5.1 PRENATAL MINDFULNESS INTERVENTIONS THAT IMPROVE MATERNAL MENTAL HEALTH CAN ALSO IMPROVE INFANT STRESS PHYSIOLOGY AND BEHAVIORAL REGULATION IN A LOW-INCOME, MULTI-ETHNIC, HIGH-STRESS SAMPLE

Author(s):  
Nicole Bush
2003 ◽  
Vol 21 (1) ◽  
pp. 303-331 ◽  
Author(s):  
LINDA S. BEEBER ◽  
MARGARET SHANDOR MILES

Maternal mental health is a key factor affecting the quality of parenting and, ultimately, a child’s developmental outcomes. Thus, the persistence of mental health problems such as chronic depressive symptoms or addiction in low-income mother-child dyads may be the critical determinant of their collective future. This review examines the research conducted by nurses that focuses on maternal mental health, mothering, and child outcomes in the context of rearing children in poverty. Multiple methods were used for the search. Four programs showed evidence of sustained, related studies focused on the mental health of low-income mothers and their parenting. Two of these programs included intervention studies aimed at improving the mental health of mothers and developmental outcomes for their children. There were four newer programs of research in which the research teams had begun to focus on mothers rearing children in poverty and five other researchers who conducted single studies of maternal mental health. Additionally, two investigators focused on mothers who were prisoners, one team focused on homeless mothers, and another on mothers with HIV. Studies were critiqued using a developmental science framework. Studies varied widely in the degree to which they used developmentally based conceptual frameworks, designs, and measures. While nurse scientists have made progress in conducting research with mothers rearing children in poverty, there is an urgent need for more developmentally sensitive research aimed at strengthening maternal mental health and assisting mothers to be more effective parents in the midst of the challenges of poverty and welfare reform. By doing so, nursing interventions can improve the child’s developmental outcomes.


BMJ ◽  
2004 ◽  
Vol 328 (7443) ◽  
pp. 820-823 ◽  
Author(s):  
Vikram Patel ◽  
Atif Rahman ◽  
K S Jacob ◽  
Marcus Hughes

2010 ◽  
Vol 7 (3) ◽  
pp. 74-76
Author(s):  
Carol Henshaw

For many women, pregnancy and childbirth are not without substantial risk in terms of new-onset, recurrent or existing mental disorder. This has consequences not only in terms of poor maternal mental health but also in terms of increased pregnancy- and delivery-related morbidity and can have a significant negative impact on the wellbeing of the fetus or neonate. New-onset disorders such as postnatal depression and puerperal psychosis have been recognised for some considerable time but it is also becoming apparent that, with the exception of anorexia nervosa, severe intellectual disability and possibly schizophrenia, conception rates among women with all types of mental disorder are the same as those in the general population. In high-income countries, the widespread use of atypical antipsychotics, most of which do not impair reproductive function, may lead to increased conception rates in women with schizophrenia. In addition, pregnancy and childbirth are multifactorial stressors which may render women with previous mental disorders vulnerable to a recurrence. Hence it is no surprise that studies in urban, low-income and ethnically diverse populations in the USA estimate that around a third of pregnant women are suffering from a mental disorder when substance misuse is included (e.g. Kim et al, 2006).


Author(s):  
Julián Reyes Vélez ◽  
Anika Tabassum ◽  
Antonio Bolufe-Rohler ◽  
Alexander Alvarez ◽  
Kai Liu ◽  
...  

LAY SUMMARY This research explored the demographic, military service, and health characteristics associated with cannabis for medical purposes (CMP) reimbursements among Veterans Affairs Canada (VAC) clients and respondents of the Life After Service Survey 2016 (LASS). Of the initial number of indicators selected contained in LASS 2016 survey, some specific variables were significantly associated with CMP reimbursement, from which physical/mental health and well-being indicators, such as anxiety, posttraumatic stress disorder (PTSD), depression, bowel ulcer, traumatic brain injury, chronic pain, needing help with tasks, psychological distress, and having three of more conditions of the PTSD diagnosis, were positively associated with CMP. Moreover, unemployment, having low income (< $5,000), a difficult adjustment, being very dissatisfied with life, having low social support, a weak community belonging, and reporting high stress also increased the odds of being reimbursed. These results will help to identify a preliminary profile of VAC clients with higher need for CMP reimbursement.


2020 ◽  
Author(s):  
Sarah Dib ◽  
Emeline Rougeaux ◽  
Adriana Vázquez-Vázquez ◽  
Jonathan CK Wells ◽  
Mary Fewtrell

Background: Depression and anxiety affect up to 20% of new and expectant mothers during the perinatal period; this rate may have increased due to COVID-19 and lockdown measures. This analysis aimed to assess how mothers are feeling and coping during lockdown, and to identify the potential pathways that can assist them. Methods: 1329 women living in the UK aged ≥18 years with an infant ≤12 months of age completed an anonymous online survey. Descriptive analysis of maternal mental health, coping, support received, activities undertaken and consequences of lockdown was conducted. Linear regression was used to predict maternal mental health and coping, using activities, support, and consequences of the lockdown as predictors, while adjusting for age, gestational age, ethnicity, income, marital status and number of children. Results: More than half of the participants reported feeling down (56%), lonely (59%), irritable (62%) and worried (71%), to some or high extent since lockdown began. Despite this, 70% felt able to cope with the situation. Support with her own health (95% CI .004, .235), contacting infant support groups (95% CI -.003, .252), and higher infant gestational age (95% CI .000, .063) predicted better mental health. Travelling for work (95% CI -.680, -.121), lockdown having a major impact on the ability to afford food (95% CI -1.202, -.177), and having an income lower than 30k (95% CI -.475, -.042) predicted poorer mental health. Support with her own health and more equal division of household chores were associated with better coping. Conclusion: During lockdown, a large proportion of new mothers experienced symptoms of poor mental health; mothers of infants with lower gestational age, with low income, and who are travelling to work were particularly at risk. However, greater support for maternal health and with household chores showed positive associations with maternal mental health and coping. These findings highlight the urgent need to assess maternal mental health, and to identify prevention strategies for mothers during different stages of lockdown.


2009 ◽  
Vol 6 (4) ◽  
pp. 81-83 ◽  
Author(s):  
Atif Rahman ◽  
Siham Sikander

There is now an increased awareness of the high rates of depression among women with young children in impoverished communities. Poor maternal mental health affects the home environment, family life, child care and parenting. This paper summarises some of the issues related to the determinants, consequences and management of maternal mental health during and after pregnancy in Pakistan, a low-income country.


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