Science Current Events | Science News | Brightsurf.com
 

Prenatal diagnosis of congenital heart disease increases maternal stress, depression, and anxiety

September 07, 2012
Heart defects are the most common form of congenital malformations affecting newborns. Infants who were prenatally diagnosed with congenital heart disease (CHD) are more stable and have better outcomes than infants who were diagnosed after birth. Diagnosing CHD in a fetus also allows mothers to educate themselves on heart malformations, consider their options, and potentially plan for intervention or surgery after birth. However, a new study scheduled for publication in The Journal of Pediatrics finds that, along with these benefits, maternal posttraumatic stress, depression, and anxiety are common after prenatal diagnosis of CHD.

The prenatal diagnosis of CHD is a stressful event for parents, which can affect mood and anxiety. Maternal stress has been linked to fetal disturbances in the hypothalamic-adrenal-pituitary system, poor intrauterine growth, preterm birth, and newborns who are small for gestational age (associated with childhood attention and learning difficulties, anxiety, and depression). Therefore, healthy partner relationships and positive coping mechanisms are important for pregnant women to successfully deal with stress. Jack Rychik, MD, at the Fetal Heart Program at The Cardiac Center at The Children's Hospital of Philadelphia, states, "Our study supports the notion that maternal psychological support is an important intervention that may someday accompany prenatal diagnosis of CHD, in order to potentially improve outcomes for both fetus and mother."

Dr. Rychik and colleagues from The Children's Hospital of Philadelphia assessed women whose fetus had been diagnosed with serious CHD, requiring newborn assessment and cardiac surgery or catheterization within 6 months after birth. Two to four weeks after initial diagnosis, 59 pregnant women were given self-reporting surveys to assess their perceived posttraumatic stress, anxiety, depression, coping responses, and couples/partner adjustment. The authors found that depression and anxiety were higher for the pregnant women whose fetus had been diagnosed with CHD and partner satisfaction was lower, compared with women with healthy pregnancies.

Twenty-two percent of the women in the study had depression, 31% had anxiety, and 39% had traumatic stress. Low income was associated with increased maternal depression. Low partner satisfaction was associated with increased maternal depression and anxiety. Denial was associated with increased maternal depression, anxiety, and traumatic stress, regardless of partner satisfaction or income. Alternatively, increased acceptance was associated with decreased maternal depression.

Women may grieve the loss of a "normal" pregnancy by going through the various stages of grief (denial, guilt, anger, bargaining, and potentially acceptance). Health care providers should incorporate a strategy of maternal stress reduction through the promotion of coping skills after diagnosis of a fetus with CHD and throughout the pregnancy. Although maternal coping is important, partner satisfaction may be a better "buffer" for the stress of prenatal CHD. Brief couples therapy also may be beneficial to the pregnant women and their partners.

Elsevier Health Sciences


Related Depression Current Events and Depression News Articles


People with depression may be more likely to develop Parkinson's disease
People with depression may be more likely to develop Parkinson's disease, according to a large study by researchers at Umeå University, Sweden.

Odds are that chronic gamblers are often also depressed
If a young man is a chronic gambler, the chances are extremely high that he also suffers from depression.

Douglas study on neurogenesis in the olfactory bulb
A new study published by the team of Naguib Mechawar, Ph.D., a researcher at the Douglas Institute (CIUSSS de l'Ouest-de-l'®le-de-Montr©al) and Associate Professor in the Department of Psychiatry at McGill University, suggests that the integration of new neurons in the adult brain is a phenomenon more generally compromised in the brains of depressed patients.

All sounds made equal in melancholy
The room is loud with chatter. Glasses clink. Soft music, perhaps light jazz or strings, fills the air. Amidst all of these background sounds, it can be difficult to understand what an adjacent person is saying.

Suicide trends in school-aged children reveal racial disparity
While suicide rates in children younger than 12 have remained steady for the past 20 years, a new study published in JAMA Pediatrics is the first to observe higher suicide rates among black children.

Twitter could provide valuable details about transgender individuals' health, social needs
Twitter 'big data' could provide valuable details about transgender individuals' health and social needs

Study finds high risk of sleep apnea in young veterans with PTSD
A new study of young U.S. veterans shows that the probability of having a high risk of obstructive sleep apnea (OSA) increased with increasing severity of post-traumatic stress disorder (PTSD) symptoms.

RAND study finds association between teen sleep patterns and alcohol or marijuana use
Adolescents who sleep less or stay up later are significantly more likely to have used alcohol and marijuana over the past month when compared to their peers who report better sleep patterns, according to a new RAND Corporation study.

Physical training helps women with polycystic ovary syndrome
Women with polycystic ovary syndrome, a hormonal disorder that affects 5% to 10% of the female population of fertile age, often experience sexual dysfunction and low self-esteem, but a new study shows that physical resistance training can help.

Antidepressants beneficial for women with postnatal depression
Antidepressants are associated with better rates of treatment response and remission for women with postnatal depression, when compared to a placebo, according to a new systematic review by the Institute of Psychiatry, Psychology & Neuroscience (IoPPN) at King's College London.
More Depression Current Events and Depression News Articles

The Depression Cure: The 6-Step Program to Beat Depression without Drugs

The Depression Cure: The 6-Step Program to Beat Depression without Drugs
by Stephen S. Ilardi (Author)


In the past decade, depression rates have skyrocketed, and one in four Americans will suffer from major depression at some point in their lives. Where have we gone wrong? Dr. Stephen Ilardi sheds light on our current predicament and reminds us that our bodies were never designed for the sleep-deprived, poorly nourished, frenzied pace of twenty-first century life.Inspired by the extraordinary resilience of aboriginal groups like the Kaluli of Papua New Guinea, Dr. Ilardi prescribes an easy-to-follow, clinically proven program that harks back to what our bodies were originally made for and what they continue to need. The Depression Cure program has already delivered dramatic results, helping even those who have failed to respond to traditional medications.

Love Yourself Like Your Life Depends On It

Love Yourself Like Your Life Depends On It
by Kamal Ravikant (Author)


In December of 2011, I gave a talk to an audience of scientists, Pentagon officials, politicians, and CEOs on the secret of life and how I'd figured it out the previous summer. Afterwards, people came up individually and told me how much what I'd shared meant to them. This book is based on the truth I spoke about. It's something I learned from within myself, something I believed saved me. And more than that, the way I set about to do it. This is a collection of thoughts on what I learned, what worked, what didn't. Where I succeed and importantly, where I fail daily. The truth is to love yourself with the same intensity you would use to pull yourself up if you were hanging off a cliff with your fingers. As if your life depended upon it. Once you get going, it's not hard to do. Just...

The Mindful Way Through Depression: Freeing Yourself from Chronic Unhappiness (Book & CD)

The Mindful Way Through Depression: Freeing Yourself from Chronic Unhappiness (Book & CD)
by Mark Williams (Author), John Teasdale (Author), Zindel Segal (Author), Jon Kabat-Zinn (Author)


If you’ve ever struggled with depression, take heart. Mindfulness, a simple yet powerful way of paying attention to your most difficult emotions and life experiences, can help you break the cycle of chronic unhappiness once and for all.

In The Mindful Way through Depression, four uniquely qualified experts explain why our usual attempts to “think” our way out of a bad mood or just “snap out of it” lead us deeper into the downward spiral. Through insightful lessons drawn from both Eastern meditative traditions and cognitive therapy, they demonstrate how to sidestep the mental habits that lead to despair, including rumination and self-blame, so you can face life’s challenges with greater resilience. Jon Kabat-Zinn gently and encouragingly narrates the accompanying...

Feeling Good: The New Mood Therapy

Feeling Good: The New Mood Therapy
by David D. Burns (Author)


The good news is that anxiety, guilt, pessimism, procrastination, low self-esteem, and other "black holes" of depression can be cured without drugs. In Feeling Good, eminent psychiatrist, David D. Burns, M.D., outlines the remarkable, scientifically proven techniques that will immediately lift your spirits and help you develop a positive outlook on life. Now, in this updated edition, Dr. Burns adds an All-New Consumer′s Guide To Anti-depressant Drugs as well as a new introduction to help answer your questions about the many options available for treating depression.

- Recognise what causes your mood swings
- Nip negative feelings in the bud
- Deal with guilt
- Handle hostility and criticism
- Overcome addiction to love and approval
- Build self-esteem
-...

F*ck Depression: Breaking Free From Depression And Start Living A Kick-Ass Life! (Cognitive Behavioral Therapy, How To Be Happy, Positive Thinking, Binge Eating, Love Yourself, NLP, Mindfulness)

F*ck Depression: Breaking Free From Depression And Start Living A Kick-Ass Life! (Cognitive Behavioral Therapy, How To Be Happy, Positive Thinking, Binge Eating, Love Yourself, NLP, Mindfulness)


Time For You To Break Through The Chains of Depression!
Are you feeling a lot of sadness when you encounter life’s setbacks, struggles and disappointments?
Are you having trouble sleeping, can’t concentrate well, have countless negative thoughts and seem to always feel hopeless?
Are you sick and tired of having your depression rob you from ultimate life fulfillment?
It’s time to reclaim your life!

Depression is one such psychological imbalance that has adverse effects on our personal, professional and social lives. It is best if we identify the cause and work on becoming happier. Depression is created from many factors: different life experiences, information we obtain, and people we may surround ourselves with. So if depression was created why...

The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time

The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time
by Alex Korb PhD (Author), Daniel J. Siegel MD (Foreword)


Depression can feel like a downward spiral, pulling you into a vortex of sadness, fatigue, and apathy. In The Upward Spiral, neuroscientist Alex Korb demystifies the intricate brain processes that cause depression and offers a practical and effective approach to getting better. Based on the latest research in neuroscience, this book provides dozens of straightforward tips you can do every day to rewire your brain and create an upward spiral towards a happier, healthier life.
 
Whether you suffer from depression or just want a better understanding of the brain, this book offers an engaging and informative look at the neuroscience behind our emotions, thoughts, and actions. The truth is that there isn’t one big solution to depression, but there are numerous simple steps you can...

The Cognitive Behavioral Workbook for Depression: A Step-by-Step Program

The Cognitive Behavioral Workbook for Depression: A Step-by-Step Program
by Dr. William J Knaus EdD (Author), Albert Ellis PhD (Author)


Cognitive behavioral therapy (CBT) is the most widely used treatment for depression for one simple reason: it works. The CBT program in this workbook has helped thousands of readers defeat the depressive thoughts and beliefs that keep them from enjoying life and feeling like themselves. Used alone or in conjunction with therapy, The Cognitive Behavioral Workbook for Depression delivers evidence-based tools you can confidently use to do better, feel better, and prevent depression from coming back.Through a series of worksheets and exercises, you’ll evaluate your depression and learn key skills for overcoming it. Once you have your depression symptoms under control, you will appreciate the additional information on preventing relapse that is special to this new edition. This workbook also...

The Noonday Demon: An Atlas of Depression

The Noonday Demon: An Atlas of Depression
by Andrew Solomon (Author)


Winner of the National Book Award and a Pulitzer Prize finalist, The Noonday Demon examines depression in personal, cultural, and scientific terms. Drawing on his own struggles with the illness and interviews with fellow sufferers, doctors and scientists, policy makers and politicians, drug designers and philosophers, Andrew Solomon reveals the subtle complexities and sheer agony of the disease.

He confronts the challenge of defining the illness and describes the vast range of available medications, the efficacy of alternative treatments, and the impact the malady has on various demographic populations -- around the world and throughout history. He also explores the thorny patch of moral and ethical questions posed by emerging biological explanations for mental illness. With...

Undoing Depression: What Therapy Doesn't Teach You and Medication Can't Give You

Undoing Depression: What Therapy Doesn't Teach You and Medication Can't Give You
by Richard O'Connor (Author)


Like heart disease, says psychotherapist Richard O'Connor, depression is fueled by complex and interrelated factors: genetic, biochemical, environmental. In this refreshingly sensible book, O'Connor focuses on an additional factor often overlooked: our own habits. Unwittingly we get good at depression. We learn how to hide it, how to work around it. We may even achieve great things, but with constant struggle rather than satisfaction. Relying on these methods to make it through each day, we deprive ourselves of true recovery, of deep joy and healthy emotion.

UNDOING DEPRESSION teaches us how to replace depressive patterns with a new and more effective set of skills. We already know how to "do" depression-and we can learn how to undo it. With a truly holistic approach that...

Managing Stress & Preventing Depression (Climb Your Mountain)

Managing Stress & Preventing Depression (Climb Your Mountain)
by Brown Dog


This book examines what stress is, the effect it can have on us and how you can manage and reduce your stress levels. Detailed information to explore along with practical advice and techniques provide the reader with the knowledge and tools to ensure that they can manage stress and prevent stress-related depression.

© 2015 BrightSurf.com