Parental attachment and depressive symptoms in pregnancies complicated by twin-twin transfusion syndrome: a cohort study

Abstract Background Twin-twin transfusion syndrome (TTTS) is a highly morbid condition in which treatment exists, but the pregnancy remains high-risk until delivery. It may have serious sequelae, including fetal death, and in the longer term, neurodevelopmental problems. The aim of this study is to assess antenatal and postnatal parental attachment and depressive symptoms in those with pregnancies affected by TTTS. Methods Couples attending for fetoscopic laser ablation treatment of TTTS were asked to complete Condon’s Maternal/Paternal Antenatal/Postnatal Attachment Scale as appropriate, and the Edinburgh Depression Scale the day before ablation, 4 weeks post-ablation, and 6–10 weeks postnatally. Results 25/27 couples completed the pre-ablation questionnaire (median gestational age 19 + 3 weeks [interquartile range 18 + 2–20 + 6]). 8/18 eligible couples returned the post-ablation questionnaire. 5/17 eligible couples returned the postnatal questionnaire. There was no significant difference in parento-fetal attachment when mothers were compared to fathers at each time point, however parento-fetal attachment did increase over time in mothers (p = 0.004), but not fathers. Mothers reported more depressive symptoms antenatally compared to fathers (p < 0.02), but there was no difference postnatally. 50% women reported Edinburgh Depression Scale scores above the cut-off (≥15) 4 weeks post-ablation. Over time maternal depressive symptoms decreased (p = 0.006), however paternal depressive symptoms remained the same. Conclusions This is the first attachment and depression study in a UK cohort of parents with pregnancies affected by TTTS. Although this was a small cohort and the questionnaires used had not been validated in these circumstances, the results suggest that centres caring for these couples should be aware of the risk of maternal and paternal antenatal depression, and screen and refer for additional psychological support. Further work is needed in larger cohorts. Trial registration ISRCTN 13114861 (retrospectively registered).

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660 Chronotype Associations with Insomnia, Depressive Symptoms, and Changes in Sleep and Health Behaviors during the COVID-19 Pandemic

SLEEP ◽

10.1093/sleep/zsab072.658 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A258-A258

Author(s):

Megan Petrov ◽

Matthew Buman ◽

Dana Epstein ◽

Shawn Youngstedt ◽

Nicole Hoffmann ◽

...

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Health Behaviors ◽

Screen Time ◽

Online Survey ◽

Light Exposure ◽

Multinomial Logistic Regression ◽

Depression Scale ◽

Time In Bed ◽

Significant Difference

Abstract Introduction Evening chronotype (i.e., night owl preference) is associated with worse insomnia and depressive symptoms, and poorer health behaviors. The aim of this study was to examine the association between chronotype and these symptoms and health behaviors during COVID-19 pandemic quarantine. Methods An online survey, distributed internationally via social media from 5/21/2020–7/1/2020, asked adults to report sociodemographic/economic information, changes in sleep (midpoint, total sleep time, sleep efficiency, time-in-bed), and health behaviors (i.e., physical activity, sedentary screen time, and outdoor light exposure patterns) from prior to during the pandemic, chronotype preference (definitely morning [DM], rather more morning [RM], rather more evening [RE], or definitely evening [DE]), and complete the Insomnia Severity Index (ISI) and the 10-item Center for Epidemiologic Studies Depression scale (CES-D-10). Multinomial logistic regression and ANCOVA models, adjusting for age and sex, examined associations of chronotype with COVID-19 pandemic related impacts on sleep, depressive symptoms, and health behaviors. Results A subsample of 579 participants (M age: 39y, range: 18–80; 73.6% female), currently under quarantine and neither pregnant nor performing shift work, represented each chronotype evenly (~25%). Participants delayed their sleep midpoint by 72.0min (SD=111.5) during the pandemic. DE chronotypes had a greater delay than morning types (M±SD DE: 91.0±9.0 vs. RM: 55.9±9.2 & DM: 66.1±9.3; p=0.046) with no significant change in other sleep patterns relative to other chronotypes. However, DE and RE chronotypes had greater odds of reporting that their new sleep/wake schedule was still not consistent with their “body clock” preference relative to morning types (Χ2[15]=54.8, p<0.001), reported greater ISI (F[3,503]=5.3, p=.001) and CES-D-10 scores (F[3,492]=7.9, p<.001), and had greater odds for increased or consistently moderate-to-high sedentary screen time (Χ2[12]=22.7, p=0.03) and decreased physical activity (Χ2[12]=22.5, p=0.03) than DM chronotype. There was no significant difference in change in outdoor light exposure by chronotype (Χ2[12]=12.1, p=0.43). Conclusion In an international online sample of adults under COVID-19 pandemic quarantine, evening chronotypes, despite taking the opportunity to delay sleep to match biological clock preference, reported their sleep/wake schedules were still inconsistent with personal preference, and reported greater insomnia and depressive symptoms, and odds of engaging in poorer health behaviors than morning chronotypes. Support (if any):

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Six-month trajectories of self-reported depressive symptoms in long-term care

International Psychogeriatrics ◽

10.1017/s1041610215001179 ◽

2015 ◽

Vol 28 (1) ◽

pp. 71-81 ◽

Cited By ~ 1

Author(s):

Jane McCusker ◽

Martin G. Cole ◽

Philippe Voyer ◽

Johanne Monette ◽

Nathalie Champoux ◽

...

Keyword(s):

Depressive Symptoms ◽

Long Term Care ◽

Secondary Analysis ◽

Depression Scale ◽

Depression Symptom ◽

Term Care ◽

Symptom Trajectory ◽

Over Time

ABSTRACTBackground:Depression is a common problem in long-term care (LTC) settings. We sought to characterize depression symptom trajectories over six months among older residents, and to identify resident characteristics at baseline that predict symptom trajectory.Methods:This study was a secondary analysis of data from a six-month prospective, observational, and multi-site study. Severity of depressive symptoms was assessed with the 15-item Geriatric Depression Scale (GDS) at baseline and with up to six monthly follow-up assessments. Participants were 130 residents with a Mini-Mental State Examination score of 15 or more at baseline and of at least two of the six monthly follow-up assessments. Individual resident GDS trajectories were grouped using hierarchical clustering. The baseline predictors of a more severe trajectory were identified using the Proportional Odds Model.Results:Three clusters of depression symptom trajectory were found that described “lower,” “intermediate,” and “higher” levels of depressive symptoms over time (mean GDS scores for three clusters at baseline were 2.2, 4.9, and 9.0 respectively). The GDS scores in all groups were generally stable over time. Baseline predictors of a more severe trajectory were as follows: Initial GDS score of 7 or more, female sex, LTC residence for less than 12 months, and corrected visual impairment.Conclusions:The six-month course of depressive symptoms in LTC is generally stable. Most residents who experience a more severe symptom trajectory can be identified at baseline.

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The Relationship Between Reported Pain and Depressive Symptoms Among Adolescents

The Journal of School Nursing ◽

10.1177/1059840518787007 ◽

2018 ◽

Vol 36 (2) ◽

pp. 87-93 ◽

Cited By ~ 7

Author(s):

Sofie Borgman ◽

Ida Ericsson ◽

Eva K. Clausson ◽

Pernilla Garmy

Keyword(s):

Abdominal Pain ◽

Back Pain ◽

Depressive Symptoms ◽

Depression Scale ◽

Epidemiological Studies ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Scale Scores ◽

Prevalence Of Pain ◽

The Relationship

Pain and depressive symptoms are common reasons for adolescents to contact the school nurse. The aim was to describe the prevalence of pain (headache, abdominal pain, and back pain) and depressive symptoms among adolescents and to examine whether there is an association between pain and depressive symptoms. This cross-sectional survey included students ( N = 639) in Sweden (median age: 16 years). Over half of the female participants (56%) and one third of male participants (33%) had weekly headaches, abdominal pain, or back pain. Almost every second girl (48%) and one in four boys (25%) had depressive symptoms (as measured by the Center for Epidemiological Studies Depression Scale, scores ≥ 16). There was a significant association between having pain (headache, abdominal pain, or back pain) and having depressive symptoms. It is of great importance for school nurses to adequately identify and treat the cause of pain and other factors contributing to depression.

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Use of digital game therapy among elderly persons undergoing dialytic treatment: cognitive aspects and depressive symptoms

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170184 ◽

2018 ◽

Vol 21 (4) ◽

pp. 447-455

Author(s):

Sirlei Ricarte Bento ◽

Ana Carolina Ottaviani ◽

Allan Gustavo Brigola ◽

Vânia Paula de Almeida Neris ◽

Fabiana de Souza Orlandi ◽

...

Keyword(s):

Depressive Symptoms ◽

Depressive Symptom ◽

Intervention Program ◽

Depression Scale ◽

Elderly Persons ◽

Post Intervention ◽

Therapeutic Game ◽

Significant Difference ◽

Before And After ◽

The Mean

Abstract Objective :to evaluate the presence of depressive symptoms and cognitive disorders before and after an intervention program with a digital therapeutic game among elderly persons undergoing hemodialysis. Method: a quasi-experimental study was carried out with 26 elderly patients on hemodialysis. For the data collection, a questionnaire relating to sociodemographic and health conditions, the Geriatric Depression Scale - 15 items and Addenbrooke’s Cognitive Examination Revised were used. The intervention with the digital therapeutic game was performed over 5 sessions. Results: of the participants, 80.8% were male, with a mean age of 66.7 (± 5.8) years. The mean pre-intervention depressive symptom score was 3.9 (± 3.0) while post-intervention it was 2.8 (± 2.9), representing a statistically significant difference (p = 0.005). Regarding cognitive function, there was no statistically significant difference before and after the intervention. There was a statistically significant difference in the mean of the depressive symptom scores, which were lower after the intervention. In addition, there was no statistically significant difference in the mean of the cognitive assessments. Conclusion: intervention studies with patients undergoing hemodialysis treatment are still scarce and this study describes the positive results of an intervention with a digital therapeutic game, demonstrating improvement in the depressive symptoms of the participants.

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Geriatric Depression Scale: Consistency of Depressive Symptoms over Time

Perceptual and Motor Skills ◽

10.2466/pms.1991.73.3.1032 ◽

1991 ◽

Vol 73 (3) ◽

pp. 1032-1032 ◽

Cited By ~ 12

Author(s):

Jerome A. Yesavage

Keyword(s):

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Geriatric Depression ◽

Over Time

The following is a comment on the importance of the 1991 finding by I. L. Abraham of the unchanging nature of depressive symptoms over time: one concludes that such patients will not change unless major interventions, both pharmacologic or psychosocial, can be made.

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DEPRESSIVE SYMPTOMATOLOGY AMONG IN-SCHOOL ADOLESCENTS WITH IMPAIRED HEARING

Humanities & Social Sciences Reviews ◽

10.18510/hssr.2020.82103 ◽

2020 ◽

Vol 8 (2) ◽

pp. 931-940

Author(s):

Olufemi Timothy Adigun

Keyword(s):

Depressive Symptoms ◽

Psychosocial Development ◽

Depressive Symptomatology ◽

Survey Design ◽

Depression Scale ◽

Study Data ◽

Family Type ◽

Low Grade ◽

Impaired Hearing ◽

Significant Difference

Purpose of the study: This study determined incidences of depressive symptoms and associated causative contextual factors among in-school adolescents with impaired hearing in South West, Nigeria. The study determined symptoms of depression exhibited by in-school adolescents with impaired hearing vis-à-vis some associated intrapersonal causative (age, religion, gender, the onset of hearing loss, satisfaction with the home environment, and family type) variables. Methodology: Descriptive survey design was adopted for the study. Data were collected from 236 adolescents who are either prelingually (39.1%) and postlingually (60.9%) hearing impaired with the Depressive Symptomatology Questionnaire (α = .89). Data collected over a period of 10 weeks were analysed with both descriptive and inferential statistics via SPSS version 23. Main Findings: 58.8% of the participants scored higher on the depression scale, which is mostly characterized by loss of appetite and fearfulness. There is a significant difference (F = 7.61; p < 0.05) in the expression of depressive symptoms between gender and across variants in the onset of deafness (F = 3.59; p < 0.05) and family type (F = 23.14; p < 0.05). Academic stressor and lack of access to information were found to be the major source of their depression. Applications of this study: This study is of importance to counselling psychologist and mental health practitioners for the development of strategic therapeutic approach geared towards positive psychosocial development of individuals with impaired hearing Novelty/Originality of this study: The study confirms the manifestation of moderate to a high level of depressive symptoms among those in-school adolescents with impaired hearing. Academic anxiety/low grade, communication difficulties, and negative societal attitude were the major source of depression for adolescents with impaired hearing in high schools.

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Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age

Journal of Aging and Health ◽

10.1177/0898264317747077 ◽

2017 ◽

Vol 31 (5) ◽

pp. 760-782 ◽

Cited By ~ 2

Author(s):

Mai Stafford ◽

Toni C. Antonucci ◽

Paola Zaninotto

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Growth Models ◽

Depression Scale ◽

Epidemiologic Studies ◽

And Gender ◽

Bidirectional Associations ◽

Negative Support ◽

Positive Support ◽

Over Time

Objective: We describe changes in depressive symptoms and positive and negative social support from the spouse/partner in a representative sample of older people in England. Method: Men and women aged 50+ ( N = 7,171) from the English Longitudinal Study of Ageing reported social support and depressive symptoms (Center for Epidemiologic Studies Depression Scale) on up to five occasions between 2002-2003 and 2010-2011. Parallel process latent growth models estimated their bidirectional associations, adjusted for gender, wealth, education, and limiting illness. Results: In age- and gender-adjusted models, positive spousal support decreased and negative support increased over time, especially among women. Greater increases over time in depressive symptoms were seen in those with lower positive support or higher negative support at baseline. More baseline depressive symptoms predicted greater declines in positive support and greater increases in negative support from the spouse. Discussion: Improving older couple’s relationship quality may help reduce depressive symptoms.

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Risky shifts: How the timing and course of mothers' depressive symptoms across the perinatal period shape their own and infant's stress response profiles

Development and Psychopathology ◽

10.1017/s0954579411000083 ◽

2011 ◽

Vol 23 (2) ◽

pp. 521-538 ◽

Cited By ~ 65

Author(s):

Heidemarie K. Laurent ◽

Jennifer C. Ablow ◽

Jeffrey Measelle

Keyword(s):

Depressive Symptoms ◽

Hierarchical Linear Modeling ◽

Depression Scale ◽

Perinatal Period ◽

Epidemiological Studies ◽

Interactive Effects ◽

Linear Modeling ◽

Strange Situation ◽

Scale Scores ◽

Response Profiles

AbstractWe investigated the effects of timing and the course of maternal perinatal depressive symptoms on mother–infant hypothalamic–pituitary–adrenal (HPA) response profiles during an attachment stressor, as well as on within-dyad synchrony of stress profiles: coordination of HPA and sympathetic nervous system and infant–mother HPA attunement. Mothers (n = 86) completed the Center for Epidemiological Studies Depression Scale during pregnancy (Time 1 [T1]) and at 5 months (T2) and 18 months (T3) postnatal. At T3 mother–infant dyads completed the Strange Situation, and four saliva samples collected from both mothers and infants were assayed for cortisol and α-amylase. Hierarchical linear modeling was used to predict mother–infant cortisol response trajectories and within-dyad synchronies by main and interactive effects of T1–T3 Center for Epidemiological Studies Depression Scale scores. Main effects of earlier (T1, T2) depressive symptoms predicted mothers' cortisol trajectories and coordination, and interactions of T1 with postnatal (T2 and T3) symptoms predicted infants' cortisol trajectories, coordination, and attunement. Decomposition of interactions revealed more marked effects on infant cortisol trajectories when the mother shifted from higher to lower depressive symptoms (or vice versa) across the perinatal period. Shifts from lower to higher symptoms also predicted inverse coordination of cortisol with salivary α-amylase and greater attunement of infant with mother cortisol. Implications for the development and transmission of stress dysregulation are discussed.

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Association between depressive symptoms and dental care-seeking behavior among elderly Brazilian people

Revista de Odontologia da UNESP ◽

10.1590/1807-2577.22215 ◽

2016 ◽

Vol 45 (3) ◽

pp. 132-138 ◽

Cited By ~ 1

Author(s):

Gabriela Ádima de Camargo ÁVILA ◽

Aline Blaya MARTINS ◽

Otávio Pereira D'AVILA ◽

Matheus NEVES ◽

Juliana Balbinot HILGERT ◽

...

Keyword(s):

Depressive Symptoms ◽

Elderly People ◽

Dental Care ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Care Seeking ◽

Significant Difference ◽

Care Seeking Behavior ◽

Seeking Behavior

Abstract Background Depressive symptoms are highly prevalent among the elderly population (10%). These symptoms frequently appear when there is a loss of quality of life associated with social exclusion and the appearance of severe diseases. Feelings of sadness, discouragement, despondency and deception, and events such as the loss of close friends and family can also be related to these symptoms. The consequences of depressive symptoms include negative oral health outcomes, such as a decrease in the frequency of toothbrushing, greater prevalence of caries and higher probability of the appearance of periodontitis. Aim This study aimed to evaluate the association between the presence of depressive symptoms and problem-oriented oral healthcare behavior, as well as the absence of healthcare-seeking behavior. Material and method 872 elderly people living in two health districts in Porto Alegre were evaluated. They provided information on socioeconomic variables at an interview, and responded to the Geriatric Depression Scale-15 and to a questionnaire assessing dental care-seeking behavior. In addition, an oral examination was performed. When analyzed using Poisson regression with robust variance, the variables of male sex, less schooling, lower income, reduced number of teeth, presence of root remnants and presence of depressive symptoms were found to be independently associated with the outcome. Result There was a significant difference regarding dental care-seeking behavior in relation to elderly people presenting depressive symptoms and those in low socioeconomic strata having poor oral status. Conclusion It was concluded that these factors need to be taken into consideration when evaluating dental care-seeking behavior.

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Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults

Journal of Clinical Medicine ◽

10.3390/jcm9030795 ◽

2020 ◽

Vol 9 (3) ◽

pp. 795

Author(s):

Michio Maruta ◽

Hyuma Makizako ◽

Yuriko Ikeda ◽

Hironori Miyata ◽

Atsushi Nakamura ◽

...

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Significant Difference ◽

Japanese Older Adults ◽

And Performance

The aim of this cross-sectional study was to investigate relationships between individuals’ ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35–0.77) and women (OR 0.67, 95% CI 0.49–0.91), but performance was limited in women (OR 0.87, 95% CI 0.77–0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.

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