PMID- 28525732
OWN - NLM
STAT- MEDLINE
DCOM- 20180307
LR  - 20221207
IS  - 1497-0015 (Electronic)
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 62
IP  - 5
DP  - 2017 May
TI  - Predictors of Recovery from Depression and Anxiety in Women: A Longitudinal Study 
      from Childbirth to 6 Years.
PG  - 318-326
LID - 10.1177/0706743716677725 [doi]
AB  - OBJECTIVE: This study prospectively examined maternal biopsychosocial predictors 
      of recovery from comorbid depression and anxiety from 25 weeks' gestation to 6 
      years postbirth. Specifically, the study investigated the influence of 1) 
      maternal factors and 2) the child's behaviours and physical health on the course 
      of the mother's depressed mood and anxiety. METHODS: Eighty-six women diagnosed 
      with antenatal depression/anxiety were recruited through the Reproductive Mental 
      Health Program and family practices in Vancouver. Based on the trajectory and 
      status of their symptom remission, participants were categorised into 3 groups: 
      full recovery, partial recovery, and no recovery. The following measures were 
      completed over 6 years: Hamilton Anxiety Rating Scale (HAM-A) and Hamilton 
      Depression Rating Scale (HAM-D) at baseline; Parental Stress Index (PSI) added at 
      6 months postpartum; Beck Anxiety Inventory (BAI), Beck Depression Inventory II 
      (BDI-II), and Child Behavior Checklist (CBCL) at 3 years postbirth; and HAM-A, 
      HAM-D, MacArthur Health and Behavior Questionnaire (HBQ-P), and PSI at 6 years 
      postbirth. RESULTS: Factors that predicted full recovery from depression included 
      the absence of maternal health concerns, low total parental stress, and few child 
      behavioural issues, whereas low levels of spousal stress were a significant 
      factor in achieving full recovery from anxiety. CONCLUSION: A variety of maternal 
      and child-related factors govern full recovery or sustained remission of 
      depression/anxiety in the postpartum up to 6 years postbirth. Early awareness of 
      these predictors could lead to timely interventions, ensuring long-term 
      maternal-child well-being.
FAU - Shankar, Radhika
AU  - Shankar R
AD  - 1 Department of Psychiatry, University of British Columbia, Vancouver, British 
      Columbia.
FAU - Badker, Rinette
AU  - Badker R
AD  - 1 Department of Psychiatry, University of British Columbia, Vancouver, British 
      Columbia.
FAU - Brain, Ursula
AU  - Brain U
AD  - 2 Child and Family Research Institute, Vancouver, British Columbia.
FAU - Oberlander, Tim F
AU  - Oberlander TF
AD  - 2 Child and Family Research Institute, Vancouver, British Columbia.
FAU - Misri, Shaila
AU  - Misri S
AD  - 1 Department of Psychiatry, University of British Columbia, Vancouver, British 
      Columbia.
LA  - eng
GR  - MOP 54490/CIHR/Canada
GR  - 57837/CIHR/Canada
PT  - Journal Article
DEP - 20161115
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
RN  - 0 (Serotonin Uptake Inhibitors)
SB  - IM
MH  - Adult
MH  - Anxiety/epidemiology/*therapy
MH  - British Columbia/epidemiology
MH  - Child
MH  - Child Behavior/psychology
MH  - Child, Preschool
MH  - Comorbidity
MH  - Depression/epidemiology/*therapy
MH  - Family Relations/psychology
MH  - Female
MH  - *Health Status
MH  - Humans
MH  - Longitudinal Studies
MH  - *Outcome Assessment, Health Care
MH  - Pregnancy
MH  - Pregnancy Complications
MH  - Prognosis
MH  - Remission Induction
MH  - Selective Serotonin Reuptake Inhibitors/*therapeutic use
MH  - Stress, Psychological/epidemiology
PMC - PMC5459226
OTO - NOTNLM
OT  - anxiety
OT  - longitudinal study
OT  - maternal-child factors
OT  - postpartum depression
OT  - predictors of recovery
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2017/05/20 06:00
MHDA- 2018/03/08 06:00
PMCR- 2017/11/01
CRDT- 2017/05/20 06:00
PHST- 2017/05/20 06:00 [entrez]
PHST- 2017/05/20 06:00 [pubmed]
PHST- 2018/03/08 06:00 [medline]
PHST- 2017/11/01 00:00 [pmc-release]
AID - 10.1177_0706743716677725 [pii]
AID - 10.1177/0706743716677725 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2017 May;62(5):318-326. doi: 10.1177/0706743716677725. Epub 
      2016 Nov 15.