Observational study of mental health in asthmatic women during the prenatal and postnatal periods.

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Title: Observational study of mental health in asthmatic women during the prenatal and postnatal periods.
Authors: Whalen, Olivia M. (AUTHOR), Campbell, Linda E. (AUTHOR), Murphy, Vanessa E. (AUTHOR), Lane, Alison E. (AUTHOR), Gibson, Peter G. (AUTHOR), Mattes, Joerg (AUTHOR), Collison, Adam (AUTHOR), Mallise, Carly A. (AUTHOR), Woolard, Alix (AUTHOR), Karayanidis, Frini (AUTHOR)
Source: Journal of Asthma. Aug2020, Vol. 57 Issue 8, p829-841. 13p. 3 Charts.
Subjects: Women's mental health, Puerperium, Mental health services, Edinburgh Postnatal Depression Scale, Prenatal depression, Externalizing behavior, Antisocial personality disorders
Abstract: Objective: We aimed to examine the prevalence and severity of psychological distress of women with asthma in both the prenatal and postnatal periods, and to determine whether asthmatic women with and without mental health problems differ in self-management, medications knowledge, and asthma symptoms. Methods: We assessed spirometry performance and asthma symptoms in 120 women (mean age 29.8 years) before 23 weeks gestation, as part of the Breathing for Life Trial (Trial ID: ACTRN12613000202763). Prenatal depression data was obtained from medical records. At 6 weeks postpartum, we assessed general health, self-reported asthma control, depression symptoms (with the Edinburgh Postnatal Depression Scale) and adaptive functioning (with the Achenbach System of Empirically Based Assessment scales). Results: Twenty percent of our sample reported having a current mental health diagnosis, 14% reported currently receiving mental health care, while 47% reported having received mental health care in the past (and may/may not have received a diagnosis). The sample scored high on the Aggressive Behavior, Avoidant Personality, and Attention Deficit/Hyperactivity scales. Poorer self-reported postnatal asthma control was strongly correlated with elevated somatic complaints, externalizing problems, antisocial personality problems, and greater withdrawal. Prenatal spirometry or asthma severity and control were largely not associated with measures of psychopathology. Conclusions: These findings indicate that pregnant women with asthma frequently report issues with psychopathology during the prenatal and postnatal periods, and that the subjective perception of asthma control may be more related to psychopathology than objective asthma measures. However, due to sample bias, these findings are likely to be understated. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Observational study of mental health in asthmatic women during the prenatal and postnatal periods.
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  Data: <searchLink fieldCode="AR" term="%22Whalen%2C+Olivia+M%2E%22">Whalen, Olivia M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Campbell%2C+Linda+E%2E%22">Campbell, Linda E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murphy%2C+Vanessa+E%2E%22">Murphy, Vanessa E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lane%2C+Alison+E%2E%22">Lane, Alison E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gibson%2C+Peter+G%2E%22">Gibson, Peter G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mattes%2C+Joerg%22">Mattes, Joerg</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Collison%2C+Adam%22">Collison, Adam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mallise%2C+Carly+A%2E%22">Mallise, Carly A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woolard%2C+Alix%22">Woolard, Alix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Karayanidis%2C+Frini%22">Karayanidis, Frini</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Asthma%22">Journal of Asthma</searchLink>. Aug2020, Vol. 57 Issue 8, p829-841. 13p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Women's+mental+health%22">Women's mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Puerperium%22">Puerperium</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Edinburgh+Postnatal+Depression+Scale%22">Edinburgh Postnatal Depression Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+depression%22">Prenatal depression</searchLink><br /><searchLink fieldCode="DE" term="%22Externalizing+behavior%22">Externalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Antisocial+personality+disorders%22">Antisocial personality disorders</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: We aimed to examine the prevalence and severity of psychological distress of women with asthma in both the prenatal and postnatal periods, and to determine whether asthmatic women with and without mental health problems differ in self-management, medications knowledge, and asthma symptoms. Methods: We assessed spirometry performance and asthma symptoms in 120 women (mean age 29.8 years) before 23 weeks gestation, as part of the Breathing for Life Trial (Trial ID: ACTRN12613000202763). Prenatal depression data was obtained from medical records. At 6 weeks postpartum, we assessed general health, self-reported asthma control, depression symptoms (with the Edinburgh Postnatal Depression Scale) and adaptive functioning (with the Achenbach System of Empirically Based Assessment scales). Results: Twenty percent of our sample reported having a current mental health diagnosis, 14% reported currently receiving mental health care, while 47% reported having received mental health care in the past (and may/may not have received a diagnosis). The sample scored high on the Aggressive Behavior, Avoidant Personality, and Attention Deficit/Hyperactivity scales. Poorer self-reported postnatal asthma control was strongly correlated with elevated somatic complaints, externalizing problems, antisocial personality problems, and greater withdrawal. Prenatal spirometry or asthma severity and control were largely not associated with measures of psychopathology. Conclusions: These findings indicate that pregnant women with asthma frequently report issues with psychopathology during the prenatal and postnatal periods, and that the subjective perception of asthma control may be more related to psychopathology than objective asthma measures. However, due to sample bias, these findings are likely to be understated. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/02770903.2019.1621888
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        Text: English
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        PageCount: 13
        StartPage: 829
    Subjects:
      – SubjectFull: Women's mental health
        Type: general
      – SubjectFull: Puerperium
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      – SubjectFull: Mental health services
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      – SubjectFull: Edinburgh Postnatal Depression Scale
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      – SubjectFull: Prenatal depression
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      – SubjectFull: Externalizing behavior
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      – SubjectFull: Antisocial personality disorders
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      – TitleFull: Observational study of mental health in asthmatic women during the prenatal and postnatal periods.
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              Text: Aug2020
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