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      Perinatal mental e‐health: What is the profile of pregnant women interested in online assessment of their emotional state?

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          Abstract

          Aim

          This study explores the profile of pregnant women interested in the online assessment of their emotional status according to their sociodemographic and obstetric characteristics, history of psychopathology, and healthcare setting used (private vs. public).

          Design

          This is a comparative and descriptive cross‐sectional study.

          Method

          Participants were 281 Spanish pregnant women assessed with the MamáFeliz (HappyMom) website.

          Results

          Participants were probably to be unemployed, in a relationship, and generally had a high educational level and an intermediate economic status. Most of them were primiparous, had non‐complicated natural pregnancies and presented healthy habits and good physical and emotional health, despite 31.3% of them had a history of psychological treatment. Our results reveal the profile of women interested in the online assessment of their emotional status, which can contribute to improving future initiatives to facilitate rapid screenings of perinatal mental health by nurses in both public and private settings.

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          Most cited references65

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          Identifying the women at risk of antenatal anxiety and depression: A systematic review

          Background Pregnancy is a time of increased vulnerability for the development of anxiety and depression. This systematic review aims to identify the main risk factors involved in the onset of antenatal anxiety and depression. Methods A systematic literature analysis was conducted, using PubMed, PsychINFO, and the Cochrane Library. Original papers were included if they were written in English and published between 1st January 2003 and 31st August 2015, while literature reviews and meta-analyses were consulted regardless of publication date. A final number of 97 papers were selected. Results The most relevant factors associated with antenatal depression or anxiety were: lack of partner or of social support; history of abuse or of domestic violence; personal history of mental illness; unplanned or unwanted pregnancy; adverse events in life and high perceived stress; present/past pregnancy complications; and pregnancy loss. Limitations The review does not include a meta-analysis, which may have added additional information about the differential impact of each risk factor. Moreover, it does not specifically examine factors that may influence different types of anxiety disorders, or the recurrence or persistence of depression or anxiety from pregnancy to the postpartum period. Conclusions The results show the complex aetiology of antenatal depression and anxiety. The administration of a screening tool to identify women at risk of anxiety and depression during pregnancy should be universal practice in order to promote the long-term wellbeing of mothers and babies, and the knowledge of specific risk factors may help creating such screening tool targeting women at higher risk.
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            A systematic review and meta-regression of the prevalence and incidence of perinatal depression.

            Major Depressive Disorder (MDD) is a leading cause of the disease burden for women of childbearing age, but the burden of MDD attributable to perinatal depression is not yet known. There has been little effort to date to systematically review available literature and produce global estimates of prevalence and incidence of perinatal depression. Enhanced understanding will help to guide resource allocation for screening and treatment.
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              Psychometric characteristics of the Multidimensional Scale of Perceived Social Support.

              The initial study describing the development of the Multidimensional Scale of Perceived Social Support (MSPSS) indicated that it was a psychometrically sound instrument (Zimet, Dahlem, Zimet, & Farley, 1988). The current study attempted to extend the initial findings by demonstrating the internal reliability, factorial validity, and subscale validity of the MSPSS using three different subject groups: (a) 265 pregnant women, (b) 74 adolescents living in Europe with their families, and (c) 55 pediatric residents. The MSPSS was found to have good internal reliability across subject groups. In addition, strong factorial validity was demonstrated, confirming the three-subscale structure of the MSPSS: Family, Friends, and Significant Other. Finally, strong support was also found for the validity of the Family and Significant Other subscales.
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                Author and article information

                Contributors
                pejo@uji.es
                Journal
                Nurs Open
                Nurs Open
                10.1002/(ISSN)2054-1058
                NOP2
                Nursing Open
                John Wiley and Sons Inc. (Hoboken )
                2054-1058
                06 September 2022
                February 2023
                : 10
                : 2 ( doiID: 10.1002/nop2.v10.2 )
                : 901-914
                Affiliations
                [ 1 ] Nursing Department University Jaume I Castellón de la Plana Spain
                [ 2 ] Health Research Institute of Aragon Zaragoza Spain
                [ 3 ] Basic Psychology, Clinic and Psychobiology Department University Jaume I Castellón de la Plana Spain
                [ 4 ] Department of Psychology and Sociology University of Zaragoza Zaragoza Spain
                Author notes
                [*] [* ] Correspondence

                Laura Andreu‐Pejó, Nursing Department. University Jaume I. Avda Sos Baynat s/n. 12071, Castellón, Spain; Health Research Institute of Aragon, Zaragoza, Spain.

                Email: pejo@ 123456uji.es

                Author information
                https://orcid.org/0000-0002-2944-9878
                Article
                NOP21358 NOP-2022-Feb-0280.R1
                10.1002/nop2.1358
                9834155
                36068679
                aa64ea34-231b-411c-95ce-d31cb1f8c0a8
                © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 06 July 2022
                : 19 February 2022
                : 23 August 2022
                Page count
                Figures: 0, Tables: 5, Pages: 14, Words: 7558
                Funding
                Funded by: Gobierno de Aragón (Departamento de Innovación, Investigación y Universidad) and Feder 2014‐2020 “Construyendo Europa Desde Aragón”
                Award ID: S31_20D
                Funded by: Conselleria de Sanidad (Agencia Valenciana de Salud)
                Award ID: 45/2011
                Funded by: Fundación Universitaria Antonio Gargallo and the Obra Social Ibercaja
                Award ID: 2013/B006
                Award ID: 2014/B006
                Funded by: Universitat Jaume I , doi 10.13039/501100004834;
                Award ID: PREDOC/2018/43
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                February 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.3 mode:remove_FC converted:11.01.2023

                e‐health,perinatal mental health,pregnant women,prenatal depression,screening

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