Rights statement: This is the peer reviewed version of the following article: Speyer, LG, Hall, HA, Ushakova, A, et al. Links between perinatal risk factors and maternal psychological distress: A network analysis. Acta Obstet Gynecol Scand. 2021; 100: 917– 926. https://doi.org/10.1111/aogs.14056 which has been published in final form at https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/aogs.14056 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Links between Perinatal Risk Factors and Maternal Psychological Distress
T2 - A Network Analysis
AU - Speyer, Lydia Grabriela
AU - Hall, Hildigunnur Anna
AU - Ushakova, Anastasia
AU - Murray, Aja Louise
AU - Luciano, Michelle
AU - Auyeung, Bonnie
PY - 2021/5/31
Y1 - 2021/5/31
N2 - IntroductionThis paper explores a range of perinatal risk factors that may increase maternal vulnerability to postnatal psychological distress in a sample of 17 531 women participating in the Millennium Cohort Study, a diverse British, longitudinal birth cohort study.Material and methodsUsing a graphical network modeling framework, this study models the links between postnatal psychological distress and perinatal risk factors, while controlling for sociodemographic factors and history of depression and anxiety. Postnatal psychological distress was assessed at 9 months postpartum using the Rutter Malaise Inventory.ResultsResults of the graphical network models indicate that lower levels of happiness about the pregnancy (Edge weight [w] = 0.084, 95% CI = 0.069‐0.100, b = 0.095), smoking during pregnancy (w = 0.026, 95% CI = −0.009‐0.060, b = 0.029), infection during pregnancy (w = 0.071, 95% CI = 0.024‐0.118, b = 0.090), hyperemesis gravidarum (w = 0.068, 95% CI = 0.013‐0.123, b = 0.083), baby in special care (w = 0.048, 95% CI = −0.004‐0.099, b = 0.062), not being white (w = 0.101, 95% CI = 0.062‐0.140, b = 0.118), being from a more deprived area (w = −0.028, 95% CI = −0.051 to −0.005, b = −0.039), lower income (w = −0.025, 95% CI = −0.055‐0.005, b = −0.036), and history of depression or anxiety (w = 0.574, 95% CI = 0.545‐0.603, b = 0.764) were associated with increased psychological distress.ConclusionsSome perinatal risk factors may be directly associated with postnatal psychological distress, but many risk factors appear to be primarily associated with demographic factors. This emphasizes the importance of taking a holistic approach when evaluating an individual's risk of developing postnatal psychological distress.
AB - IntroductionThis paper explores a range of perinatal risk factors that may increase maternal vulnerability to postnatal psychological distress in a sample of 17 531 women participating in the Millennium Cohort Study, a diverse British, longitudinal birth cohort study.Material and methodsUsing a graphical network modeling framework, this study models the links between postnatal psychological distress and perinatal risk factors, while controlling for sociodemographic factors and history of depression and anxiety. Postnatal psychological distress was assessed at 9 months postpartum using the Rutter Malaise Inventory.ResultsResults of the graphical network models indicate that lower levels of happiness about the pregnancy (Edge weight [w] = 0.084, 95% CI = 0.069‐0.100, b = 0.095), smoking during pregnancy (w = 0.026, 95% CI = −0.009‐0.060, b = 0.029), infection during pregnancy (w = 0.071, 95% CI = 0.024‐0.118, b = 0.090), hyperemesis gravidarum (w = 0.068, 95% CI = 0.013‐0.123, b = 0.083), baby in special care (w = 0.048, 95% CI = −0.004‐0.099, b = 0.062), not being white (w = 0.101, 95% CI = 0.062‐0.140, b = 0.118), being from a more deprived area (w = −0.028, 95% CI = −0.051 to −0.005, b = −0.039), lower income (w = −0.025, 95% CI = −0.055‐0.005, b = −0.036), and history of depression or anxiety (w = 0.574, 95% CI = 0.545‐0.603, b = 0.764) were associated with increased psychological distress.ConclusionsSome perinatal risk factors may be directly associated with postnatal psychological distress, but many risk factors appear to be primarily associated with demographic factors. This emphasizes the importance of taking a holistic approach when evaluating an individual's risk of developing postnatal psychological distress.
KW - Graphical model
KW - Millennium cohort study
KW - Perinatal risk factors
KW - Postnatal psychological express
KW - Pregnancy
U2 - 10.1111/aogs.14056
DO - 10.1111/aogs.14056
M3 - Journal article
VL - 100
SP - 917
EP - 926
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 5
ER -