Predicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period. Heliyon 2018; 4:e00965. [PMID: 30519659 PMCID: PMC6260239 DOI: 10.1016/j.heliyon.2018.e00965] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 11/09/2018] [Accepted: 11/20/2018] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Adolescent childbirth continues as a public health concern, and investigation of postpartum posttraumatic stress symptoms (PTSS) and depression is important to inform future research and practice. Longitudinal studies exploring PTSS alone or in combination with depression are non-existent for postpartum adolescent populations. This study aimed to identify stress/PTSS and depression symptoms at 72 hours and three, six, and nine months postpartum, and determine if symptoms at each time point predicted later symptoms. METHODS A convenience sample of 303 adolescents 13-19 years of age were recruited from two postpartum units of one, large, public hospital. The Impact of Event Scale and the Edinburgh Postpartum Depression Inventory provided a screen of symptoms for stress/PTSS and depression at all time points. A lagged autoregressive model was developed to assess the predictive power of symptoms at each time point to the next across the extended postpartum period. RESULTS About 30% of adolescents displayed early symptoms; 20% showed symptoms at the final time point. Early symptoms did not predict symptoms at 3 months; yet, symptoms at 3 months predicted symptoms at 6-9 months. LIMITATIONS Attrition at final time points necessitated pooled data. Adolescents were primarily older, Hispanics, and recruited from one public hospital decreasing demographic representation. Use of screening tools prevented diagnostic outcomes. Unknown stressors occurring before and after pregnancy or birth may have influenced final outcomes. CONCLUSIONS Early symptoms were common and 3 month symptoms predicted later symptoms. For at risk adolescents, a plan for follow-up beyond hospital discharge is recommended.
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Affiliation(s)
- Cheryl A. Anderson
- College of Nursing and Health Innovation, University of Texas at Arlington, P.O.B 19407, Arlington, Texas, 76019, USA
| | - John P. Connolly
- Office of Information Technology, University of Texas at Arlington, P.O.B 19407, Arlington, Texas, 76019, USA
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Elkhodr S, Saba M, O'Reilly C, Saini B. The role of community pharmacists in the identification and ongoing management of women at risk for perinatal depression: A qualitative study. Int J Soc Psychiatry 2018; 64:37-48. [PMID: 29219031 DOI: 10.1177/0020764017746198] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND While pharmacists are among the most accessible primary health professionals within a mother's healthcare team to identify potential cases of perinatal depression (PND), very little in the literature suggests that this role has been explored. AIM The aim of this study was to explore community pharmacists' perspectives on their potential roles in perinatal mental health promotion (recognition and health education) and the factors affecting these roles. METHODS In total, 20 semi-structured, in-depth interviews were conducted with community pharmacists. RESULTS Most pharmacists highlighted their significant roles in recognising PND symptoms and providing medication-related support to perinatal mothers. Barriers to service provision included inter-professional role boundaries, the lack of established referral systems and service remuneration and the lack of adequate training in mental health. CONCLUSION Pharmacists could potentially reinforce their involvement in mental health promotion activities.
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Affiliation(s)
- Sabrine Elkhodr
- 1 Faculty of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia
| | - Maya Saba
- 1 Faculty of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia
| | - Claire O'Reilly
- 1 Faculty of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia
| | - Bandana Saini
- 1 Faculty of Pharmacy, The University of Sydney, Camperdown, New South Wales, Australia.,2 Woolcock Institute of Medical Research, Glebe, New South Wales, Australia
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Anderson C, Strickland S. The Influence of Acculturation on Traumatic Stress Following Childbirth Among Hispanic Adolescents. HISPANIC HEALTH CARE INTERNATIONAL 2017; 15:99-106. [PMID: 29164933 DOI: 10.1177/1540415317717410] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
INTRODUCTION Many studies have explored the role of acculturation on health outcomes; however, no studies to date have examined relationships between acculturation and the traumatic stress of childbirth among Hispanic adolescents. METHOD A convenience sample of 66 Hispanic adolescents 13 to 19 years of age completed the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II), a demographic sheet, birth appraisal scale, and the Impact of Event Scale within 72 hours of birth. RESULTS Significant associations were found between the ARSMA-II subscales and acculturation proxy variables, excluding language; however, only the Mexican Orientation Subscale and generation proxy variable influenced the birth experience. The study findings showed that Hispanic adolescents reporting a more traumatic childbirth identified closer with the Mexican culture and reported fewer family generations residing in the United States. CONCLUSION As an overlooked area of research, our findings support the need for additional research related to the traumatic stress of birth among Hispanic adolescents. Using multiple acculturation measurements, including the ARSMA-II, with larger, more diverse samples of adolescents, equally balanced between all categories of acculturation and placement within the five-tier generation matrix, can provide some insightful information and directed health care.
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Affiliation(s)
- Cheryl Anderson
- 1 College of Nursing and Health Innovation, Arlington, TX, USA
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Ceballos M, Wallace G, Goodwin G. Postpartum Depression among African-American and Latina Mothers Living in Small Cities, Towns, and Rural Communities. J Racial Ethn Health Disparities 2016; 4:10.1007/s40615-016-0295-z. [PMID: 27761728 DOI: 10.1007/s40615-016-0295-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 09/13/2016] [Accepted: 10/03/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND The presence of postpartum depression can lead to poor maternal-child attachment, failure to thrive, and even infant death. Postpartum depression affects 13-19 % of parturients. However, among racial and ethnic minority parturients, postpartum depression rates have been shown to reach up to 35-67 % (as reported by O'Hara and McCabe, Annu Rev Clin Psychol 9:379-407, 2013; Boury et al., Women Health. 39(3):19-34, 2004; Ramos-Marcuse et al.. J Affect Disord. 122(1-2):68-75, 2010; Lucero et al., J Am Acad Nurse Pract. 24(12):726-34, 2012). This is more concerning when considering the fact that these mothers are also hardest to reach because they are usually marginalized and displaced within mainstream US society. The current study assesses potential risk factors that contribute to postpartum depression among African-American and Latina mothers. METHODS We analyze data from 3317 Healthy Start participants living in small cities, towns, and rural areas in Pennsylvania using a logistic regression analysis controlling for known contributing risk factors, including maternal health, family life, social support, socioeconomic and demographic characteristics, and community of residence. We use a multiple imputation multivariate analysis to account for the potential effects of missing data. RESULTS The results show that the odds of a risk of postpartum depression is nearly 80 and 40 % greater for African-American (OR = 1.80, p < .001) and Latina mothers (OR = 1.41, p < .01), respectively, as compared to white mothers. While the higher risks of postpartum depression for Latinas is explained in part by socioeconomic status, community of residence, and immigrant status, the significantly higher risk among African-American mothers cannot be completely ameliorated by the controlled variables. Our study highlights the need for further research into the impact of social and environmental stressors on postpartum depression among racial and ethnic minority populations living in small cities, towns, and rural areas.
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Affiliation(s)
- Miguel Ceballos
- Department of Anthropology and Sociology, West Chester University of Pennsylvania, 102 Old Library Building, West Chester, PA, 19380, USA.
| | - Gail Wallace
- Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA
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Norhayati MN, Nik Hazlina NH, Aniza AA, Asrenee AR. Severe Maternal Morbidity and Postpartum Depressive Symptomatology: A Prospective Double Cohort Comparison Study. Res Nurs Health 2016; 39:415-425. [DOI: 10.1002/nur.21741] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2016] [Indexed: 12/19/2022]
Affiliation(s)
- Mohd Noor Norhayati
- Associate Professor; Department of Family Medicine; School of Medical Sciences; Universiti Sains Malaysia; 16150 Kota Bharu Kelantan Malaysia
| | - Nik Hussain Nik Hazlina
- Women's Health Development Unit; School of Medical Sciences; Universiti Sains Malaysia; Kota Bharu Kelantan Malaysia
| | - Abd Aziz Aniza
- Faculty of Medicine; Universiti Sultan Zainal Abidin; Kuala Terengganu Terengganu Malaysia
| | - Ab Razak Asrenee
- Department of Psychiatry; School of Medical Sciences; Universiti Sains Malaysia; Kota Bharu Kelantan Malaysia
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INITIAL VALIDATION OF THE ASSESSMENT OF PARENTING TOOL: A TASK- AND DOMAIN-LEVEL MEASURE OF PARENTING SELF-EFFICACY FOR PARENTS OF INFANTS FROM BIRTH TO 24 MONTHS OF AGE. Infant Ment Health J 2016; 37:222-34. [DOI: 10.1002/imhj.21567] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
BACKGROUND The childbirth experience can be a wonderful event, or one of horror. One in 3 adult mothers appraises her childbirth experience as traumatic, with up to 10% of women reporting a severe traumatic stress response post-delivery. The impact of the birth experience on adolescents is unknown. METHODS Eighty-five Latinas ages 13 to 19 appraised their childbirth experience and reported symptoms of trauma impact as measured via the Impact of Event Scale (IES) within 72 hours of delivery. Descriptive statistics included demographic, obstetrical, and personal factors, and trauma scores. ANOVAs were used to examine differences in birth appraisal and trauma impact by demographic, obstetrical, and personal factors. Spearman rho and Pearson's r was used to compute correlations between birth appraisal, depression, and trauma impact. RESULTS One-third of adolescents appraised their childbirth as traumatic; one-half displayed symptoms of trauma impact. Items influencing appraisal of the birth experience included marital status, fear of dying, fear of loss of control, and partner violence. Birth appraisal and symptoms of depression were found to influence trauma impact. CONCLUSIONS One-third of teens appraised childbirth as traumatic with 50% displaying symptoms suggestive of acute trauma at immediate postpartum. Nursing recommendations focus on providing a non-traumatic birth experience and follow-up by mental health professionals for assessment of potential chronic trauma, posttraumatic stress and depression. Teens can enter labor and delivery with stressors, depression, and past traumas; collaboration of care between maternal-child and mental health professionals is encouraged.
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Affiliation(s)
- Cheryl Anderson
- University of Texas at Arlington, School of Nursing, Arlington, Texas 76019, USA.
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Applying new techniques to an old ally: A qualitative validation study of the Edinburgh Postnatal Depression Scale. Women Birth 2009; 22:17-23. [DOI: 10.1016/j.wombi.2008.10.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2008] [Revised: 10/17/2008] [Accepted: 10/23/2008] [Indexed: 11/22/2022]
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Chaudron LH, Szilagyi PG, Campbell AT, Mounts KO, McInerny TK. Legal and ethical considerations: risks and benefits of postpartum depression screening at well-child visits. Pediatrics 2007; 119:123-8. [PMID: 17200279 DOI: 10.1542/peds.2006-2122] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Pediatric professionals are being asked to provide an increasing array of services during well-child visits, including screening for psychosocial and family issues that may directly or indirectly affect their pediatric patients. One such service is routine screening for postpartum depression at pediatric visits. Postpartum depression is an example of a parental condition that can have serious negative effects for the child. Because it is a maternal condition, it raises a host of ethical and legal questions about the boundaries of pediatric care and the pediatric provider's responsibility and liability. In this article we discuss the ethical and legal considerations of, and outline the risks of screening or not screening for, postpartum depression at pediatric visits. We make recommendations for pediatric provider education and for the roles of national professional organizations in guiding the process of defining the boundaries of pediatric care.
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Affiliation(s)
- Linda H Chaudron
- Department of Psychiatry, University of Rochester School of Medicine, 300 Crittenden Blvd, Rochester, NY 14642, USA.
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