Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study

Standard

Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study. / Helle, Nadine; Barkmann, Claus; Ehrhardt, Stephan; von der Wense, Axel; Nestoriuc, Yvonne; Bindt, Carola.

in: J AFFECT DISORDERS, Jahrgang 194, 04.2016, S. 128-34.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

APA

Vancouver

Bibtex

@article{acdfe0d033f64a82ac132713e0c7e5d2,
title = "Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study",
abstract = "BACKGROUND: Both preterm delivery and survival rates of very low birth weight (VLBW: <1500 g) infants are increasing. To date, the focus on studies about postpartum mental health after preterm birth has been on depression and on women. There is a paucity of research regarding prevalence, risks, and predictors of postpartum anxiety in parents after VLBW birth.METHODS: Parents with VLBW infants and parents with term infants were recruited into the longitudinal HaFEn-study at the three largest centers of perinatal care in Hamburg, Germany. State anxiety was assessed with the State-Trait-Anxiety Inventory and anxiety and adjustment disorders with a clinical interview one month postpartum. Psychiatric lifetime diagnoses, social support, trait anxiety, stress during birth, socioeconomic status, risks during pregnancy, and mode of delivery were also evaluated. To examine predictors of postpartum state anxiety in both parents simultaneously a multiple random coefficient model was used.RESULTS: 230 mothers and 173 fathers were included. The risk for minor/major anxiety symptoms and adjustment disorders was higher in parents with VLBW infants compared to the term group. The risk for anxiety disorders was not higher in parents with VLBW infants. The most important predictors for postpartum state anxiety were high trait anxiety, the birth of a VLBW infant, high stress during birth, and low social support.LIMITATIONS: Data reported here are cross-sectional. Thus, temporal relationships cannot be established.CONCLUSIONS: Our results emphasize the importance of early screening for postpartum anxiety in both parents with VLBW infants.",
keywords = "Adjustment Disorders, Adult, Anxiety, Cross-Sectional Studies, Female, Germany, Humans, Infant, Newborn, Infant, Very Low Birth Weight, Male, Parents, Postpartum Period, Prevalence, Risk Factors, Controlled Clinical Trial, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't",
author = "Nadine Helle and Claus Barkmann and Stephan Ehrhardt and {von der Wense}, Axel and Yvonne Nestoriuc and Carola Bindt",
note = "Copyright {\textcopyright} 2016 Elsevier B.V. All rights reserved.",
year = "2016",
month = apr,
doi = "10.1016/j.jad.2016.01.016",
language = "English",
volume = "194",
pages = "128--34",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: Cross-sectional results from a controlled multicentre cohort study

AU - Helle, Nadine

AU - Barkmann, Claus

AU - Ehrhardt, Stephan

AU - von der Wense, Axel

AU - Nestoriuc, Yvonne

AU - Bindt, Carola

N1 - Copyright © 2016 Elsevier B.V. All rights reserved.

PY - 2016/4

Y1 - 2016/4

N2 - BACKGROUND: Both preterm delivery and survival rates of very low birth weight (VLBW: <1500 g) infants are increasing. To date, the focus on studies about postpartum mental health after preterm birth has been on depression and on women. There is a paucity of research regarding prevalence, risks, and predictors of postpartum anxiety in parents after VLBW birth.METHODS: Parents with VLBW infants and parents with term infants were recruited into the longitudinal HaFEn-study at the three largest centers of perinatal care in Hamburg, Germany. State anxiety was assessed with the State-Trait-Anxiety Inventory and anxiety and adjustment disorders with a clinical interview one month postpartum. Psychiatric lifetime diagnoses, social support, trait anxiety, stress during birth, socioeconomic status, risks during pregnancy, and mode of delivery were also evaluated. To examine predictors of postpartum state anxiety in both parents simultaneously a multiple random coefficient model was used.RESULTS: 230 mothers and 173 fathers were included. The risk for minor/major anxiety symptoms and adjustment disorders was higher in parents with VLBW infants compared to the term group. The risk for anxiety disorders was not higher in parents with VLBW infants. The most important predictors for postpartum state anxiety were high trait anxiety, the birth of a VLBW infant, high stress during birth, and low social support.LIMITATIONS: Data reported here are cross-sectional. Thus, temporal relationships cannot be established.CONCLUSIONS: Our results emphasize the importance of early screening for postpartum anxiety in both parents with VLBW infants.

AB - BACKGROUND: Both preterm delivery and survival rates of very low birth weight (VLBW: <1500 g) infants are increasing. To date, the focus on studies about postpartum mental health after preterm birth has been on depression and on women. There is a paucity of research regarding prevalence, risks, and predictors of postpartum anxiety in parents after VLBW birth.METHODS: Parents with VLBW infants and parents with term infants were recruited into the longitudinal HaFEn-study at the three largest centers of perinatal care in Hamburg, Germany. State anxiety was assessed with the State-Trait-Anxiety Inventory and anxiety and adjustment disorders with a clinical interview one month postpartum. Psychiatric lifetime diagnoses, social support, trait anxiety, stress during birth, socioeconomic status, risks during pregnancy, and mode of delivery were also evaluated. To examine predictors of postpartum state anxiety in both parents simultaneously a multiple random coefficient model was used.RESULTS: 230 mothers and 173 fathers were included. The risk for minor/major anxiety symptoms and adjustment disorders was higher in parents with VLBW infants compared to the term group. The risk for anxiety disorders was not higher in parents with VLBW infants. The most important predictors for postpartum state anxiety were high trait anxiety, the birth of a VLBW infant, high stress during birth, and low social support.LIMITATIONS: Data reported here are cross-sectional. Thus, temporal relationships cannot be established.CONCLUSIONS: Our results emphasize the importance of early screening for postpartum anxiety in both parents with VLBW infants.

KW - Adjustment Disorders

KW - Adult

KW - Anxiety

KW - Cross-Sectional Studies

KW - Female

KW - Germany

KW - Humans

KW - Infant, Newborn

KW - Infant, Very Low Birth Weight

KW - Male

KW - Parents

KW - Postpartum Period

KW - Prevalence

KW - Risk Factors

KW - Controlled Clinical Trial

KW - Journal Article

KW - Multicenter Study

KW - Research Support, Non-U.S. Gov't

U2 - 10.1016/j.jad.2016.01.016

DO - 10.1016/j.jad.2016.01.016

M3 - SCORING: Journal article

C2 - 26820762

VL - 194

SP - 128

EP - 134

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -