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During pregnancy, a woman experiences many changes, not only physical, but also mental, which is why perinatal mental health is of great importance at this stage. The majority of pregnant women who develop a mental illness during pregnancy, such as depression or anxiety, are not diagnosed, which can cause adverse effects for the mother and baby. In this sense, the screening, diagnosis, management and follow-up of this group is of great importance. Thanks to technological advances, we can count on the Information and Communication Technologies (ICT) to find ways to approach women in the perinatal stage for screening and monitoring their mental health. So this review article focuses on seeing its acceptability, perception, barriers to access and new developments focused on improving mental health in perinatal women. [ABSTRACT FROM AUTHOR]

Background: Peripartum depression (PPD) is a prevalent, heterogeneous disorder with various underlying mechanisms and unwanted outcomes. Substantial uncertainty surrounding PPD aetiology exists. To comprehensively investigate PPD, research is adopting the biopsychosocial theoretical model highlighting the interplay between biological and psychosocial factors. This paper aims to provide an overview of risk factors and biopsychosocial models of PPD. Method: A literature search was conducted in databases to identify risk factors and biopsychosocial models of PPD. Results: The most robust biological and psychosocial risk factors of PPD and findings from integrative studies are outlined. Several biopsychosocial models are identified, explaining antepartum, postpartum or peripartum depression. Integrative models show promise but differ in conceptualisation and proposed aetiological pathways underlying PPD. Conclusion: Biopsychosocial principles should be applied throughout the perinatal research and healthcare provision as a necessary landmark towards guiding future theory, improving maternal mental health care and ensuring better outcomes for mothers and children. [ABSTRACT FROM AUTHOR]

Background: Perinatal depression is a major public health problem, with an estimated prevalence of approximately 15% during the first postpartum year. Despite the high prevalence of postpartum depression, there is no consensus regarding assessment and treatment in the Spanish context. The General Council of Psychology of Spain convened a working group of experts in the field, including both academics and healthcare professionals, to review and propose recommendations based on evidence and best practices that could be applied in the Spanish context. Method: A literature search was completed in various databases (e.g., Medline, PsychInfo) including a combination of terms related to peripartum depression (PPD) assessment and diagnosis, prevention, treatment, and cost-effectiveness. A narrative synthesis of the literature has been conducted together with a critical overview of PPD with a special focus on the Spanish context. Results: In this consensus report, developing questions including prevalence and assessment tools, comparative effectiveness of preventive and treatment interventions, and cost-effectiveness of PPD management have been analyzed. Conclusions: The General Council of Psychology of Spain network advocates the establishment of compulsory screening protocols in all the autonomous regions. Also, it is necessary to promote the inclusion in maternal education of programs for the promotion of mental well-being and selective/indicated prevention carried out by a psychology professional with specialized training in the area. This consensus document also promotes the presence of a psychology professional with specialized training in the area. [ABSTRACT FROM AUTHOR]

Attachment‐based home visiting programs that serve new mothers experiencing psychological distress may advance health equity by helping families systemically exposed to adversity. This study examined whether one such program (Promoting First Relationships/PFR) had particularly beneficial effects on maternal and child relationship outcomes for mothers reporting the greatest psychological distress. A randomized controlled trial of the PFR program included a low‐income sample of 252 Spanish‐ and English‐speaking mother‐child dyads referred prenatally for mental health concerns. The sample of mothers was 65.5% White, 17.5% Black, and 17.1% multiracial or other racial groups; 47.2% reported Hispanic ethnicity. The moderating variable of psychological distress was measured using maternal‐reported screening tools for symptoms of depression, anxiety, anger, post‐traumatic stress, and interpersonal sensitivity. Outcomes included observed parenting sensitivity and self‐reported understanding of infants/toddlers, caregiving confidence, and child externalizing behavior. Results showed a significant treatment condition by baseline psychological distress interaction for observed parenting sensitivity such that differences in outcomes favoring the PFR condition were greatest among those with high baseline psychological distress (baseline child age 6–12 weeks). In a low‐income sample of new mothers, those with the greatest need, as indicated by high psychological distress, showed greater improvements in their sensitive and responsive caregiving if they were randomized to the PFR treatment condition. [ABSTRACT FROM AUTHOR]

Background: Emotion regulation involves the modulation of emotional experiences to facilitate goal attainment. Conversely, emotional difficulties are a pattern of emotional experiences and expressions that interfere with goal-directed behavior. Objectives: Design a new model to predict the presence of depression in women during pregnancy. Methods: Non-experimental, cross-sectional, explanatory study of depression in women during pregnancy (logistic regression) considering the variables emotional intelligence, parental care, anxiety and stress. The sample consisted of 273 pregnant women-mothers between 14 and 38 weeks pregnant, aged between 18 and 38 years, for a mean of 25.67 years (SD=5.8). Results: The regression model is valid and significant in predicting the probability of occurrence of depression, explaining 82.4% of the variance of DV (Presence of depression) by the variables age, clarity and repair of depression dimensions. emotional intelligence, the maternal and paternal overprotection dimensions, and paternal care of the parental style variables; stress, work and single marital status. There is a 95.2% probability of success in the depression result when each of the model variables is incorporated. Conclusions: The best predictors of depression in pregnancy would be, on the one hand, higher levels or values of the variables and indicators age, reparation, maternal overprotection, paternal care, and stress, and on the other hand, low scores in the dimensions and values of clarity variables, and paternal overprotection; added to whether the woman works and is single. This combination of variables would be the individual and contextual conditions that influence said appearance. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Se describe el proyecto piloto iniciado en 2108 y a desarrollar durante 2 años entre la Red de Salud Mental de Bizkaia y 4 centros de salud de las Organizaciones Sanitarias Integradas (OSI) de Bizkaia (Pais Vasco-Spain) pertenecientes al Servicio Vasco de Salud-Osakidetza. Tiene una finalidad preventiva y de promoción de la salud, así como colaborativa entre atención primaria y especializada-salud mental infantil. Busca consolidar la atención a la salud de la embarazada, incluyendo la salud mental, sistematizando la evaluación de la sintomatología depresiva perinatal y la intervención psicoterapéutica, tras su detección temprana en Atención Primaria. La salud mental perinatal es un área de salud con escaso desarrollo tanto a nivel regional como nacional (al contrario de lo que sucede en otros países vecinos dónde parecen ser más conscientes de la trascendencia de la atención y el apoyo en la etapa perinatal como una de las vías fundamentales para la promoción de la salud general y psíquica de padres y recién nacido). Objetivos principales: Detección de forma precoz (primer trimestre de embarazo) de sintomatología depresiva prenatal mediante la Escala de Edimburgo de depresión post-parto. Consta de 10 ítems con respuestas tipo Likert. Es una escala usada ampliamente para medir síntomas depresivos durante el período perinatal con una sensitividad del 81,1%. Está validada en población española. Intervención con finalidad preventiva para el tratamiento de la depresión perinatal (pre y post-natal) por medio de una Intervención psicoterapéutica (4 consultas) basada en la modalidad Psicoterapia centrada en la Parentalidad con las gestantes presentando clínica depresiva o riesgo alto de padecerla. Es un proyecto piloto con una muestra de gestantes atendida en 4 Centros de Salud de las OSIs del territorio de Bizkaia y con apoyo especializado por los 4 equipos comarcales de la Red de Salud Mental de Bizkaia: Uribe, Bilbao, Barrualdea y Eskerraldea. La muestra de gestantes atendidas en los Centro de Salud a lo largo del año 2018 y primeros 4 meses de 2019 es de aproximadamente 200 por cada comarca (N:800). Criterios de inclusión: gestantes atendidas por una matrona identificada (que participa en el proyecto) por cada centro de salud y que voluntariamente accedan a participar en el estudio (incluye consentimiento informado). La evaluación inicial de la posible sintomatología depresiva es realizada por las matronas tras un periodo preparatorio con los facultativos de salud mental. Los casos positivos o de riesgo que den su consentimiento, son atendidos por dichos facultativos especialistas en las 4 consultas de tratamiento psicoterapéutico. La utilidad práctica, clínica y asistencial, de los resultados estaría fundamentada porque, se atiende tanto a la madre gestante y su salud mental y emocional, como al futuro/a hijo/a favoreciendo un adecuado desarrollo psíquico posterior. Los objetivos no serían sólo terapéuticos sino que se buscaría integrarlos en un plan de prevención y promoción de la salud de la gestante y el bebé. Este proyecto se puede inscribir dentro de diversas estrategias y planes de salud de los Sistemas Públicos por su buen nivel de coste-eficacia.

Copyright of Revista Colombiana de Psiquiatria is the property of Asociacion Colombiana de Psiquiatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Para el estudio de la depresión perinatal se utilizan por lo general metodologías que consideran meramente aspectos psicoanalíticos que están enfocados en el área clínica, pero que, en algunos casos, dejan de lado aspectos sociales. En este trabajo se propone una metodología alternativa que permita rescatar el contexto social y cultural de las mujeres en etapa posparto, con el fin de obtener más elementos sobre su conducta. También se plantea la investigación cualitativa como eje principal de abordaje. Por un lado, se pretende rescatar los aspectos sociodemográficos mediante un análisis disgregado de las variables y, por otro, redimir factores socioculturales, considerando las expresiones orales de mujeres para identificar la depresión en la relación madrehijo(a). Dicha propuesta metodológica permitirá reconocer indicios de la presencia de la depresión perinatal y/o factores de riesgo.

Objective. To provide evidence on perinatal mental healthcare in Mexico. Materials and methods. Descriptive and bivariate analyses of data from a cross-sectional probabilistic survey of 211 public obstetric units. Results. Over half (64.0%) of units offer mental healthcare; fewer offer perinatal depression (PND) detection (37.1%) and care (40.3%). More units had protocols/guidelines for PND detection and for care, respectively, in Mexico City-Mexico state (76.7%; 78.1%) than in Southern (26.5%; 36.4%), Northern (27.3%; 28.1%) and Central Mexico (50.0%; 52.7%). Conclusion. Protocols and provider training in PND, implementation of brief screening tools and psychosocial interventions delivered by non-clinical personnel are needed. [ABSTRACT FROM AUTHOR]

Perinatal depression is a high frequency mood disorder which negatively affects mother and baby, and requires an intervention addressing both members of the dyad. This paper evaluates the applicability and results of a pilot intervention to strengthen this bond and reduce depression in dyads with this problem. Three mother-child dyads, with maternal depressive symptoms and a brief psychotherapeutic intervention using the model of Guided Interactions were studied. The results showed a reduction in depressive symptoms and an increase in maternal sensitivity, child cooperativeness and relationship quality. The intervention turned out to be effective in the variables under study. Nevertheless, new applications over larger sample sizes are required to confirm these findings. [ABSTRACT FROM AUTHOR]

Perinatal depression is a commonly underdiagnosed problem which not only severely affects maternal mental and physical health, but also affects the newborn on a physical, mental and cognitive level with serious repercussions on adult life. Despite efforts to obtain useful information to dimension the problem, most experts in the field agree that this disorder is more frequent than estimated. Thus, the improvement in obtaining information on perinatal mental health will not only allow for a better dimensioning of the problem, but will also allow for better decision making in public mental health to reduce morbidity and mortality and the burden of disease associated with perinatal depression., (Copyright: © 2022 Permanyer.)

Se describe el proyecto piloto iniciado en 2108 y a desarrollar durante 2 años entre la Red de Salud Mental de Bizkaia y 4 centros de salud de las Organizaciones Sanitarias Integradas (OSI) de Bizkaia (Pais Vasco-Spain) pertenecientes al Servicio Vasco de Salud-Osakidetza. Tiene una finalidad preventiva y de promoción de la salud, así como colaborativa entre atención primaria y especializada-salud mental infantil. Busca consolidar la atención a la salud de la embarazada, incluyendo la salud mental, sistematizando la evaluación de la sintomatología depresiva perinatal y la intervención psicoterapéutica, tras su detección temprana en Atención Primaria. La salud mental perinatal es un área de salud con escaso desarrollo tanto a nivel regional como nacional (al contrario de lo que sucede en otros países vecinos dónde parecen ser más conscientes de la trascendencia de la atención y el apoyo en la etapa perinatal como una de las vías fundamentales para la promoción de la salud general y psíquica de padres y recién nacido). Objetivos principales: Detección de forma precoz (primer trimestre de embarazo) de sintomatología depresiva prenatal mediante la Escala de Edimburgo de depresión post-parto. Consta de 10 ítems con respuestas tipo Likert. Es una escala usada ampliamente para medir síntomas depresivos durante el período perinatal con una sensitividad del 81,1%. Está validada en población española. Intervención con finalidad preventiva para el tratamiento de la depresión perinatal (pre y postnatal) por medio de una Intervención psicoterapéutica (4 consultas) basada en la modalidad Psicoterapia centrada en la Parentalidad con las gestantes presentando clínica depresiva o riesgo alto de padecerla. Es un proyecto piloto con una muestra de gestantes atendida en 4 Centros de Salud de las OSIs del territorio de Bizkaia y con apoyo especializado por los 4 equipos comarcales de la Red de Salud Mental de Bizkaia: Uribe, Bilbao, Barrualdea y Eskerraldea. La muestra de gestantes atendidas en los Centro de Salud a lo largo del año 2018 y primeros 4 meses de 2019 es de aproximadamente 200 por cada comarca (N:800). Criterios de inclusión: gestantes atendidas por una matrona identificada (que participa en el proyecto) por cada centro de salud y que voluntariamente accedan a participar en el estudio (incluye consentimiento informado). La evaluación inicial de la posible sintomatología depresiva es realizada por las matronas tras un periodo preparatorio con los facultativos de salud mental. Los casos positivos o de riesgo que den su consentimiento, son atendidos por dichos facultativos especialistas en las 4 consultas de tratamiento psicoterapéutico. La utilidad práctica, clínica y asistencial, de los resultados estaría fundamentada porque, se atiende tanto a la madre gestante y su salud mental y emocional, como al futuro/a hijo/a favoreciendo un adecuado desarrollo psíquico posterior. Los objetivos no serían sólo terapéuticos sino que se buscaría integrarlos en un plan de prevención y promoción de la salud de la gestante y el bebé. Este proyecto se puede inscribir dentro de diversas estrategias y planes de salud de los Sistemas Públicos por su buen nivel de coste-eficacia. [ABSTRACT FROM AUTHOR]

Introduction: Depression is the most common psychiatric morbidity in pregnancy, affecting more than 13% of pregnant women. Its diagnosis is based on the criteria established by the DSM-5 and the application of validated scales such as the Edinburgh Postnatal Depression Scale. However, there are still errors and shortcomings among healthcare professionals in the recognition, diagnosis and treatment of depression during pregnancy, with the resulting consequences and repercussions on the gestation itself or the foetus., Objective: To present a review of depression in pregnancy, its risk factors, clinical characteristics, complications and treatment., Methods: The PubMed and LILACS databases were used to search for manuscripts. Of the 223 articles found, 55 fulfilled the inclusion criteria., Results: The prevalence of depression in pregnancy in South America is approximately 29% and the most significant risk factors are sexual abuse, pregnancy at an early age and intrafamily violence. Therefore, early diagnosis favours a reduction in risk behaviour, foetal neurodevelopmental disorders and obstetric outcomes., Conclusions: Depression in pregnancy is common condition but is underreported as its symptoms are often attributed to the pregnancy itself. The use of selective serotonin reuptake inhibitor antidepressants, particularly fluoxetine, which has not been associated with teratogenicity, is recommended, in addition to the implementation of non-pharmacological treatment such as psychotherapy, mindfulness and aerobic exercise. Educating healthcare professionals will facilitate the correct diagnosis and treatment of this condition., (Copyright © 2017 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España, S.L.U. All rights reserved.)