scholarly journals Spillover Effects of Early-Life Medical Interventions

2020 ◽  
pp. 1-46
Author(s):  
N. Meltem Daysal ◽  
Marianne Simonsen ◽  
Mircea Trandafir ◽  
Sanni Breining
Keyword(s):  
Mental Health ◽  
Test Scores ◽  
Early Life ◽  
Very Low Birth Weight ◽  
Maternal Mental Health ◽  
Spillover Effects ◽  
Regression Discontinuity Design ◽  
Medical Treatments ◽  
Medical Interventions ◽  
The Family

We investigate the effects of early-life medical treatments on the treated children and their families. We use a regression discontinuity design that exploits changes in medical treatments across the very low birth weight (VLBW) cutoff. Using administrative data from Denmark, we establish that VLBW children have better health and higher test scores. We find that these benefits spill over to other family members: mothers enjoy better mental health and siblings have higher test scores. Maternal mental health improvements seem to be driven by better focal child health, and sibling spillovers by improved interactions within the family and parental compensating behavior.

scholarly journals Influence of early life exposure to social disadvantages on deliberate self-harm (DSH) among children of parents with mental health disorders

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Nan Hu ◽  
Catherine Taylor ◽  
Rebecca Glauert ◽  
Jianghong Li ◽  
Janice Wong
Keyword(s):  
Mental Health ◽  
Early Life ◽  
Maternal Mental Health ◽  
Mental Health Disorders ◽  
Mental Health Disorder ◽  
Socioeconomic Disadvantage ◽  
Teen Mother ◽  
Parental Mental Health ◽  
Early Life Exposure ◽  
Health Disorders

ABSTRACTIntroductionIt is well established that parental mental health disorders increase children’s risk of deliberate self-harm (DSH). However, little is known about how early life exposure to social disadvantage influences DSH among children whose parents have a mental health disorder. AimsTo examine how early life exposure to high neighbourhood socioeconomic disadvantage and having a teen mother influence the DSH risk among children whose parents have a mental health disorder. MethodsThis study was based on the linkage of population-level records routinely collected by government agencies in Western Australia. A birth cohort including 474,860 non-Aboriginal individuals born between 1981 and 2001 was followed up until 2011. A nested case-control sample was compiled from the birth cohort for data analysis. A total of 7,151 people with DSH-related contacts (cases) and 143,020 matched controls were analysed. Conditional logistic regression models were utilised in this study. ResultsExposure to high neighbourhood socioeconomic disadvantage was associated with additionally increased odds of DSH among children exposed to maternal mental health disorders during early childhood (1-4 years) (OR=1.75, 95%CI:1.30-2.36, p<0.001). However, this was not observed for children exposed to maternal mental health disorders during late childhood (5-9 years) or adolescence (10-19 years). Comparatively, exposure to high socioeconomic disadvantage was related to additionally increased odds of DSH among children exposed to paternal mental health disorders during adolescence (10-19 years) (OR=2.25, 95%CI:1.60-3.16, p<0.001), but not childhood. Having a teen mother was significantly associated with additionally increased odds of DSH, regardless of when the parental mental health disorders occurred. Children with a teen mother and early life exposure to socioeconomic disadvantage were at additionally increased odds of DSH, compared to children with only one form of disadvantage (OR=1.51,95%CI:1.07-2.12%,p=0.018) among children exposed to parental mental health disorders during childhood, but not during adolescence. Conclusion Among children of parents with mental health disorders, early life exposure to social disadvantage is not uncommon, and confers additionally increased risk of DSH. Therefore, preventive strategies need to be based on joint actions involving both social and health services, and need to incorporate child mental health interventions into adult mental health services. The cross-cutting efforts would provide a greater positive impact in effectively addressing the multifaceted nature of reducing DSH among children of parents with mental health disorders.

The Association Between Perceptions of Social Support and Maternal Mental Health: A Cumulative Perspective

2010 ◽  
Vol 32 (2) ◽  
pp. 181-208 ◽  
Author(s):  
Sarah O. Meadows
Keyword(s):  
Mental Health ◽  
Romantic Relationship ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
The Family ◽  
Married Mothers ◽  
Biological Fathers ◽  
Time Invariant ◽  
The Relationship

The question of how to best measure family processes so that longitudinal experiences within the family are accurately captured has become an important issue for family scholars. Using the Fragile Families and Child Wellbeing Study ( N = 2,158), this article focuses on the association between trajectories of perceived supportiveness from biological fathers and mothers’ mental health problems 5 years after a birth. The relationship status between mothers and biological fathers is significantly related to her perceptions of his supportiveness, with married mothers reporting the highest levels of supportiveness followed by mothers in cohabiting unions, romantic non-coresidential unions, and, finally, mothers not in a romantic relationship. Controlling for both time-varying and time-invariant maternal and relationship characteristics, a positive slope of perceived supportiveness from biological fathers is associated with fewer subsequent mental health problems 5 years after the birth. The discussion calls attention to alternate modeling strategies for longitudinal family experiences.

scholarly journals Parents at their best: The ethopolitics of family bonding in France

Ethnography ◽  
2017 ◽  
Vol 19 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Sébastien Roux ◽  
Anne-Sophie Vozari
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Medical Care ◽  
Maternal Mental Health ◽  
Field Studies ◽  
The Other ◽  
Care Provision ◽  
Administrative Management ◽  
The Family ◽  
Family Bonding

In France, the concept of ‘parentality’ has become a key notion in the field of social work since the mid-1990s. This idea serves mostly as a basis for professional evaluations of parents’ ability. However, it does not only prescribe behaviors and implement norms; it has also transformed the way people consider their own family attachments, and adjust individually to new ethical definitions of selves. Based on two complementary ethnographic field studies – one looking at the administrative management of adoption and the other at medical care provision for maternal mental health – this article shows how discourses and practices about parentality serve a policy of self-reform. This article therefore questions how politics of control and regulation that are deployed in the privacy of the family sphere act on an ethical level by inviting subjects to reform themselves for their own good and for the good of others.

scholarly journals Early Life Health Interventions and Academic Achievement

2013 ◽  
Vol 103 (5) ◽  
pp. 1862-1891 ◽  
Author(s):  
Prashant Bharadwaj ◽  
Katrine Vellesen Løken ◽  
Christopher Neilson
Keyword(s):  
Academic Achievement ◽  
Birth Weight ◽  
Early Life ◽  
Very Low Birth Weight ◽  
Health Interventions ◽  
Medical Treatments ◽  
Long Run ◽  
Rules Of Thumb ◽  
Birth Records

This paper studies the effect of improved early life health care on mortality and long-run academic achievement in school. We use the idea that medical treatments often follow rules of thumb for assigning care to patients, such as the classification of Very Low Birth Weight (VLBW), which assigns infants special care at a specific birth weight cutoff. Using detailed administrative data on schooling and birth records from Chile and Norway, we establish that children who receive extra medical care at birth have lower mortality rates and higher test scores and grades in school. These gains are in the order of 0.15–0.22 standard deviations. (JEL I11, I12, I18, I21, J13, O15)

scholarly journals Association Between Birth Circumstances and Prenatal Maternal Mental Health – A Retrospective Study of Intergenerational Transmission

2021 ◽  
Author(s):  
Vahideh MoghaddamHosseini ◽  
Neda Mahdavifar ◽  
Alexandra Makai ◽  
Katalin Varga ◽  
Annick Bogaerts ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Short Form ◽  
Depression And Anxiety ◽  
Medical Interventions ◽  
Biological Mothers ◽  
Long Duration ◽  
Mode Of Birth ◽  
Positive Effect ◽  
Experience Questionnaire

Abstract Background:The evidence on long-lasting effects of certain specific aspects of birth circumstances on the maternal mental health later during pregnancy in offspring is scares. Aim: This study aimed to investigate the association between birth circumstances and prenatal maternal mental health in offspring. Method: In this retrospective survey, 380 pregnant women completed the Hungarian translation of Wijma Delivery Expectancy/Experience Questionnaire A, Beck Depression Inventory-Short Form, Beck Anxiety Inventory to measure prenatal fear of childbirth (FOC), depression, and anxiety, respectively. Information on peri and postnatal events were obtained from participants’ biological mothers through Mother’s Birth Circumstances Questionnaire. This included questions regarding mode of birth, administered medical interventions during labor, early life care, and breastfeeding during infancy. Multiple Linear regression was performed for statistical analysis.Results: After adjusting for potencial confounders, administration of Oxytocin (OT) induction during labor was significantly associated with higher levels of prenatal FOC (β= 0.14; 95% CI, 0.59, 14.70), depression (β= 0.18; 95% CI, 0.47, 2.73), and anxiety (β= 0.15; 95% CI, 0.50, 6.95). Moreover, being breast fed for more than 12 months was significantly associated with lower level of prenatal FOC in offspring (β= -0.12; 95% CI, -18.42, -1.36). Conclusion: Poor prenatal mental health might be rooted in administered OT induction as a common medical practice during labor while long duration of breast feeding can have a positive effect on improving prenatal maternal mental health in offspring. Further studies of prospective design are on demand to explore the biological trajectories of these findings in humans.

scholarly journals Spillover Effects of Early-Life Medical Interventions

2015 ◽  
Author(s):  
Sanni Breining ◽  
N. Meltem Daysal ◽  
Marianne Simonsen ◽  
Mircea Trandafir
Keyword(s):  
Early Life ◽  
Spillover Effects ◽  
Medical Interventions

scholarly journals Cohort profile: the eLIXIR Partnership—a maternity–child data linkage for life course research in South London, UK

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039583
Author(s):  
Lauren E Carson ◽  
Borscha Azmi ◽  
Amelia Jewell ◽  
Clare L Taylor ◽  
Angela Flynn ◽  
...  
Keyword(s):  
Mental Health ◽  
Life Course ◽  
Early Life ◽  
Maternal Mental Health ◽  
Clinical Care ◽  
Hospital Inpatient ◽  
Physical And Mental Health ◽  
Descriptive Data ◽  
Health Records ◽  
Electronic Health

PurposeLinked maternity, neonatal and maternal mental health records were created to support research into the early life origins of physical and mental health, in mothers and children. The Early Life Cross Linkage in Research (eLIXIR) Partnership was developed in 2018, generating a repository of real-time, pseudonymised, structured data derived from the electronic health record systems of two acute and one Mental Health Care National Health Service (NHS) Provider in South London. We present early descriptive data for the linkage database and the robust data security and governance structures, and describe the intended expansion of the database from its original development. Additionally, we report details of the accompanying eLIXIR Research Tissue Bank of maternal and neonatal blood samples.ParticipantsDescriptive data were generated from the eLIXIR database from 1 October 2018 to 30 June 2019. Over 17 000 electronic patient records were included.Findings to date10 207 women accessed antenatal care from the 2 NHS maternity services, with 8405 deliveries (8772 infants). This diverse, inner-city maternity service population was born in over 170 countries with an ethnic profile of 46.1% white, 19.1% black, 7.0% Asian, 4.1% mixed and 4.1% other. Of the 10 207 women, 11.6% had a clinical record in mental health services with 3.0% being treated during their pregnancy. This first data extract included 947 infants treated in the neonatal intensive care unit, of whom 19.1% were postnatal transfers from external healthcare providers.Future plansElectronic health records provide potentially transformative information for life course research, integrating physical and mental health disorders and outcomes in routine clinical care. The eLIXIR database will grow by ~14 000 new maternity cases annually, in addition to providing child follow-up data. Additional datasets will supplement the current linkage from other local and national resources, including primary care and hospital inpatient data for mothers and their children.

scholarly journals Association between Birth Circumstances and Prenatal Maternal Mental Health: A Retrospective Study of Intergenerational Transmission

2021 ◽  
Author(s):  
Vahideh MoghaddamHosseini ◽  
Alexandra Makai ◽  
Katalin Varga ◽  
Annick Bogaerts ◽  
Ákos Várnagy
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Short Form ◽  
Depression And Anxiety ◽  
Medical Interventions ◽  
Biological Mothers ◽  
Long Duration ◽  
Mode Of Birth ◽  
Positive Effect ◽  
Experience Questionnaire

Abstract BackgroundThe evidence on long-lasting effects of certain specific aspects of birth circumstances on the maternal mental health later during pregnancy in offspring is scares.AimThis study aimed to investigate the association between birth circumstances and prenatal maternal mental health in offspring.MethodIn this retrospective survey, 380 pregnant women completed the Hungarian translation of Wijma Delivery Expectancy/Experience Questionnaire A, Beck Depression Inventory-Short Form, Beck Anxiety Inventory to measure prenatal fear of childbirth (FOC), depression, and anxiety, respectively. Information on peri and postnatal events were obtained from participants’ biological mothers through Mother’s Birth Circumstances Questionnaire. This included questions regarding mode of birth, administered medical interventions during labor, early life care, and breastfeeding during infancy. Multiple Linear regression was performed for statistical analysis.ResultsAfter adjusting for potencial confounders, administration of Oxytocin (OT) induction during labor was significantly associated with higher levels of prenatal FOC (B = 7.64; 95% CI, 0.55, 14.73), depression (B = 1.60; 95% CI, 0.47, 2.73), and anxiety (B = 3.80; 95% CI, 0.55, 6.99). Moreover, having been breastfed for more than 12 months was significantly associated with lower level of prenatal FOC in offspring (B= -10.45; 95% CI,-18.79,-2.11).ConclusionPoor prenatal mental health might be rooted in administered OT induction as a common medical practice during labor while long duration of breast feeding can have a positive effect on improving prenatal maternal mental health in offspring. Further studies of prospective design are on demand to explore the biological trajectories of these findings in humans.

scholarly journals Attachment-Based Treatment of Chronic Medical Disorders: Learning from Stress-Based Mental Health Conditions

2021 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Mental Health ◽  
Similar Type ◽  
Health Conditions ◽  
Health Issues ◽  
Medical Treatments ◽  
Medical Interventions ◽  
Mental Health Conditions ◽  
Medical Disorders ◽  
Mental Health Issues ◽  
The Brain

Adaptation to stressful conditions has been considered as a cause of chronic medical disorders for many years. However, the failure of adaptation involved in the genesis of these disorders has never been connected to mental health conditions that have the same adaptation failures to stress. A failure in the type of attachment in which parents help their children adapt to fearful conditions, which involves the hippocampus and amygdala regions in the brain, might be an underlying cause for both chronic medical disorders and mental health conditions. This paper will provide evidence for the underlying continuity of these conditions, as they relate to a similar type of attachment failure, as it impedes successful adaptation to stress. To demonstrate this continuity, case material is provided on patients with both conditions who are given model treatments that resolve each sequentially, indicating that they have a common attachment-based root. The importance of treating patients’ attachment-based deficits for both their medical and mental health issues concurrently supports using alternative, holistic medical strategies and attachment-based psychotherapy, in which the therapist can experience the fear of the patient and then advocate for them to help them resolve their problems for both types of conditions. The importance of using these therapies in treating chronic medical and mental health conditions is strongly supported by this evidence. These interventions are not adjunctive to the medical treatments but are as primary as the medical interventions in developing more pervasive resolution of the conditions.

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