Effect of Maternal Mental Health Problems on Child Treatment Response in Community-Based Services

2006 ◽  
Vol 57 (5) ◽  
pp. 716-719 ◽  
Author(s):  
Carrie W. Rishel ◽  
Catherine G. Greeno ◽  
Steven C. Marcus ◽  
Carol Anderson
Keyword(s):  
Mental Health ◽  
Treatment Response ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Community Based ◽  
Child Treatment ◽  
Community Based Services

scholarly journals Maternal mental health and childhood injury: evidence from the UK Millennium Cohort Study

2018 ◽  
Vol 104 (3) ◽  
pp. 268-274 ◽  
Author(s):  
Steven Hope ◽  
Jessica Deighton ◽  
Nadia Micali ◽  
Catherine Law
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Millennium Cohort Study ◽  
Childhood Injury ◽  
Explanatory Factors ◽  
Uk Millennium Cohort Study ◽  
The Uk

ObjectiveWe assessed whether maternal mental health problems increased rates for child injury during the preschool years and mid-childhood, and the extent to which associations could be accounted for by a range of potential explanatory factors.DesignWe analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Multinomial regression was used to investigate whether two measures of maternal mental health (diagnosed depression/anxiety and psychological distress) were associated with subsequent childhood injury. Models adjusted for sociodemographics, parenting and child externalising behaviours.Main outcome measureMaternal report of unintentional injuries (none, 1, 2+) recorded at three data collection periods (3–5 years; 5–7 years; 7–11 years).ResultsThe analytic sample comprised n=9240 families who participated 3–11 years with complete data on exposures and outcomes (multiply imputing missing covariates). Exposure to maternal mental health problems was associated with increased rates of subsequent childhood injuries. Associations attenuated after adjustment for potential explanatory factors, although they remained elevated. For example, high maternal distress was associated with injuries 3–5 years (adjusted relative risk ratio (aRRR): 1 injury=1.18, 95% CI 0.86 to 1.61; 2+ injuries=2.22, 95% CI 1.22 to 4.02); injuries 5–7 years (aRRR: 1 injury=1.31, 95% CI 0.97 to 1.76; 2+ injuries=1.84, 95% CI 1.09 to 3.09); and injuries 7–11 years (aRRR: 1 injury=1.03, 95% CI 0.81 to 1.31; 2+ injuries=1.33, 95% CI 0.97 to 1.81).ConclusionsChildren exposed to mothers with mental health problems had higher rates of childhood injury than those not exposed. If further investigation of this association suggests causality then it will be important to test measures that address mothers’ mental health issues with a view to reducing injuries among their children.

scholarly journals Maternal mental health and infant emotional reactivity: a 20-year two-cohort study of preconception and perinatal exposures

2019 ◽  
Vol 50 (5) ◽  
pp. 827-837 ◽  
Author(s):  
Elizabeth Spry ◽  
Margarita Moreno-Betancur ◽  
Denise Becker ◽  
Helena Romaniuk ◽  
John B. Carlin ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Emotional Reactivity ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Prior Exposure ◽  
Differential Sensitivity ◽  
Perinatal Mental Health ◽  
Pregnancy And Postpartum

AbstractBackgroundMaternal mental health during pregnancy and postpartum predicts later emotional and behavioural problems in children. Even though most perinatal mental health problems begin before pregnancy, the consequences of preconception maternal mental health for children's early emotional development have not been prospectively studied.MethodsWe used data from two prospective Australian intergenerational cohorts, with 756 women assessed repeatedly for mental health problems before pregnancy between age 13 and 29 years, and during pregnancy and at 1 year postpartum for 1231 subsequent pregnancies. Offspring infant emotional reactivity, an early indicator of differential sensitivity denoting increased risk of emotional problems under adversity, was assessed at 1 year postpartum.ResultsThirty-seven percent of infants born to mothers with persistent preconception mental health problems were categorised as high in emotional reactivity, compared to 23% born to mothers without preconception history (adjusted OR 2.1, 95% CI 1.4–3.1). Ante- and postnatal maternal depressive symptoms were similarly associated with infant emotional reactivity, but these perinatal associations reduced somewhat after adjustment for prior exposure. Causal mediation analysis further showed that 88% of the preconception risk was a direct effect, not mediated by perinatal exposure.ConclusionsMaternal preconception mental health problems predict infant emotional reactivity, independently of maternal perinatal mental health; while associations between perinatal depressive symptoms and infant reactivity are partially explained by prior exposure. Findings suggest that processes shaping early vulnerability for later mental disorders arise well before conception. There is an emerging case for expanding developmental theories and trialling preventive interventions in the years before pregnancy.

Occupational Science and Community Mental Health: Using Occupational Risk Factors as a Framework for Exploring Chronicity

2000 ◽  
Vol 63 (5) ◽  
pp. 211-217 ◽  
Author(s):  
Jon Fieldhouse
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Mental Health Problems ◽  
Occupational Risk ◽  
Community Based ◽  
Occupational Science ◽  
Occupational Risk Factors ◽  
Service Configuration ◽  
Adaptive Nature ◽  
Community Based Services

This article offers an overview of Wilcock's theories, from the field of occupational science, and relates them to the community care of people with severe mental health problems. Wilcock's occupational risk factors — imbalance, deprivation and alienation — are described and are seen to be reinforced both by the adaptive nature of this client group's problems and by the difficulties experienced by community-based services as they evolve to address the unfolding complexity of clients' needs. The potential for chronicity to be compounded and deepened in this way is highlighted, with particular reference to vocational and social disability, and the possible implications of a wider acknowledgement of occupational risk factors are discussed in relation to day-to-day practice and service configuration.

scholarly journals Applying Salutogenesis in Community-Wide Mental Health Promotion

2022 ◽  
pp. 479-490
Author(s):  
Vibeke Koushede ◽  
Robert Donovan
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Health Policy ◽  
Mental Health Problems ◽  
Health Resources ◽  
Health Problems ◽  
Mental Health Promotion ◽  
Health Campaign ◽  
Community Based ◽  
Different Levels

AbstractThis chapter highlights the relevance of mental health as a resource and risk for population health and describes mental health problems and related financial and social implications for society, which has led to an increased focus on prevention of mental health problems in health policy lately. Using the river metaphor of salutogenesis and a mental health ease–disease continuum, mental health is seen not as a stable trait but rather as a constant process, which needs to be protected and promoted. Thus, mental health promotion is foremost focused on protective factors and promoting mental health resources at different levels of society and is relevant to everyone.The authors also present and describe the ‘Act-Belong-Commit’/‘ABCs of Mental Health’ Campaign, a world-first comprehensive, population-wide, community-based mental health promotion campaign designed to promote mental health and prevent mental ill health.

scholarly journals Making community based comprehensive mental health services work

1996 ◽  
Vol 20 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Karen White ◽  
Maresa Ness ◽  
Tom Craig ◽  
Gary McNamee
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Health Problems ◽  
Community Based ◽  
Inner Setting

There hat boon until recently a dearth of descriptions of locally targeted community mental health services. Such a service, developed by changing a traditional psychiatric service in an inner setting, is described. The service addresses the needs of those with predominantly severe/enduring mental health problems, by increasingly using research based treatments in an ordinary district setting.

scholarly journals Postnatal Mental Health, Breastfeeding Beliefs, and Breastfeeding Practices in Rural China

2021 ◽  
Author(s):  
Qi Jiang ◽  
Evelyn Zhang ◽  
Nourya Cohen ◽  
Mika Ohtori ◽  
Sabrina Zhu ◽  
...  
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Rural China ◽  
Health Problems ◽  
Symptoms Of Depression ◽  
Stress Symptoms ◽  
Breastfeeding Practices ◽  
Breastfeeding Attitude

Abstract Background The importance of breastfeeding in low- and middle- income countries is well recognized, yet the importance of postnatal mental health on breastfeeding practices and beliefs in these settings has been understudied. This study investigates the associations between maternal mental health problems and breastfeeding beliefs as well as practices in rural China. Methods Cross-sectional data were collected from 742 mothers of infants under six months old in rural Sichuan Province, China. Surveys collected data on maternal mental health problems (depression, anxiety, and stress symptoms), breastfeeding beliefs (attitudes and self-efficacy), and breastfeeding practices. Ordinary least squares regression, multiple logistic regression and heterogeneous effect analyses were used to determine the associations between maternal mental health and breastfeeding outcomes. Results Among all respondents, 13% showed symptoms of depression, 16% anxiety, and 9% stress. The prevalence of full breastfeeding was 59.3%. Breastfeeding attitude was significantly associated with symptoms of depression (p = 0.023) and breastfeeding self-efficacy with symptoms of depression (p = 0.001) and symptoms of stress (p = 0.020). However, there were no significant associations between symptoms of mental health problems and full breastfeeding. The heterogeneous effects analyses revealed that full breastfeeding was negatively associated with stress symptoms when the infant was from a high-income family (p = 0.011). In addition, full breastfeeding was negatively associated with the father having a higher education level (p = 0.026, p = 0.048, and p = 0.020) and the infant being older than 2 months old (p = 0.000, p = 0.000, p = 0.00), regardless of maternal mental health problem symptoms. Conclusion Symptoms of maternal mental health problems are significantly associated with breastfeeding attitude and self-efficacy, yet has less of an association with breastfeeding practices. To improve breastfeeding practices, interventions need a multi-dimensional approach that should not only focus on improving maternal mental well-being but also consider demographic background characteristics.

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