The relationship of maternal anxiety, positive and negative affect schedule, and fatigue with neonatal psychological health upon childbirth
Tóm tắt
Exposure of mothers to negative moods and stress before childbirth leads to negative consequences for the infants. Given the importance of psychological health, this study aimed to examine the effect of these factors on the infants’ psychological health. This cross-sectional study was conducted in Shiraz hospitals on 110 pregnant women selected with multistage random sampling. Research tools included The McGill Pain Questionnaire (MPQ) to measure fatigue with three criteria; The Positive and Negative Emotion Schedule (PANAS); and The Spielberger State-Trait Anxiety Inventory (STAI) were used to measure maternal mood and anxiety level. Also, neonatal psychological health was assessed by a checklist. Neonatal psychological health’s correlation with maternal anxiety, fatigue, and mental state was assessed. Data were analyzed by SPSS-19 software using Pearson correlation coefficient and statistical regression at the significance level of 0.05. Although there was no significant relationship between maternal anxiety score and neonatal psychological health after birth (p = 0.231; r=-0.343), the relationship was significant immediately after birth with positive (P < 0.001; r = 0.343) and negative affect scores (P < 0.001; r=-0.357). There was a statistically significant relationship between the neonatal psychological health and maternal fatigue (p ≤ 0.001; r = -0.357) and PANAS (p ≤ 0.001) of the mother; however, it had no significant relationship with maternal anxiety (p = 0.231; r=- 0.343). Therefore, nurses and midwives can reduce maternal anxiety and improve neonatal mental health by supporting mothers.
Tài liệu tham khảo
Rezaee R, Framarzi M. Predictors of mental health during pregnancy. Iran J Nurs Midwifery Res. 2014;19:45–50. .
Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25:141–8. https://doi.org/10.1097/YCO.0b013e3283503680 .
Barker DJP. The developmental origins of chronic adult disease. Acta Paediatr. 2007;93:26–33. https://doi.org/10.1111/j.1651-2227.2004.tb00236.x.
Jacobson JL, Jacobson SW. Methodological considerations in behavioral toxicology in infants and children. Dev Psychol. 1996;32:390–403. https://doi.org/10.1037/0012-1649.32.3.390.
Adedinsewo DA, Fleming AS, Steiner M, Meaney MJ, Girard AW. Maternal Anxiety and Breastfeeding. Journal of Human Lactation. 2013;30:102–9. https://doi.org/10.1177/0890334413504244.
Stuart A, Otterblad Olausson P, Källen K. Apgar Scores at 5 Minutes After Birth in Relation to School Performance at 16 Years of Age. Obstetrics Gynecology. 2011;118:201–8. https://doi.org/10.1097/AOG.0b013e31822200eb.
dokuhaki S, Heidary M, Akbarzadeh M. Investigation of the effect of training attachment behaviors to pregnant mothers on some physical indicators of their infants from birth to three months based on the separation of male and female infants. Pediatrics Neonatology. 2018. https://doi.org/10.1016/j.pedneo.2018.08.002.
Akbarzadeh M, Dokuhaki A, Joker A, Pishva N, Zare N. Teaching attachment behaviors to pregnant women: a randomized controlled trial of effects on infant _mental health from birth to the age of three months. Ann Saudi Med. 2016;36:175–83. https://doi.org/10.5144/0256-4947.2016.175.
Weinstock M. Brain. The potential influence of maternal stress hormones on development and mental health of the offspring. Behavior Immunity. 2005;19:296–308. https://doi.org/10.1016/j.bbi.2004.09.006.
Dokuhaki A, Akbarzadeh M, Pishava N, Zare N. A study of the effect of training pregnant women about attachment skills on infants’ motor development indices at birth to four months. Fam Med Prim Care Rev. 2017:114 – 22.
Sandman CA, Davis EP, Buss C, Glynn LM. Exposure to prenatal psychobiological stress exerts programming influences on the mother and her fetus. Neuroendocrinology. 2012;95:8–21.
Huizink AC, Robles de Medina PG, Mulder EJ, Visser GH, Buitelaar JK. Stress during pregnancy is associated with developmental outcome in infancy. J Child Psychol Psychiatry. 2003;44:810–8. .
Fairbrother N, Hutton EK, Stoll K, Hall W, Kluka S. Psychometric evaluation of the Multidimensional Assessment of Fatigue scale for use with pregnant and postpartum women. Psychol Assess. 2008;20:150–8. https://doi.org/10.1037/1040-3590.20.2.150 .
Chien LY, Ko YL. Fatigue during pregnancy predicts caesarean deliveries. J Adv Nurs. 2004;45:487–94. .
Kamysheva E, Wertheim EH, Skouteris H, Paxton SJ, Milgrom J. Frequency, severity, and effect on life of physical symptoms experienced during pregnancy. J Midwifery Womens Health. 2009;54:43–9. https://doi.org/10.1016/j.jmwh.2008.08.003 .
Pugh LC, Milligan RA. Patterns of fatigue during childbearing. Appl Nurs Res. 1995;8:140–3. .
Ko YL, Wu YC, Chang PC. Physical and social predictors for pre-term births and low birth weight infants in Taiwan. J Nurs Res. 2002;10:83–9. .
Costello EJ, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005;44:972–86. https://doi.org/10.1097/01.chi.0000172552.41596.6f .
Costello EJ, Foley DL, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: II. Developmental epidemiology. J Am Acad Child Adolesc Psychiatry. 2006;45:8–25. https://doi.org/10.1097/01.chi.0000184929.41423.c0 .
Rutter M, Kim-Cohen J, Maughan B. Continuities and discontinuities in psychopathology between childhood and adult life. J Child Psychol Psychiatry. 2006;47:276–95. https://doi.org/10.1111/j.1469-7610.2006.01614.x .
Fox SE, Levitt P, Nelson CA 3rd. How the timing and quality of early experiences influence the development of brain architecture. Child Dev. 2010;81:28–40. https://doi.org/10.1111/j.1467-8624.2009.01380.x .
Crawford JR, Henry JD. The positive and negative affect schedule (PANAS): construct validity, measurement properties and normative data in a large non-clinical sample. Br J Clin Psychol. 2004;43:245–65. https://doi.org/10.1348/0144665031752934 .
Nejati H. Developmental psychology. Tehran: Mehshad Publications; 1992.
Aghamohammadiyan H, Roshan R, Zamani Z, Tabatabaey K. Developmental Psychology. Tehran: Misagh Publications; 1996.
Shayeghian Z, Tabatabaey S. Effect of Maternal Anxiety during Third Trimester on Pregnancy Outcomes and Infants’ Mental Health. Hayat. 2008;14.
Keenan K, Sheffield R, Boeldt D. Are prenatal psychological or physical stressors associated with suboptimal outcomes in neonates born to adolescent mothers? Early Hum Dev. 2007;83:623–7. https://doi.org/10.1016/j.earlhumdev.2007.01.002 .
Hasanjanzadeh P, Faramarzi M. Relationship between Maternal General and Specific-Pregnancy Stress, Anxiety, and Depression Symptoms and Pregnancy Outcome. J Clin Diagn Res. 2017;11:VC04–7. https://doi.org/10.7860/JCDR/2017/24352.9616 .
Zijlmans MAC, Beijers R, Riksen-Walraven MJ, de Weerth C. Maternal late pregnancy anxiety and stress is associated with children’s health: a longitudinal study. Stress. 2017;20:495–504. https://doi.org/10.1080/10253890.2017.1348497 .
Fan F, Zou Y, Tian H, Zhang Y, Zhang J, Ma X, et al. Effects of maternal anxiety and depression during pregnancy in Chinese women on children’s heart rate and blood pressure response to stress. J Hum Hypertens. 2016;30:171.
Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women Birth. 2015;28:179–93. https://doi.org/10.1016/j.wombi.2015.02.003 .
Vaziri F, Shiravani M, Najib FS, Pourahmad S, Salehi A, Yazdanpanahi Z. Effect of Lavender Oil Aroma in the Early Hours of Postpartum Period on Maternal Pains, Fatigue, and Mood: A Randomized Clinical Trial. Int J Prev Med. 2017 May 4;8:29. doi: https://doi.org/10.4103/ijpvm.IJPVM_137_16. PMID: 28567231; PMCID: PMC5439291.
Hannah P, Adams D, Lee A, Glover V, Sandler M. Links between early post-partum mood and post-natal depression. Br J Psychiatry. 1992;160:777–80.
Adewuya AO. Early postpartum mood as a risk factor for postnatal depression in Nigerian women. Am J Psychiatry. 2006;163:1435–7.
Conrad P, Adams C. The effects of clinical aromatherapy for anxiety and depression in the high risk postpartum woman – A pilot study. Complement Ther Clin Pract. 2012;18:164–8.