COVID-19 Impacts on Perinatal Care and Maternal Mental Health: A Geotemporal Analysis of Healthcare Disruptions and Emotional Well-Being Across the United States

2021 ◽  
Author(s):  
Cassandra Lei Hendrix ◽  
Denise Werchan ◽  
Carly Lenniger ◽  
Jennifer C. Ablow ◽  
Ananda B. Amstadter ◽  
...  
2020 ◽  
pp. 3-18
Author(s):  
Maxine Eichner

This chapter considers a number of indicators relating to the well-being of American children and adults in order to examine the extent to which the American Dream is fulfilling its promise. For children, it considers levels of happiness, academic achievement, mental health, and economic mobility. For adults, it considers happiness, mental health, and life expectancy (including the rise of “deaths of despair”). All these indicators show that the United States is failing radically with respect to both children’s and adults’ well-being. These results are not surprising, the last section of the chapter shows, when we take into account the health of the nation’s families. Neither adults nor children can thrive without sound family ties. Yet indicators show that American families are in bad shape, and in considerably worse shape than families in other countries.


2019 ◽  
Vol 7 (3) ◽  
pp. 621-627 ◽  
Author(s):  
Jonathan Rottenberg ◽  
Andrew R. Devendorf ◽  
Vanessa Panaite ◽  
David J. Disabato ◽  
Todd B. Kashdan

Can people achieve optimal well-being and thrive after major depression? Contemporary epidemiology dismisses this possibility, viewing depression as a recurrent, burdensome condition with a bleak prognosis. To estimate the prevalence of thriving after depression in United States adults, we used data from the Midlife Development in the United States study. To count as thriving after depression, a person had to exhibit no evidence of major depression and had to exceed cutoffs across nine facets of psychological well-being that characterize the top 25% of U.S. nondepressed adults. Overall, nearly 10% of adults with study-documented depression were thriving 10 years later. The phenomenon of thriving after depression has implications for how the prognosis of depression is conceptualized and for how mental health professionals communicate with patients. Knowing what makes thriving outcomes possible offers new leverage points to help reduce the global burden of depression.


Author(s):  
Changwon Son ◽  
Sudeep Hegde ◽  
Alec Smith ◽  
Xiaomei Wang ◽  
Farzan Sasangohar

BACKGROUND Student mental health in higher education has been an increasing concern. The COVID-19 pandemic situation has brought this vulnerable population into renewed focus. OBJECTIVE Our study aims to conduct a timely assessment of the effects of the COVID-19 pandemic on the mental health of college students. METHODS We conducted interview surveys with 195 students at a large public university in the United States to understand the effects of the pandemic on their mental health and well-being. The data were analyzed through quantitative and qualitative methods. RESULTS Of the 195 students, 138 (71%) indicated increased stress and anxiety due to the COVID-19 outbreak. Multiple stressors were identified that contributed to the increased levels of stress, anxiety, and depressive thoughts among students. These included fear and worry about their own health and of their loved ones (177/195, 91% reported negative impacts of the pandemic), difficulty in concentrating (173/195, 89%), disruptions to sleeping patterns (168/195, 86%), decreased social interactions due to physical distancing (167/195, 86%), and increased concerns on academic performance (159/195, 82%). To cope with stress and anxiety, participants have sought support from others and helped themselves by adopting either negative or positive coping mechanisms. CONCLUSIONS Due to the long-lasting pandemic situation and onerous measures such as lockdown and stay-at-home orders, the COVID-19 pandemic brings negative impacts on higher education. The findings of our study highlight the urgent need to develop interventions and preventive strategies to address the mental health of college students.


2005 ◽  
Vol 46 (4) ◽  
pp. 341-358 ◽  
Author(s):  
Ranae J. Evenson ◽  
Robin W. Simon

Unlike other major adult social roles in the United States, parenthood does not appear to confer a mental health advantage for individuals. However, while research has examined parental status differences in emotional well-being, relatively little is known about variations in emotional distress among parents. In this article, we clarify the relationship between parenthood and current symptoms of depression using data from the National Survey of Families and Households. The analyses provide support for our first hypothesis: Parenthood is not associated with enhanced mental health since there is no type of parent who reports less depression than nonparents. We also find support for our second hypothesis: Certain types of parenthood are associated with more depression than others. Additionally, although we find marital status differences in symptoms among parents, there are no gender differences in the association between parenthood and depression. We discuss the implications of our findings for ongoing theoretical debates about the advantages of social role involvement for mental health as well as the meaning of contemporary parenthood in the United States.


10.2196/10007 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10007 ◽  
Author(s):  
Kevin Doherty ◽  
Marguerite Barry ◽  
José Marcano-Belisario ◽  
Bérenger Arnaud ◽  
Cecily Morrison ◽  
...  

Background Maternal mental health impacts both parental well-being and childhood development. In the United Kingdom, 15% of women are affected by depression during pregnancy or within 1 year of giving birth. Suicide is a leading cause of perinatal maternal mortality, and it is estimated that >50% of perinatal depression cases go undiagnosed. Mobile technologies are potentially valuable tools for the early recognition of depressive symptoms, but complex design challenges must be addressed to enable their use in public health screening. Objective The aim of this study was to explore the issues and challenges surrounding the use of mobile phones for the self-report of psychological well-being during pregnancy. Methods This paper presents design research carried out as part of the development of BrightSelf, a mobile app for the self-report of psychological well-being during pregnancy. Design sessions were carried out with 38 participants, including pregnant women, mothers, midwives, and other health professionals. Overall, 19 hours of audio were fully transcribed and used as the basis of thematic analysis. Results The study highlighted anxieties concerning the pregnancy journey, challenges surrounding current approaches to the appraisal of well-being in perinatal care, and the midwife-patient relationship. Designers should consider the framing of perinatal mental health technologies, the experience of self-report, supporting self-awareness and disclosure, providing value to users through both self-report and supplementary features, and designing for longitudinal engagement. Conclusions This study highlights the needs, motivations, and anxieties of women with respect to technology use in pregnancy and implications for the design of mobile health technologies.


2018 ◽  
Author(s):  
Kevin Doherty ◽  
Marguerite Barry ◽  
José Marcano-Belisario ◽  
Bérenger Arnaud ◽  
Cecily Morrison ◽  
...  

BACKGROUND Maternal mental health impacts both parental well-being and childhood development. In the United Kingdom, 15% of women are affected by depression during pregnancy or within 1 year of giving birth. Suicide is a leading cause of perinatal maternal mortality, and it is estimated that >50% of perinatal depression cases go undiagnosed. Mobile technologies are potentially valuable tools for the early recognition of depressive symptoms, but complex design challenges must be addressed to enable their use in public health screening. OBJECTIVE The aim of this study was to explore the issues and challenges surrounding the use of mobile phones for the self-report of psychological well-being during pregnancy. METHODS This paper presents design research carried out as part of the development of BrightSelf, a mobile app for the self-report of psychological well-being during pregnancy. Design sessions were carried out with 38 participants, including pregnant women, mothers, midwives, and other health professionals. Overall, 19 hours of audio were fully transcribed and used as the basis of thematic analysis. RESULTS The study highlighted anxieties concerning the pregnancy journey, challenges surrounding current approaches to the appraisal of well-being in perinatal care, and the midwife-patient relationship. Designers should consider the framing of perinatal mental health technologies, the experience of self-report, supporting self-awareness and disclosure, providing value to users through both self-report and supplementary features, and designing for longitudinal engagement. CONCLUSIONS This study highlights the needs, motivations, and anxieties of women with respect to technology use in pregnancy and implications for the design of mobile health technologies.


2021 ◽  
pp. 048661342110355
Author(s):  
Chiara Piovani ◽  
Nursel Aydiner-Avsar

Based on Midlife in the United States (MIDUS) survey data for 2013–14, this paper examines the association between work time (inclusive of both paid and unpaid work time) and the mental health outcomes of men and women in the United States, controlling for economic and social buffers, education, and demographic factors. In the United States, even though women constitute close to half of the paid labor force, they still perform the lion’s share of unpaid work. The findings indicate that total work time is positively related with emotional distress for women, while there is no statistically significant relationship for men. For women, the relationship between work time and mental health is primarily driven by unpaid work rather than paid work. Evaluating the relationship between mental health and both productive and reproductive work is critical to develop effective public policies toward gender equity and social well-being. JEL classification: I14, J16, J01


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