Long-term risk of mental health problems in women experiencing preterm birth: a longitudinal study of 29 mothers
Several studies have reported significantly higher stress levels, both short and long terms, among mothers giving preterm birth compared with mothers giving birth at term. Stress, however, is a psychological phenomenon that may present as anxiety, depression and/or trauma reactions. In this study, t...
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| Veröffentlicht in: | Annals of general psychiatry 2013-10, Vol.12 (1), p.33-33 |
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| creator | Misund, Aud R Nerdrum, Per Bråten, Stein Pripp, Are Hugo Diseth, Trond H |
| description | Several studies have reported significantly higher stress levels, both short and long terms, among mothers giving preterm birth compared with mothers giving birth at term. Stress, however, is a psychological phenomenon that may present as anxiety, depression and/or trauma reactions. In this study, the long-term mental health outcomes and the prevalence of anxiety, depression and trauma reactions in women experiencing preterm birth were explored. Interactional, main effect variables and predictors were identified.
Twenty-nine mothers of 35 premature children born before the 33rd week of pregnancy were assessed within 2 weeks postpartum (T0), 2 weeks after hospitalization (T1), 6 months post-term (T2), and 18 months post-term (T3). The standardized psychometric methods Impact of Event Scale (IES), General Health Questionnaire (GHQ) and State Anxiety Inventory (STAI-X1) assessed the maternal mental health outcomes.
The maternal mental health problems except state anxiety decreased from T0 to T1, but remained high and stable at T3. The prevalence of posttraumatic stress reactions (PTSR) and posttraumatic stress disorder (PTSD) at T0 and T3 was 52% and 23%, respectively. We identified the time period between T0 and T1 to have a significant main effect on mental health outcomes. The predictors of higher levels of mental health problems were preeclampsia, previous psychological treatment, age, trait anxiety and infant's postnatal intraventricular haemorrhage. Bleeding in pregnancy predicted lower levels of mental health problems.
The prevalence of maternal mental health problems remained high, emphasizing the importance of effective interventions. |
| doi_str_mv | 10.1186/1744-859X-12-33 |
| format | Article |
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Twenty-nine mothers of 35 premature children born before the 33rd week of pregnancy were assessed within 2 weeks postpartum (T0), 2 weeks after hospitalization (T1), 6 months post-term (T2), and 18 months post-term (T3). The standardized psychometric methods Impact of Event Scale (IES), General Health Questionnaire (GHQ) and State Anxiety Inventory (STAI-X1) assessed the maternal mental health outcomes.
The maternal mental health problems except state anxiety decreased from T0 to T1, but remained high and stable at T3. The prevalence of posttraumatic stress reactions (PTSR) and posttraumatic stress disorder (PTSD) at T0 and T3 was 52% and 23%, respectively. We identified the time period between T0 and T1 to have a significant main effect on mental health outcomes. The predictors of higher levels of mental health problems were preeclampsia, previous psychological treatment, age, trait anxiety and infant's postnatal intraventricular haemorrhage. Bleeding in pregnancy predicted lower levels of mental health problems.
The prevalence of maternal mental health problems remained high, emphasizing the importance of effective interventions.</description><identifier>ISSN: 1744-859X</identifier><identifier>EISSN: 1744-859X</identifier><identifier>DOI: 10.1186/1744-859X-12-33</identifier><identifier>PMID: 24176131</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Babies ; Health aspects ; Mental health ; Mental illness ; Post-traumatic stress disorder ; Pregnancy ; Premature birth ; Primary Research ; Psychic trauma ; Psychological aspects ; Psychotherapy ; Risk factors ; Stress ; Stress (Psychology) ; Studies ; Women</subject><ispartof>Annals of general psychiatry, 2013-10, Vol.12 (1), p.33-33</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Misund et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>info:eu-repo/semantics/openAccess</rights><rights>Copyright © 2013 Misund et al.; licensee BioMed Central Ltd. 2013 Misund et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-8136412c1b6550f5cf4a187b8b0173829a1cb086cbd187fe510a5dc597afb17d3</citedby><cites>FETCH-LOGICAL-c578t-8136412c1b6550f5cf4a187b8b0173829a1cb086cbd187fe510a5dc597afb17d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175092/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175092/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,26567,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24176131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Misund, Aud R</creatorcontrib><creatorcontrib>Nerdrum, Per</creatorcontrib><creatorcontrib>Bråten, Stein</creatorcontrib><creatorcontrib>Pripp, Are Hugo</creatorcontrib><creatorcontrib>Diseth, Trond H</creatorcontrib><title>Long-term risk of mental health problems in women experiencing preterm birth: a longitudinal study of 29 mothers</title><title>Annals of general psychiatry</title><addtitle>Ann Gen Psychiatry</addtitle><description>Several studies have reported significantly higher stress levels, both short and long terms, among mothers giving preterm birth compared with mothers giving birth at term. Stress, however, is a psychological phenomenon that may present as anxiety, depression and/or trauma reactions. In this study, the long-term mental health outcomes and the prevalence of anxiety, depression and trauma reactions in women experiencing preterm birth were explored. Interactional, main effect variables and predictors were identified.
Twenty-nine mothers of 35 premature children born before the 33rd week of pregnancy were assessed within 2 weeks postpartum (T0), 2 weeks after hospitalization (T1), 6 months post-term (T2), and 18 months post-term (T3). The standardized psychometric methods Impact of Event Scale (IES), General Health Questionnaire (GHQ) and State Anxiety Inventory (STAI-X1) assessed the maternal mental health outcomes.
The maternal mental health problems except state anxiety decreased from T0 to T1, but remained high and stable at T3. The prevalence of posttraumatic stress reactions (PTSR) and posttraumatic stress disorder (PTSD) at T0 and T3 was 52% and 23%, respectively. We identified the time period between T0 and T1 to have a significant main effect on mental health outcomes. The predictors of higher levels of mental health problems were preeclampsia, previous psychological treatment, age, trait anxiety and infant's postnatal intraventricular haemorrhage. Bleeding in pregnancy predicted lower levels of mental health problems.
The prevalence of maternal mental health problems remained high, emphasizing the importance of effective interventions.</description><subject>Babies</subject><subject>Health aspects</subject><subject>Mental health</subject><subject>Mental illness</subject><subject>Post-traumatic stress disorder</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Primary Research</subject><subject>Psychic trauma</subject><subject>Psychological aspects</subject><subject>Psychotherapy</subject><subject>Risk factors</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Studies</subject><subject>Women</subject><issn>1744-859X</issn><issn>1744-859X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>3HK</sourceid><recordid>eNqNkk1v1DAQhiMEoqVw5gaWuHBJ67Hj2OGAVFV8SStxAYmb5TjOxiWxg52F9t93QtulRRyQDx7NPPNa83qK4jnQYwBVn4CsqlKJ5lsJrOT8QXG4zzy8Ex8UT3I-p5RLKprHxQGrQNbA4bCYNzFsy8WliSSfv5PYk8mFxYxkcGZcBjKn2I5uysQH8itijbiL2SXvgvVhi2X3u7n1aRneEENG1PPLrvMBNTIGl6sma8gUl8Gl_LR41Jsxu2c391Hx9f27L2cfy83nD5_OTjelFVItpQJeV8AstLUQtBe2rwwo2aqWguSKNQZsS1Vt2w7TvRNAjeisaKTpW5AdPyreXuvOu3ZyncWhkhn1nPxk0qWOxuv7leAHvY0_NVojaMNQ4OW1gEVjFh90iMlooEowXTWNlEi8vnkixR87lxc9-WzdOJrg4i5rqBoqa4aW_wdaVwIEgED01V_oedwldHOlhKo5p4z9obZmdNqHPuIQdhXVp4JX-M-CVkgd_4PC07nJ2xhc7zF_r-HkduiYc3L93jCget04ve6UXndKA9OcY8eLuz7v-dsV41dGg87M</recordid><startdate>20131031</startdate><enddate>20131031</enddate><creator>Misund, Aud R</creator><creator>Nerdrum, Per</creator><creator>Bråten, Stein</creator><creator>Pripp, Are Hugo</creator><creator>Diseth, Trond H</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>3HK</scope><scope>5PM</scope></search><sort><creationdate>20131031</creationdate><title>Long-term risk of mental health problems in women experiencing preterm birth: a longitudinal study of 29 mothers</title><author>Misund, Aud R ; 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Stress, however, is a psychological phenomenon that may present as anxiety, depression and/or trauma reactions. In this study, the long-term mental health outcomes and the prevalence of anxiety, depression and trauma reactions in women experiencing preterm birth were explored. Interactional, main effect variables and predictors were identified.
Twenty-nine mothers of 35 premature children born before the 33rd week of pregnancy were assessed within 2 weeks postpartum (T0), 2 weeks after hospitalization (T1), 6 months post-term (T2), and 18 months post-term (T3). The standardized psychometric methods Impact of Event Scale (IES), General Health Questionnaire (GHQ) and State Anxiety Inventory (STAI-X1) assessed the maternal mental health outcomes.
The maternal mental health problems except state anxiety decreased from T0 to T1, but remained high and stable at T3. The prevalence of posttraumatic stress reactions (PTSR) and posttraumatic stress disorder (PTSD) at T0 and T3 was 52% and 23%, respectively. We identified the time period between T0 and T1 to have a significant main effect on mental health outcomes. The predictors of higher levels of mental health problems were preeclampsia, previous psychological treatment, age, trait anxiety and infant's postnatal intraventricular haemorrhage. Bleeding in pregnancy predicted lower levels of mental health problems.
The prevalence of maternal mental health problems remained high, emphasizing the importance of effective interventions.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24176131</pmid><doi>10.1186/1744-859X-12-33</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Babies Health aspects Mental health Mental illness Post-traumatic stress disorder Pregnancy Premature birth Primary Research Psychic trauma Psychological aspects Psychotherapy Risk factors Stress Stress (Psychology) Studies Women |
| title | Long-term risk of mental health problems in women experiencing preterm birth: a longitudinal study of 29 mothers |
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