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The Role of Social Support in Perinatal Mental Health and Psychosocial Stimulation.
Kay, Tatjana L; Moulson, Margaret C; Vigod, Simone N; Schoueri-Mychasiw, Nour; Singla, Daisy R.
Afiliación
  • Kay TL; Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
  • Moulson MC; Department of Psychiatry, Sinai Health, Toronto, ON, Canada.
  • Vigod SN; Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
  • Schoueri-Mychasiw N; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  • Singla DR; Department of Psychiatry, Women's College Hospital, Toronto, ON, Canada.
Yale J Biol Med ; 97(1): 3-16, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38559463
ABSTRACT
Social support refers to the help someone receives emotionally or instrumentally from their social network. Poor social support in the perinatal period has been associated with increased risk for symptoms of common mental disorders, including depression and posttraumatic stress symptoms (PTS), which may impact parenting behavior. Whether social support impacts parenting behaviors, independent of mental health symptomatology, remains unclear. Among N=309 participants of the Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT Trial), a large perinatal depression and anxiety treatment trial, we explored the relations between perceived social support, perinatal depressive and PTS symptoms, and psychosocial stimulation provided by the parent in their home environment. Social support was measured at baseline using the Multidimensional Scale of Perceived Social Support (MSPSS). Perinatal depressive symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS) and PTS symptoms were measured by the Abbreviated PTSD Checklist (PCL-6) at baseline, 3-, and 6-months post-randomization. Psychosocial stimulation was assessed by the Home Observation Measurement of the Environment (HOME) when the infant was between 6 to 24 months. Using stepwise hierarchical regressions, we found (1) perceived social support at baseline significantly predicted both depressive and PTS symptoms at 3-months post-randomization, even when controlling for baseline depressive and PTS symptoms; and (2) while neither depressive nor PTS symptoms were significantly associated with psychosocial stimulation, perceived social support at baseline was a significant predictor. Clinical implications regarding treatment of perinatal patients are discussed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto Límite: Female / Humans / Infant / Pregnancy Idioma: En Revista: Yale J Biol Med Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto Límite: Female / Humans / Infant / Pregnancy Idioma: En Revista: Yale J Biol Med Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos