| Title |
Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit
|
|---|---|
| Published in |
Archives of Women's Mental Health, January 2015
|
| DOI | 10.1007/s00737-014-0492-x |
| Pubmed ID | |
| Authors |
Bettina Christl, Nicole Reilly, Carolyn Yin, Marie-Paule Austin |
| Abstract |
This study examines the clinical profile of women admitted to a psychiatric mother-baby unit as well as change in their clinical, parenting, attachment and quality of life outcomes. Data was collected from 191 mothers through self-report measures at admission and discharge. Change was analysed in terms of Edinburgh Postnatal Depression Scale (EPDS) score, parenting confidence, maternal attachment to the infant and overall functioning. Psychosocial factors impacting on symptom severity and recovery were examined. Most women (64.8 %) were admitted in the first 3 months after birth with an ICD-10 unipolar depressive episode (52.3 %) or anxiety disorder (25.7 %), and 47.6 % had comorbid diagnoses. Improvement from admission to discharge was seen with large effect sizes (≥one standard deviation, i.e. μ) in terms of clinical symptoms (EPDS, μ = 1.7), parenting confidence (Karitane Parenting Confidence Scale (KPCS), μ = 1.1) and attachment to their infant (Maternal Postpartum Attachment Scale (MPAS), μ = 0.9) as well as overall level of functioning (SF-14, μ = 1.9). The majority (73.3 %) recovered symptomatically, and this was associated with increasing maternal age (odds ratio (OR) = 1.129, p = 0.002) and lower levels of psychosocial risk at admission (OR = 0.963, p = 0.008). Improvement in parenting confidence was associated with increasing maternal age (OR = 1.17, p = 0.003). No predictive factors were found for improvement in maternal attachment after controlling for admission scores. In the short term, joint admission of mothers with their infants is highly beneficial in terms of clinical, functional and parenting outcomes, but follow up studies are needed to assess the longer term benefits for mother-infant dyads. The use of an observational tool to enhance our assessment of maternal-infant interaction and some measure of maternal emotional dysregulation-both important mediators of development of secure infant attachment-would also enhance our ability to tailor therapeutic interventions. |
Mendeley readers
The data shown below were compiled from readership statistics for 220 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Mexico | 1 | <1% |
| Denmark | 1 | <1% |
| Unknown | 218 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 35 | 16% |
| Researcher | 24 | 11% |
| Student > Ph. D. Student | 22 | 10% |
| Student > Doctoral Student | 19 | 9% |
| Student > Bachelor | 16 | 7% |
| Other | 43 | 20% |
| Unknown | 61 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 68 | 31% |
| Medicine and Dentistry | 31 | 14% |
| Nursing and Health Professions | 18 | 8% |
| Social Sciences | 15 | 7% |
| Agricultural and Biological Sciences | 3 | 1% |
| Other | 17 | 8% |
| Unknown | 68 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 January 2015.
All research outputs
#20,249,662
of 22,778,347 outputs
Outputs from Archives of Women's Mental Health
#894
of 921 outputs
Outputs of similar age
#295,732
of 352,360 outputs
Outputs of similar age from Archives of Women's Mental Health
#17
of 18 outputs
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