Skip to main content
Erschienen in: Archives of Women's Mental Health 4/2016

23.01.2016 | Original Article

Associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms

verfasst von: Sachiko Kita, Megumi Haruna, Masayo Matsuzaki, Kiyoko Kamibeppu

Erschienen in: Archives of Women's Mental Health | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

This study examined the associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms at 1 month postnatal. This study also examined if these relationships would be mediated by antenatal depressive symptoms. This study was a prospective cohort study that investigated effects between the third trimester of pregnancy and 1 month after childbirth. The Japanese version of the Index of Spouse Abuse (ISA), the Japanese version of the Mother-Infant Bonding Scale (MIBS), and the Japanese version of the Hospital Anxiety and Depression Scale (HADS) were used to measure IPV during pregnancy, bonding failure with infants, and depressive symptoms during pregnancy and the postnatal period respectively. Structural equation modeling (SEM) was used to find the associations between those four variables. The final path model of the SEM showed good fit with the data. IPV during pregnancy was associated with mother-to-infant bonding failure at 1 month postnatal, whereas IPV during pregnancy was not significantly associated with postnatal depressive symptoms at 1 month postnatal. In addition, this study demonstrated that the associations between IPV during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms at 1 month postnatal were mediated by antenatal depressive symptoms. The results of this study indicated the need for interventions for IPV and psychological health care for abused pregnant women to prevent antenatal depressive symptoms in prenatal health settings. Those interventions by perinatal health professionals would help to prevent bonding failure with infants and postnatal depressive symptoms after childbirth.
Literatur
Zurück zum Zitat Association American Pscyhiatric (2013) Diagnostic and statisitical manual of mental disorders, DSM-5, 5th edn. American Psychiatric Publishing, A division of American Psychiatric Association, Washington, D. C Association American Pscyhiatric (2013) Diagnostic and statisitical manual of mental disorders, DSM-5, 5th edn. American Psychiatric Publishing, A division of American Psychiatric Association, Washington, D. C
Zurück zum Zitat Bancroft L, Silverman JG (2004) The batterer as parent: addressing the impact of domestic violence on family dynamics. Kongo shyuppan, Tokyo (in Japanese) Bancroft L, Silverman JG (2004) The batterer as parent: addressing the impact of domestic violence on family dynamics. Kongo shyuppan, Tokyo (in Japanese)
Zurück zum Zitat Banker JE, LaCoursiere DY (2014) Postpartum depression: risks, protective factors, and the couple’s relationship. Issues Ment Health Nurs 35(7):503–508CrossRefPubMed Banker JE, LaCoursiere DY (2014) Postpartum depression: risks, protective factors, and the couple’s relationship. Issues Ment Health Nurs 35(7):503–508CrossRefPubMed
Zurück zum Zitat Blom EA, Jansen PW, Verhulst FC et al (2010) Perinatal complications increase the risk of postpartum depression. The generation R study. BJOG 117(11):1390–1398CrossRefPubMed Blom EA, Jansen PW, Verhulst FC et al (2010) Perinatal complications increase the risk of postpartum depression. The generation R study. BJOG 117(11):1390–1398CrossRefPubMed
Zurück zum Zitat Budhathoki N, Dahal M, Bhusal S et al (2012) Violence against women by their husband and postpartum depression. J Nepal Health Res Counc 10(22):176–180PubMed Budhathoki N, Dahal M, Bhusal S et al (2012) Violence against women by their husband and postpartum depression. J Nepal Health Res Counc 10(22):176–180PubMed
Zurück zum Zitat Buist A (1998) Childhood abuse, postpartum depression and parenting difficulties: a literature review of associations. Aust N Z J Psychiatry 32(3):370–380CrossRefPubMed Buist A (1998) Childhood abuse, postpartum depression and parenting difficulties: a literature review of associations. Aust N Z J Psychiatry 32(3):370–380CrossRefPubMed
Zurück zum Zitat Chan KL, Brownridge DA, Fong DY et al (2012) Violence against pregnant women can increase the risk of child abuse: a longitudinal study. Child Abuse Negl 36(4):275–284CrossRefPubMed Chan KL, Brownridge DA, Fong DY et al (2012) Violence against pregnant women can increase the risk of child abuse: a longitudinal study. Child Abuse Negl 36(4):275–284CrossRefPubMed
Zurück zum Zitat Choi H, Yamashita T, Wada Y et al (2010) Factors associated with postpartum depression and abusive behavior in mothers with infants. Psychiatry Clin Neurosci 64(2):120–127CrossRefPubMed Choi H, Yamashita T, Wada Y et al (2010) Factors associated with postpartum depression and abusive behavior in mothers with infants. Psychiatry Clin Neurosci 64(2):120–127CrossRefPubMed
Zurück zum Zitat Dennis CL, Dowswell T (2013) Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev 2 Dennis CL, Dowswell T (2013) Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev 2
Zurück zum Zitat Edhborg M, Nasreen HE, Kabir ZN (2011) Impact of postpartum depressive and anxiety symptoms on mothers’ emotional tie to their infants 2–3 months postpartum: a population-based study from rural Bangladesh. Arch Womens Ment Health 14(4):307–316CrossRefPubMed Edhborg M, Nasreen HE, Kabir ZN (2011) Impact of postpartum depressive and anxiety symptoms on mothers’ emotional tie to their infants 2–3 months postpartum: a population-based study from rural Bangladesh. Arch Womens Ment Health 14(4):307–316CrossRefPubMed
Zurück zum Zitat Faisal-Cury A, Menezes PR, d’Oliveira AF et al (2013) Temporal relationship between intimate partner violence and postpartum depression in a sample of low income women. Matern Child Health J 17(7):1297–1303CrossRefPubMed Faisal-Cury A, Menezes PR, d’Oliveira AF et al (2013) Temporal relationship between intimate partner violence and postpartum depression in a sample of low income women. Matern Child Health J 17(7):1297–1303CrossRefPubMed
Zurück zum Zitat Field CA, Caetano R (2004) Ethnic differences in intimate partner violence in the U.S. general population: the role of alcohol use and socioeconomic status. Trauma Violence Abuse 5(4):303–317CrossRefPubMed Field CA, Caetano R (2004) Ethnic differences in intimate partner violence in the U.S. general population: the role of alcohol use and socioeconomic status. Trauma Violence Abuse 5(4):303–317CrossRefPubMed
Zurück zum Zitat Fontein-Kuipers YJ, Nieuwenhuijze MJ, Ausems M et al (2014) Antenatal interventions to reduce maternal distress: a systematic review and meta-analysis of randomised trials. BJOG 121(4):389–397CrossRefPubMed Fontein-Kuipers YJ, Nieuwenhuijze MJ, Ausems M et al (2014) Antenatal interventions to reduce maternal distress: a systematic review and meta-analysis of randomised trials. BJOG 121(4):389–397CrossRefPubMed
Zurück zum Zitat Gomez-Beloz A, Williams MA, Sanchez SE et al (2009) Intimate partner violence and risk for depression among postpartum women in Lima, Peru. Violence Vict 24(3):380–398CrossRefPubMed Gomez-Beloz A, Williams MA, Sanchez SE et al (2009) Intimate partner violence and risk for depression among postpartum women in Lima, Peru. Violence Vict 24(3):380–398CrossRefPubMed
Zurück zum Zitat Harrykissoon SD, Rickert VI, Wiemann CM (2002) Prevalence and patterns of intimate partner violence among adolescent mothers during the postpartum period. Arch Pediatr Adolesc Med 156(4):325–330CrossRefPubMed Harrykissoon SD, Rickert VI, Wiemann CM (2002) Prevalence and patterns of intimate partner violence among adolescent mothers during the postpartum period. Arch Pediatr Adolesc Med 156(4):325–330CrossRefPubMed
Zurück zum Zitat Hatta H, Higashi A, Yahiro H et al (1998) Validation of the hospital anxiety and depression scale. Shinshin Igaku 38(5):309–315 (in Japanese) Hatta H, Higashi A, Yahiro H et al (1998) Validation of the hospital anxiety and depression scale. Shinshin Igaku 38(5):309–315 (in Japanese)
Zurück zum Zitat Hayes DK, Ta VM, Hurwitz EL et al (2010) Disparities in self-reported postpartum depression among Asian, Hawaiian, and Pacific islander women in Hawaii: pregnancy risk assessment monitoring system (PRAMS), 2004–2007. Matern Child Health J 14(5):765–773CrossRefPubMed Hayes DK, Ta VM, Hurwitz EL et al (2010) Disparities in self-reported postpartum depression among Asian, Hawaiian, and Pacific islander women in Hawaii: pregnancy risk assessment monitoring system (PRAMS), 2004–2007. Matern Child Health J 14(5):765–773CrossRefPubMed
Zurück zum Zitat Higashi A, Yashiro H, Kiyota K et al (1996) Validation of the hospital anxiety and depression scale in a gastro-intestinal clinic. Jpn J Gastroenterol 93(12):884–892 (in Japanese) Higashi A, Yashiro H, Kiyota K et al (1996) Validation of the hospital anxiety and depression scale in a gastro-intestinal clinic. Jpn J Gastroenterol 93(12):884–892 (in Japanese)
Zurück zum Zitat Horiuchi S, Yaju Y, Kataoka Y et al (2009) Development of an evidence-based domestic violence guideline: supporting perinatal women-centred care in Japan. Midwifery 25(1):72–78CrossRefPubMed Horiuchi S, Yaju Y, Kataoka Y et al (2009) Development of an evidence-based domestic violence guideline: supporting perinatal women-centred care in Japan. Midwifery 25(1):72–78CrossRefPubMed
Zurück zum Zitat Hudson WW, Mcintosh SR (1981) The assessment of spouse abuse: two quantificable dimensions. J Marriage Fam 43:873–888CrossRef Hudson WW, Mcintosh SR (1981) The assessment of spouse abuse: two quantificable dimensions. J Marriage Fam 43:873–888CrossRef
Zurück zum Zitat Ikeda M (2011) Impact of attachment sytle among prengnant women on postnatal depression. The Univerity of Tokyo, Doctoral dissertation (in Japanese) Ikeda M (2011) Impact of attachment sytle among prengnant women on postnatal depression. The Univerity of Tokyo, Doctoral dissertation (in Japanese)
Zurück zum Zitat Inami E, Kataoka Y, Eto H et al (2010) Intimate partner violence against Japanese and non-Japanese women in Japan: a cross-sectional study in the perinatal setting. Jpn J Nurs Sci 7(1):84–95CrossRefPubMed Inami E, Kataoka Y, Eto H et al (2010) Intimate partner violence against Japanese and non-Japanese women in Japan: a cross-sectional study in the perinatal setting. Jpn J Nurs Sci 7(1):84–95CrossRefPubMed
Zurück zum Zitat Kataoka Y, Yaju Y, Eto H et al (2005) Domestic violence agasint women during pregancy. Kosei kagaku Jpn J Public Health 52(9):785–795 (in Japanese) Kataoka Y, Yaju Y, Eto H et al (2005) Domestic violence agasint women during pregancy. Kosei kagaku Jpn J Public Health 52(9):785–795 (in Japanese)
Zurück zum Zitat Kita S, Kataoka Y, Porter SE (2013) Prevalence and risk factors of intimate partner violence among pregnant women in Japan. Health Care Women Int 35(4):442–457CrossRefPubMed Kita S, Kataoka Y, Porter SE (2013) Prevalence and risk factors of intimate partner violence among pregnant women in Japan. Health Care Women Int 35(4):442–457CrossRefPubMed
Zurück zum Zitat Kitamura T (2013) Let’s conduct a clinical research: medical statistics and how to use SPSS. Kitmura Mental Health Institiute, Tokyo (in Japanese) Kitamura T (2013) Let’s conduct a clinical research: medical statistics and how to use SPSS. Kitmura Mental Health Institiute, Tokyo (in Japanese)
Zurück zum Zitat Kitamura T, Ohashi Y, Kita S et al (2013) Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community. Open Journal of Psychiatry 3:1–7CrossRef Kitamura T, Ohashi Y, Kita S et al (2013) Depressive mood, bonding failure, and abusive parenting among mothers with three-month-old babies in a Japanese community. Open Journal of Psychiatry 3:1–7CrossRef
Zurück zum Zitat Kokubu M, Okano T, Sugiyama T (2012) Postnatal depression, maternal bonding failure, and negative attitudes towards pregnancy: a longitudinal study of pregnant women in Japan. Arch Womens Ment Health 15(3):211–216CrossRefPubMed Kokubu M, Okano T, Sugiyama T (2012) Postnatal depression, maternal bonding failure, and negative attitudes towards pregnancy: a longitudinal study of pregnant women in Japan. Arch Womens Ment Health 15(3):211–216CrossRefPubMed
Zurück zum Zitat Kumar RC (1997) "Anybody’s child": severe disorders of mother-to-infant bonding. Br J Psychiatry 171:175–181CrossRefPubMed Kumar RC (1997) "Anybody’s child": severe disorders of mother-to-infant bonding. Br J Psychiatry 171:175–181CrossRefPubMed
Zurück zum Zitat Ludermir AB, Lewis G, Valongueiro SA et al (2010) Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet 376(9744):903–910CrossRefPubMed Ludermir AB, Lewis G, Valongueiro SA et al (2010) Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet 376(9744):903–910CrossRefPubMed
Zurück zum Zitat Martin SL, Li Y, Casanueva C et al (2006) Intimate partner violence and women’s depression before and during pregnancy. Violence Against Women 12(3):221–239CrossRefPubMed Martin SL, Li Y, Casanueva C et al (2006) Intimate partner violence and women’s depression before and during pregnancy. Violence Against Women 12(3):221–239CrossRefPubMed
Zurück zum Zitat McFarlane J, Parker B, Soeken K (1995) Abuse during preganncy: frequency, severity, perpetrator, and risk factors of homicide. Publish Health Nurs 12(5):284–289 McFarlane J, Parker B, Soeken K (1995) Abuse during preganncy: frequency, severity, perpetrator, and risk factors of homicide. Publish Health Nurs 12(5):284–289
Zurück zum Zitat McFarlane J, Soeken K (1999) Weight change of infants, age birth to 12 months, born to abused women. Pediatr Nurs 25(1):19–23PubMed McFarlane J, Soeken K (1999) Weight change of infants, age birth to 12 months, born to abused women. Pediatr Nurs 25(1):19–23PubMed
Zurück zum Zitat McFarlane J, Parker B, Soeken K et al (1999) Severity of abuse before and during pregnancy for African American, Hispanic, and Anglo women. J Nurse Midwifery 44(2):139–144CrossRefPubMed McFarlane J, Parker B, Soeken K et al (1999) Severity of abuse before and during pregnancy for African American, Hispanic, and Anglo women. J Nurse Midwifery 44(2):139–144CrossRefPubMed
Zurück zum Zitat McFarlane J, Soeken K, Wiist W (2000) An evaluation of interventions to decrease intimate partner violence to pregnant women. Public Health Nurs 17(6):443–451CrossRefPubMed McFarlane J, Soeken K, Wiist W (2000) An evaluation of interventions to decrease intimate partner violence to pregnant women. Public Health Nurs 17(6):443–451CrossRefPubMed
Zurück zum Zitat Mercer RT (1995) Becoming a mother: research on maternal role identify since Rubin. Springer, New York Mercer RT (1995) Becoming a mother: research on maternal role identify since Rubin. Springer, New York
Zurück zum Zitat Mercer RT, May KA, Ferketich S et al (1986) Theoretical models for studying the effect of antepartum stress on the family. Nurs Res 35(6):339–346CrossRefPubMed Mercer RT, May KA, Ferketich S et al (1986) Theoretical models for studying the effect of antepartum stress on the family. Nurs Res 35(6):339–346CrossRefPubMed
Zurück zum Zitat Ogbonnaya IN, Macy RJ, Kupper LL et al (2013) Intimate partner violence and depressive symptoms before pregnancy, during pregnancy, and after infant delivery: an exploratory study. J Interpers Violence 28(10):2112–2133CrossRefPubMed Ogbonnaya IN, Macy RJ, Kupper LL et al (2013) Intimate partner violence and depressive symptoms before pregnancy, during pregnancy, and after infant delivery: an exploratory study. J Interpers Violence 28(10):2112–2133CrossRefPubMed
Zurück zum Zitat O’Hara MW, McCabe JE (2013) Postpartum depression: current status and future directions. Annu Rev Clin Psychol 9:379–407CrossRefPubMed O’Hara MW, McCabe JE (2013) Postpartum depression: current status and future directions. Annu Rev Clin Psychol 9:379–407CrossRefPubMed
Zurück zum Zitat O’Hara MW, Wisner KL (2014) Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol 28(1):3–12CrossRefPubMed O’Hara MW, Wisner KL (2014) Perinatal mental illness: definition, description and aetiology. Best Pract Res Clin Obstet Gynaecol 28(1):3–12CrossRefPubMed
Zurück zum Zitat O’Hara MW, Neunaber DJ, Zekoski EM (1984) Prospective study of postpartum depression: prevalence, course, and predictive factors. J Abnorm Psychol 93(2):158–171CrossRefPubMed O’Hara MW, Neunaber DJ, Zekoski EM (1984) Prospective study of postpartum depression: prevalence, course, and predictive factors. J Abnorm Psychol 93(2):158–171CrossRefPubMed
Zurück zum Zitat Osaki N, Takada M (2003) Women’s public health / Women’s life cycle and women’s health nursing. Medical Friend, Tokyo (in Japanese) Osaki N, Takada M (2003) Women’s public health / Women’s life cycle and women’s health nursing. Medical Friend, Tokyo (in Japanese)
Zurück zum Zitat Ramsay J, Carter Y, Davidson L et al (2009) Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev 3 Ramsay J, Carter Y, Davidson L et al (2009) Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev 3
Zurück zum Zitat Rumm PD, Cummings P, Krauss MR et al (2000) Identified spouse abuse as a risk factor for child abuse. Child Abuse Negl 24(11):1375–1381CrossRefPubMed Rumm PD, Cummings P, Krauss MR et al (2000) Identified spouse abuse as a risk factor for child abuse. Child Abuse Negl 24(11):1375–1381CrossRefPubMed
Zurück zum Zitat Schermelleh-Engel K, Moosbrugger H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Int J Methods Psychiatr Res 8(2):23–74 Schermelleh-Engel K, Moosbrugger H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Int J Methods Psychiatr Res 8(2):23–74
Zurück zum Zitat Staehelin K, Kurth E, Schindler C et al (2013) Predictors of early postpartum mental distress in mothers with midwifery home care—results from a nested case–control study. Swiss Med Wkly 143:w13862PubMed Staehelin K, Kurth E, Schindler C et al (2013) Predictors of early postpartum mental distress in mothers with midwifery home care—results from a nested case–control study. Swiss Med Wkly 143:w13862PubMed
Zurück zum Zitat Stewart DE, MacMillan H, Wathen N (2013) Intimate partner violence. Can J Psychiatry 58(6):11–17 Stewart DE, MacMillan H, Wathen N (2013) Intimate partner violence. Can J Psychiatry 58(6):11–17
Zurück zum Zitat Tajima EA (2000) The relative importance of wife abuse as a risk factor for violence against children. Child Abuse Negl 24(11):1383–1398CrossRefPubMed Tajima EA (2000) The relative importance of wife abuse as a risk factor for violence against children. Child Abuse Negl 24(11):1383–1398CrossRefPubMed
Zurück zum Zitat Thomason E, Volling BL, Flynn HA et al (2014) Parenting stress and depressive symptoms in postpartum mothers: bidirectional or unidirectional effects? Infant Behav Dev 37(3):406–415CrossRefPubMedPubMedCentral Thomason E, Volling BL, Flynn HA et al (2014) Parenting stress and depressive symptoms in postpartum mothers: bidirectional or unidirectional effects? Infant Behav Dev 37(3):406–415CrossRefPubMedPubMedCentral
Zurück zum Zitat Tomb AD, Kaniwa S, Takeuchi J et al (2005) Psychology. Medical Science International, Tokyo (In Japanese) Tomb AD, Kaniwa S, Takeuchi J et al (2005) Psychology. Medical Science International, Tokyo (In Japanese)
Zurück zum Zitat Tomey AM, Alligood MR (2004) Nursing theorists and their work. Igakushoin, Tokyo (in Japanese) Tomey AM, Alligood MR (2004) Nursing theorists and their work. Igakushoin, Tokyo (in Japanese)
Zurück zum Zitat World Health Organization (2013) WHO Guidelines Approved by the Guidelines Review Committee, Responding to Intimate Partner Violence and Sexual Violence Against Women. WHO Clinical and Policy Guidelines World Health Organization (2013) WHO Guidelines Approved by the Guidelines Review Committee, Responding to Intimate Partner Violence and Sexual Violence Against Women. WHO Clinical and Policy Guidelines
Zurück zum Zitat Yoshida K (2006) Bonding between mother and child since pregnancy. Current Information of Maternal & Child Health 54:39–46 (in Japanese) Yoshida K (2006) Bonding between mother and child since pregnancy. Current Information of Maternal & Child Health 54:39–46 (in Japanese)
Zurück zum Zitat Yoshida K, Yamashita H, Conroy S et al (2012) Japanese version of mother-to-infant bonding scale: factor structure, longitudinal changes and links with maternal mood during the early postnatal period in Japanese mothers. Arch Womens Ment Health 15(5):343–352CrossRefPubMedPubMedCentral Yoshida K, Yamashita H, Conroy S et al (2012) Japanese version of mother-to-infant bonding scale: factor structure, longitudinal changes and links with maternal mood during the early postnatal period in Japanese mothers. Arch Womens Ment Health 15(5):343–352CrossRefPubMedPubMedCentral
Zurück zum Zitat Zhang Y, Zou S, Cao Y et al (2012) Relationship between domestic violence and postnatal depression among pregnant Chinese women. Int J Gynaecol Obstet 116(1):26–30CrossRefPubMed Zhang Y, Zou S, Cao Y et al (2012) Relationship between domestic violence and postnatal depression among pregnant Chinese women. Int J Gynaecol Obstet 116(1):26–30CrossRefPubMed
Zurück zum Zitat Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370 (in Japanese)CrossRefPubMed Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370 (in Japanese)CrossRefPubMed
Zurück zum Zitat Zigmond AS, Snaith RP, Kitamura T (1993) Hospital anxiety and depression scale (HADS). Archives of Psychiatric Diagnostics and Clinical Evaluation 4:371–372 (In Japanese) Zigmond AS, Snaith RP, Kitamura T (1993) Hospital anxiety and depression scale (HADS). Archives of Psychiatric Diagnostics and Clinical Evaluation 4:371–372 (In Japanese)
Metadaten
Titel
Associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms
verfasst von
Sachiko Kita
Megumi Haruna
Masayo Matsuzaki
Kiyoko Kamibeppu
Publikationsdatum
23.01.2016
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 4/2016
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-016-0603-y

Weitere Artikel der Ausgabe 4/2016

Archives of Women's Mental Health 4/2016 Zur Ausgabe

Neu in den Fachgebieten Neurologie und Psychiatrie

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.