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The courses of maternal and paternal depressive and anxiety symptoms during the prenatal period in the FinnBrain Birth Cohort study.

https://arctichealth.org/en/permalink/ahliterature299834
Source
PLoS One. 2018; 13(12):e0207856
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
2018
Author
Riikka Korja
Saara Nolvi
Eeva-Leena Kataja
Noora Scheinin
Niina Junttila
Henna Lahtinen
Suoma Saarni
Linnea Karlsson
Hasse Karlsson
Author Affiliation
University of Turku, Institute of Clinical Medicine, Turku Brain and Mind Center, FinnBrain Birth Cohort Study, Turku, Finland.
Source
PLoS One. 2018; 13(12):e0207856
Date
2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Anxiety - etiology
Cohort Studies
Depression - etiology
Fathers - psychology
Female
Finland
Humans
Male
Maternal Behavior
Models, Psychological
Mothers - psychology
Paternal Behavior
Pregnancy - psychology
Pregnancy Trimesters - psychology
Prenatal Diagnosis
Prospective Studies
Socioeconomic Factors
Surveys and Questionnaires
Abstract
Maternal prenatal symptoms of depression and anxiety have been suggested to impose differential effects on later offspring development, depending on their characteristics, such as timing, intensity and persistence. Paternal symptoms have been less investigated. While knowledge on these trajectory characteristics is essential for improved comprehension of prenatal stress, prospective studies including both expecting parents have been scarce. We aim at identifying and comparing the trajectories of prenatal depressive and anxiety symptoms in both parents in a pregnancy cohort design. The sample included 3202 mothers and 2076 fathers who were recruited to the FinnBrain Birth Cohort study (www.finnbrain.fi). Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS) and general anxiety by the anxiety scale of the Symptom Checklist -90 (SCL-90) repeatedly at 14, 24, and 34 gestational weeks. Five differential depressive and four anxiety symptom trajectories were identified across pregnancy both in mothers and in fathers. The trajectories of consistently low depressive or anxiety symptoms were associated with higher educational level in both parents, and with nulliparity and non-smoking during pregnancy in mothers. Parents with consistently high or increasing levels of symptoms had more often prenatal SSRI medication. The congruences between elevated depressive and anxiety symptoms at any point in pregnancy, as well as parental trajectories within families were low. However, in this population-based sample, the self-reported symptom levels of both parents were generally very low. Variance in timing and persistence of parent-reported prenatal depressive and anxiety symptoms is potentially important, while symptom trajectories are very similar in mothers and fathers. These differential symptom trajectories and the significance of their correlates should be acknowledged when studying prenatal stress exposures and the related outcomes in children.
PubMed ID
30557345 View in PubMed
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Parental psychological well-being and cognitive development of very low birth weight infants at 2 years.

https://arctichealth.org/en/permalink/ahliterature132710
Source
Acta Paediatr. 2011 Dec;100(12):1555-60
Publication Type
Article
Date
Dec-2011
Author
Mira Huhtala
Riikka Korja
Liisa Lehtonen
Leena Haataja
Helena Lapinleimu
Petriina Munck
Päivi Rautava
Author Affiliation
Department of Pediatrics, Turku University Hospital, Turku, Finland. mira.huhtala@utu.fi
Source
Acta Paediatr. 2011 Dec;100(12):1555-60
Date
Dec-2011
Language
English
Publication Type
Article
Keywords
Child Development
Child, Preschool
Cognition Disorders
Depression - etiology
Developmental Disabilities
Father-Child Relations
Female
Finland
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight - physiology - psychology
Male
Mother-Child Relations
Prospective Studies
Sense of Coherence
Sex Factors
Stress, Psychological - complications - etiology
Abstract
To assess the associations between cognitive development of very low birth weight (VLBW) infants and measures of parental psychological well-being.
In this prospective cohort study, 182 VLBW infants born 1/2001-12/2006 at the Turku University Hospital, Finland, were followed up. At 2 years corrected age, cognitive development of the child was assessed using the Mental Development Index of Bayley Scales, and both parents filled in validated questionnaires defining parental psychological well-being (Beck Depression Inventory, Parenting Stress Index and Sense of Coherence Scale).
The cognitive delay of the infant was associated with paternal symptoms of depression (p = 0.007) and parenting stress (p = 0.03). Mothers of the infants with cognitive delay reported increased parenting stress related to the difficulty to accept the child (p = 0.001). Weak sense of coherence predicted depressive symptoms in both parents (p
PubMed ID
21787372 View in PubMed
Less detail