Correlations between caregiver psychiatric symptoms and offspring psychopathology in a low-resource setting

Beyond the efficacy of transcranial magnetic stimulation in peripartum depression: A systematic review exploring perinatal safety for newborns

OBJECTIVE

Peripartum depression is defined as the onset of depressive symptoms during pregnancy or within 12 months postpartum and affects 11.9% of women. Currently, its treatment often involves psychotherapy and antidepressants, though only one medication has been specifically approved to treat it. In this context, novel, safe non-pharmacological treatment options have gained growing interest. The present review aims to assess current literature on possible side effects on the developing fetus/newborn of Transcranial Magnetic Stimulation (TMS) use in women with peripartum depression.

METHOD

A systematic search was performed using the PubMed, Scopus and Web of Science databases. PRISMA and PROSPERO guidelines were applied. The risk of bias assessment was performed using the Cochrane risk of bias tool version 2.0.

RESULTS

Twenty-three studies were included in our systematic review, two were randomized controlled trials. Eleven studies reported mothers experienced mild side effects; none of the included studies reported major side effects for newborns.

CONCLUSION

The present systematic review demonstrated that TMS use in women with peripartum depression is safe, feasible and well-tolerated by the developing fetus/newborn, with a good safety and tolerability profile even during breastfeeding.

Latent Profiles of Perceived Parental Psychopathology: Associations with Emerging Adult Psychological Problems

The understanding of the complex relations between parent and child psychopathology would be enhanced if common patterns of parental problem types or particular parent dyads were identified. The current study used latent profile analysis to allow for a person-centered approach to the examination of which parental psychopathology subgroups based on their perceived depressive, anxiety, and antisocial problems are both most common and most strongly associated with emerging adult psychopathology. Participants included 2204 emerging adults enrolled in a Southern United States university who reported on their perceptions of their parents' and their own current psychological problems. A 5-profile solution for perceived parental psychopathology was identified and represented anticipated groups (e.g., low problems, high problems, high internalizing only, high externalizing only). The largest effects of these profiles were found for emerging adult antisocial problems, and paternal profiles demonstrated larger effect sizes relative to maternal profiles. When both parents were perceived as having elevated problems, emerging adults also generally reported the highest rates of their own psychological problems. Results also suggest that perceiving as having low problems may protect against the negative effects of the other parent's antisocial problems or depressive/anxiety problems, but may not be sufficient when a parent has elevated problems across domains. Findings indicate the importance of considering varying levels of psychopathology.