jn rl stress summit
TRANSCRIPT
PERINATAL MENTAL HEALTH
AND IMPLICATIONS FOR THE
LIFE COURSE
Dr James Newham
Postdoctoral Research Associate
Dr Raghu Lingam
Clinical Senior Lecturer
Mood disorders as a multi-dimensional
concept
Autonomic function (increased sympathetic nervous
system activation)
Psychological responses
(change in mood and affect)
Hormonal levels
(increased secretion of
cortisol)
‘U shaped curve’ of mood in pregnancy
Anxiety/
Stress/
Depression
scores
Trimester
Increased fear of childbirth
Aches and pains
Changes in occupation status
Uncertainity of fetus
Pregnancy sickness
Adapting to being a parent
1 2 3
‘U shaped curve’ of mood in pregnancy
Anxiety/
Stress/
Depression
scores
Trimester
Increased fear of childbirth
Aches and pains
Changes in occupation status
Uncertainity of fetus
Pregnancy sickness
Adapting to being a parent
1 2 3
Impact of stress in pregnancy on health
outcomes
• Obstetric• Assisted
labour
• Prolonged labour
• Preterm delivery
• Low birth weight
• Maternal• Depression
• Anxiety
• Psychosis
• Impaired attachment
• Infant• Behavioural
difficulties
• ADHD
• Cognitive performance
• Sleep problems
• Conduct disorders
Impact of stress in pregnancy on economic
outcomes
1 in 5 pregnant women experience anxiety or depression symptoms
Estimated that these mental health problems costs the NHS £1.2 billion each year
72% incurred from direct effects on the child, and NOT the mother
Economic impact of problem
Costs of perinatal DEPRESSION, impact on MOTHERS, £ per
case
Costs of perinatal ANXIETY, impact on MOTHERS, £ per case
Wider scope of problem -
Impact on CHILDREN, £ per case
The need to intervene early!
Current research programmes
Mothers
1. Maternal mental health in North Yorkshire
2. Brief Interventions for parental health
3. BaBBLeS (Bumps And BaBies Longitudinal
Study)
Young people
4. Preventative mental health interventions
for young people aged 12-19 years
Maternal mental health in North Yorkshire
Funder: North Yorkshire County Council
Research Team: K Jackson, E Henderson,
J Newham, M Balaam, D Hunter, R Lingam
Objectives
Identify how services are delivered in rural areas
Identify barriers and facilitators to effective delivery
Explore how women in rural areas describe their needs and
experiences relating to perinatal mental health
Brief interventions for parental health
Funder: New South Wales
Department of Education & Training
Research Team: J Newham, S Ginja,
L Hurt, K McLean, S Goldfeld, R Lingam
Objectives
Identify BRIEF interventions that can be adapted into Health
Visitor services
6 outcomes related to Healthy Child Program
Our focus
Parental Mental Health
Child Social and Emotional Wellbeing
BaBBLeS (Bumps And BaBies Longitudinal Study)
Funder: Best Beginnings
Research Team: R Lingam, S Ginja
Objectives
To explore impact of Baby Buddy app on maternal self-efficacy,
parenting competence and wellbeing
Cohort study exploring impact of intervention from antenatal to 6
months postnatal
Preventative mental health interventions for
young people
Funder: Institute for Local Governance
Research Team: J Newham, E Henderson,
R McGovern, J Shucksmith, L Spencer,
E Geijer-Simpson, S Russell, A Reynolds,
S Robalino, P McArdle, E Kaner, Raghu Lingam
Objectives
Meta-synthesis
Mapping of service provision
Systematic review of reviews of preventative interventions for
young people
Interviews/focus groups with young people & service providers
Preventative mental health interventions for young
people - Findings from systematic review
21 relevant reviews describing 65 unique trials.
Outcome
Intervention typePsychological/
EducationalOnline
Relaxation
Universal Indicated Universal Indicated
Depression ? ?
Anxiety ? ?
Mental
health
Promotion
? ? ?
Thank you for listening!
For further details contact:
Twitter: @JamesJNewham