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Addressing Women and Men Perinatal Mental Health: Towards a Multi-Dimensional Approach

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 3641

Special Issue Editors


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Guest Editor
HEI-Lab, Lusófona University, 1749-024 Lisboa, Portugal
Interests: clinical and health psychology; community psychology; transition to parenthood; parents’ mental health and quality of life; couple-related processes; dyadic coping; dyadic data analysis; risk assessment and prediction in multiple domains (e.g., postpartum depression); family foster care (e.g., assessment and training of foster carers) and child adoption (e.g., post-adoption support); evidence-based practices; program development and validation; applied research
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E-Mail Website
Guest Editor
HEI-Lab, Lusófona University, 1749-024 Lisboa, Portugal
Interests: perinatal psychology; pediatric psychology; developmental psychology and psychopathology; transition to parenthood; perinatal mental health; family processes; infant development

Special Issue Information

Dear Colleagues,

Perinatal mental health is not a new research topic. Previous studies have well documented the prevalence estimates of postpartum depression (PPD) among women, its antecedents, correlates, and consequences for the mother, the father, the child, and the whole family. However, research has shown that perinatal mental health problems go beyond depressive symptoms (e.g., anxiety and childbirth-related post-traumatic stress symptoms) during the postpartum period (e.g., pregnancy and the whole perinatal period). Similarly, the focus on mental health problems has been extended to include positive dimensions of well-being (e.g., flourishing), rather than focusing only on psychopathological symptoms. There has also been greater attention paid to the biological mechanisms, such as biomarkers, underlying and/or associated (e.g., cortisol reactivity and cytokines) with perinatal mental health problems and their impact on infant development. However, an integrative, comprehensive picture of these new focuses/approaches remains to be achieved. Regarding the correlates and predictors of perinatal mental health problems, couple (e.g., dyadic coping, satisfaction, intimate partner violence)- and parent (e.g., self-efficacy, coparenting, mindful parenting)-related variables have also received substantive attention in recent years. The use of dyadic (e.g., the Actor-Partner Interdependence Model; APIM) and family-level analyses, as well as of a prospective longitudinal design with multiple methods of data collection across the prenatal and the postpartum period, could advance current knowledge on how these variables interact with perinatal mental health problems.

Although meaningful advances have been demonstrated in women’s perinatal mental health, men’s and couples’ mental health during this period remains understudied, with particular regard to its determinants and consequences for child development. The adoption of a relationship science framework in this field has been recently advocated. On a related note, from a clinical standpoint, risk assessment tools and prevention and intervention approaches also remain focused on women’s PPD, with few approaches available that focus beyond PPD and on men’s/couples’ mental health. Finally, the mechanisms underlying the impact of perinatal mental health problems (e.g., biological processes, mother–father–child interaction) on child development (e.g., self-regulation and internalizing and externalizing problems) need to be further understood.

To move forward in this field, and to enhance the early identification and prevention of mental health problems among women, men, and couples in this critical time of life, we strongly encourage papers (i.e., reviews, meta-analyses, and qualitative and quantitative studies) addressing different dimensions of perinatal mental health from pregnancy to 24 months postpartum, covering one or more of the following features:

  • Dyad or triad as the unit of analysis;
  • Men’s mental health;
  • Pregnancy and/or the postpartum period (up to 24 months postpartum);
  • Anxiety, depression, and/or childbirth-related post-traumatic stress symptoms;
  • Positive dimensions of mental health and well-being;
  • Biological mechanisms associated with perinatal mental health;
  • Risk and protective factors (ecological perspective) related to perinatal mental health, particularly couple- and parent-related processes;
  • Impact of perinatal mental health on parenting behaviors, infant health, and/or development;
  • Preventive and intervention approaches (e.g., couple-based/focused interventions) for improving women’s, men’s, or couples’ perinatal mental health;
  • Prospective longitudinal studies that consider the whole perinatal period;
  • Dyadic (e.g., APIM) and family-level analyses;
  • Multiple methods of data collection (self-report questionnaires, interview, observation, and physiological and imaging data);
  • Screening and risk assessment tools.

Dr. Stephanie Alves
Dr. Tiago Miguel Pinto
Guest Editors

Manuscript Submission Information

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Keywords

  • pregnancy, postpartum, and perinatal period
  • women, men, or couple
  • well-being
  • mental health symptoms or disorders (e.g., anxiety, depression, childbirth-related posttraumatic stress)
  • couple, parent and/or triad-related processes
  • biological, psychological, and social mechanisms
  • infant health and development
  • parenting, couple, or family-based interventions
  • screening and risk assessment

Published Papers (2 papers)

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Research

14 pages, 1071 KiB  
Article
“A Judgment-Free Zone”: Adaptation and Pilot Study of a Virtual Wellness Group for African American Mothers with Young Children
by Kimberly M. Brooks, Dominique Charlot-Swilley, Hillary A. Robertson, Nia Bodrick, Aimee L. Danielson, Marta Genovez, Claire Boogaard, Sydney Morris, Sanyukta Deshmukh, Lauren Kiker, Olukemi Green and Huynh-Nhu Le
Int. J. Environ. Res. Public Health 2024, 21(4), 390; https://doi.org/10.3390/ijerph21040390 - 23 Mar 2024
Viewed by 1087
Abstract
The COVID-19 pandemic has been particularly challenging for the mental health of African American (AA) birthing people. The pandemic necessitated shifting mental health care to online interventions. The goals of this study were to (1) describe an adapted evidence-based group preventive intervention for [...] Read more.
The COVID-19 pandemic has been particularly challenging for the mental health of African American (AA) birthing people. The pandemic necessitated shifting mental health care to online interventions. The goals of this study were to (1) describe an adapted evidence-based group preventive intervention for AA mothers with young children within a pediatric setting and (2) evaluate the feasibility, acceptability, and preliminary effectiveness of this virtual intervention. Phase 1 describes the adaptation of the HealthySteps Mom’s Virtual Wellness Group, including eight weekly sessions based on the Mothers and Babies Course. Phase 2 was a mixed-methods, pre–post intervention design. Six AA mothers with young children completed questionnaires related to depression, anxiety, and parenting competence at three time points: pre-intervention (T1), post-intervention (T2), and 3 months post-intervention (T3). The participants also completed a focus group post-T2 to gather qualitative feedback regarding the intervention. The median scores for depression were lower at T2 and increased at T3, and for anxiety, they increased at T2 and decreased at T3. The median scores for parenting competence increased across the three time points. The participants attended a mean of 7.2 sessions (SD = 0.74). The qualitative results indicate that the participants gained a sense of empowerment, enjoyed connecting with other mothers, and acquired information. This pilot study suggests that a virtual intervention is feasible, acceptable, and can increase parenting competence and support among AA mothers with young children. Full article
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13 pages, 388 KiB  
Article
Postpartum Blues in Fathers: Prevalence, Associated Factors, and Impact on Father-to-Infant Bond
by Claire Baldy, Eloi Piffault, Margaux Chabbert Chopin and Jaqueline Wendland
Int. J. Environ. Res. Public Health 2023, 20(10), 5899; https://doi.org/10.3390/ijerph20105899 - 20 May 2023
Cited by 4 | Viewed by 1820
Abstract
In this study we explored, in men, one of the most common postpartum syndromes in women: the postpartum blues. The aims of the study were (a) to evaluate the prevalence of postpartum blues in fathers, (b) to explore the sociodemographic and perinatal factors [...] Read more.
In this study we explored, in men, one of the most common postpartum syndromes in women: the postpartum blues. The aims of the study were (a) to evaluate the prevalence of postpartum blues in fathers, (b) to explore the sociodemographic and perinatal factors that may be associated with its intensity, and (c) to investigate the relationship between the intensity of blues symptoms and the quality of father-to-infant bonding. Three hundred and three French-speaking fathers living in France completed a sociodemographic and obstetrical questionnaire, the Maternity Blues Questionnaire, and the Postpartum Bonding Questionnaire. The fathers were recruited from two maternity hospitals and a Child and Maternal Health Centre within 10 days of their infant’s birth, or from online forums devoted to parenting. At least 17.5% of fathers experienced postpartum blues. A high level of education was associated with a higher level of postpartum blues symptoms. Dissatisfaction with the maternity care and significant father involvement during pregnancy and delivery predicted more severe postpartum blues symptoms. Symptoms of postpartum blues were positively correlated with impairment in the father-to-infant bond. This study lends support to the existence of postpartum blues among fathers and highlights its possible consequences on early father–infant relationships. Full article
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