Skip to main content
Erschienen in: Archives of Women's Mental Health 6/2009

01.12.2009 | Original Contribution

Maternally focused worry

verfasst von: Jane Phillips, Louise Sharpe, Stephen Matthey, Margaret Charles

Erschienen in: Archives of Women's Mental Health | Ausgabe 6/2009

Einloggen, um Zugang zu erhalten

Abstract

Emerging evidence suggests that many women in the postnatal period experience clinically significant levels of anxiety but do not meet full diagnostic criteria for an existing anxiety disorder. In this study, 167 women with infants aged 2 weeks to 12 months were interviewed for current and lifetime history of depression and anxiety disorders using the SCID-I and completed a range of self-report measures measuring psychological risk factors and current depressive and anxiety symptomatology. Qualitative comments provided by women diagnosed with ADNOS (maternally focused worry) were analyzed and themes identified, and independent t-tests and chi-square tests were conducted to compare differences between these women and women with GAD. Results showed (1) there to be almost as many women who met criteria for ADNOS (maternally focused worry) as met criteria for GAD, and (2) that women with maternally focused worry were indistinguishable from women with GAD in terms of anxiety and depressive symptom severity, functional impairment and a range of risk factors. These results highlight the status of maternally focused worry as an under-recognized phenomenon and one in need of further clinical and research attention.
Literatur
Zurück zum Zitat Affonso DD, Liu-Chiang C-Y, Mayberry LJ (1999) Worry: conceptual dimensions and relevance to childbearing women. Health Care Women Int 20:227–236CrossRefPubMed Affonso DD, Liu-Chiang C-Y, Mayberry LJ (1999) Worry: conceptual dimensions and relevance to childbearing women. Health Care Women Int 20:227–236CrossRefPubMed
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC
Zurück zum Zitat Barnett BEW, Hanna B, Parker G (1983) Life event scales for obstetric groups. J Psychosom Res 27:313–320CrossRefPubMed Barnett BEW, Hanna B, Parker G (1983) Life event scales for obstetric groups. J Psychosom Res 27:313–320CrossRefPubMed
Zurück zum Zitat Bates JE, Bennett Freeland CA, Lounsbury ML (1979) Measurement of infant difficultness. Child Dev 50:794–803CrossRefPubMed Bates JE, Bennett Freeland CA, Lounsbury ML (1979) Measurement of infant difficultness. Child Dev 50:794–803CrossRefPubMed
Zurück zum Zitat Beck AT, Steer RA (1993) Beck anxiety inventory manual, 3rd edn. The Psychological Corporation, Harcourt Brace & Company, San Antonio Beck AT, Steer RA (1993) Beck anxiety inventory manual, 3rd edn. The Psychological Corporation, Harcourt Brace & Company, San Antonio
Zurück zum Zitat Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psych 56:893–897CrossRef Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psych 56:893–897CrossRef
Zurück zum Zitat Beck AT, Steer RA, Brown GK (1996) Beck depression inventory manual—2nd edn (BDI-II). The Psychological Corporation, Harcourt Brace & Company, San Antonio Beck AT, Steer RA, Brown GK (1996) Beck depression inventory manual—2nd edn (BDI-II). The Psychological Corporation, Harcourt Brace & Company, San Antonio
Zurück zum Zitat Boyce P, Hickey A, Gilchrist J, Talley NJ (2001) The development of a brief personality scale to measure vulnerability to postnatal depression. Arch Women’s Ment Health 3:147–153CrossRef Boyce P, Hickey A, Gilchrist J, Talley NJ (2001) The development of a brief personality scale to measure vulnerability to postnatal depression. Arch Women’s Ment Health 3:147–153CrossRef
Zurück zum Zitat Brockington IF, MacDonald E, Wainscott G (2006) Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Arch Women’s Ment Health 9:253–263CrossRef Brockington IF, MacDonald E, Wainscott G (2006) Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Arch Women’s Ment Health 9:253–263CrossRef
Zurück zum Zitat Cox J (1994) Origins and development of the 10-item Edinburgh Postnatal Depression Scale. In: Cox J, Holden J (eds) Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale. London, Gaskell, pp 115–124 Cox J (1994) Origins and development of the 10-item Edinburgh Postnatal Depression Scale. In: Cox J, Holden J (eds) Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale. London, Gaskell, pp 115–124
Zurück zum Zitat Cox JL, Holden JM, Sagovski R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786CrossRefPubMed Cox JL, Holden JM, Sagovski R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786CrossRefPubMed
Zurück zum Zitat Curtrona CE (1984) Social support and stress in the transition to parenthood. J Abnorm Psychol 93:378–390CrossRef Curtrona CE (1984) Social support and stress in the transition to parenthood. J Abnorm Psychol 93:378–390CrossRef
Zurück zum Zitat Curtrona CE, Russell DW (1987) The provisions of social relationships and adaptation to stress. Advances in Personal Relationships 1:37–67 Curtrona CE, Russell DW (1987) The provisions of social relationships and adaptation to stress. Advances in Personal Relationships 1:37–67
Zurück zum Zitat First MB, Gibbon M, Spitzer RL, Williams JW (2002) Users guide to the structured clinical interview for DSM-IV-TR axis I disorders—research version—(SCID-I for DSM-IV-TR, November 2002 Revision). Biometrics Research Department, New York State Psychiatric Institute, New York First MB, Gibbon M, Spitzer RL, Williams JW (2002) Users guide to the structured clinical interview for DSM-IV-TR axis I disorders—research version—(SCID-I for DSM-IV-TR, November 2002 Revision). Biometrics Research Department, New York State Psychiatric Institute, New York
Zurück zum Zitat Gorman LL, O’Hara MW, Figueiredo B, Hayes S, Jacquemain F, Kammerer MH, Klier CM, Rosi S, Seneviratne G, Sutter-Dallay A-L, The TCS-PND Group (2004) Adaptation of the structured clinical interview for DSM-IV disorders for assessing depression in women during pregnancy and post-partum across countries and cultures. Br J Psychiatry 184:s17–s23CrossRef Gorman LL, O’Hara MW, Figueiredo B, Hayes S, Jacquemain F, Kammerer MH, Klier CM, Rosi S, Seneviratne G, Sutter-Dallay A-L, The TCS-PND Group (2004) Adaptation of the structured clinical interview for DSM-IV disorders for assessing depression in women during pregnancy and post-partum across countries and cultures. Br J Psychiatry 184:s17–s23CrossRef
Zurück zum Zitat Gotlib IH, Whiffen VE, Wallace PM, Mount JH (1991) Prospective investigation of postpartum depression: factors involved in onset and recovery. J Abnorm Psychol 100:122–132CrossRefPubMed Gotlib IH, Whiffen VE, Wallace PM, Mount JH (1991) Prospective investigation of postpartum depression: factors involved in onset and recovery. J Abnorm Psychol 100:122–132CrossRefPubMed
Zurück zum Zitat Guedeney A, Kreisler L (1987) Sleep disorders in the first 18 months of life: hypothesis on the role of mother-child emotional exchanges. Infant Ment Health J 8:307–318CrossRef Guedeney A, Kreisler L (1987) Sleep disorders in the first 18 months of life: hypothesis on the role of mother-child emotional exchanges. Infant Ment Health J 8:307–318CrossRef
Zurück zum Zitat Karno M, Golding JM (1988) The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry 45:1094–1099PubMed Karno M, Golding JM (1988) The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry 45:1094–1099PubMed
Zurück zum Zitat Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:617–627CrossRefPubMed Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:617–627CrossRefPubMed
Zurück zum Zitat Kessler RC, Chiu WT, Jin R, Ruscio AM, Shear K, Walters EE (2006) The epidemiology of panic attacks, panic disorder, and agoraphobia in the national comorbidity survey replication. Arch Gen Psychiatry 63:415–424CrossRefPubMed Kessler RC, Chiu WT, Jin R, Ruscio AM, Shear K, Walters EE (2006) The epidemiology of panic attacks, panic disorder, and agoraphobia in the national comorbidity survey replication. Arch Gen Psychiatry 63:415–424CrossRefPubMed
Zurück zum Zitat Lieb R, Becker E, Altamura C (2005) The epidemiology of generalized anxiety disorder in Europe. Eur Neuropsychopharmacol 15:445–452CrossRefPubMed Lieb R, Becker E, Altamura C (2005) The epidemiology of generalized anxiety disorder in Europe. Eur Neuropsychopharmacol 15:445–452CrossRefPubMed
Zurück zum Zitat Matthey S, Barnett B, Howie P, Kavanagh DJ (2003) Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 74:139–147CrossRefPubMed Matthey S, Barnett B, Howie P, Kavanagh DJ (2003) Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 74:139–147CrossRefPubMed
Zurück zum Zitat Miller RL, Pallant JF, Negri LM (2006) Anxiety and stress in the postpartum: is there more to postnatal distress than depression? BMC Psychiatry 6:12CrossRefPubMed Miller RL, Pallant JF, Negri LM (2006) Anxiety and stress in the postpartum: is there more to postnatal distress than depression? BMC Psychiatry 6:12CrossRefPubMed
Zurück zum Zitat Murray L (1992) The impact of postnatal depression on infant development. J Child Psychol Psychiat 33:543–561CrossRefPubMed Murray L (1992) The impact of postnatal depression on infant development. J Child Psychol Psychiat 33:543–561CrossRefPubMed
Zurück zum Zitat Murray L, Cooper PJ (1996) The impact of postpartum depression on child development. Int Rev Psychiatr 8:55–63CrossRef Murray L, Cooper PJ (1996) The impact of postpartum depression on child development. Int Rev Psychiatr 8:55–63CrossRef
Zurück zum Zitat Murray L, Hipwell A, Hooper R, Stein A, Cooper P (1996) The cognitive development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry 37:927–935CrossRefPubMed Murray L, Hipwell A, Hooper R, Stein A, Cooper P (1996) The cognitive development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry 37:927–935CrossRefPubMed
Zurück zum Zitat O’Hara MW, Zekoski EM, Philipps LH, Wright EJ (1990) Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychol 99:3–15CrossRefPubMed O’Hara MW, Zekoski EM, Philipps LH, Wright EJ (1990) Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychol 99:3–15CrossRefPubMed
Zurück zum Zitat Olfson M, Broadhead E, Weissman MM, Leon AC, Farber L, Hoven C, Kathol R (1996) Subthreshold psychiatric symptoms in a primary care group practice. Arch Gen Psychiat 53:880–886PubMed Olfson M, Broadhead E, Weissman MM, Leon AC, Farber L, Hoven C, Kathol R (1996) Subthreshold psychiatric symptoms in a primary care group practice. Arch Gen Psychiat 53:880–886PubMed
Zurück zum Zitat Papousek M, Hofacker NV (1995) Persistent crying and parenting: search for a butterfly in a dynamic system. Early Dev Parent 4:209–224CrossRef Papousek M, Hofacker NV (1995) Persistent crying and parenting: search for a butterfly in a dynamic system. Early Dev Parent 4:209–224CrossRef
Zurück zum Zitat Phillips J, Sharpe L, Matthey S (2007) Rates of depressive and anxiety disorders in a residential mother-infant unit for unsettled infants. Aust N Z J Psychiatry 41:836–842CrossRefPubMed Phillips J, Sharpe L, Matthey S (2007) Rates of depressive and anxiety disorders in a residential mother-infant unit for unsettled infants. Aust N Z J Psychiatry 41:836–842CrossRefPubMed
Zurück zum Zitat Pitt B (1968) “Atypical” depression following childbirth. Br J Psychiatry 114:1325–1335CrossRefPubMed Pitt B (1968) “Atypical” depression following childbirth. Br J Psychiatry 114:1325–1335CrossRefPubMed
Zurück zum Zitat Power MJ, Katz R, McGuffin P, Duggan CF, Lam D, Beck AT (1994) The Dysfunctional Attitudes Scale (DAS): a comparison of forms A and B and proposals for a new subscaled version. J Res Pers 28:263–276CrossRef Power MJ, Katz R, McGuffin P, Duggan CF, Lam D, Beck AT (1994) The Dysfunctional Attitudes Scale (DAS): a comparison of forms A and B and proposals for a new subscaled version. J Res Pers 28:263–276CrossRef
Zurück zum Zitat Purdy D, Frank E (1993) Should postpartum mood disorders be given a more prominent or distinct place in the DSM-IV? Depression 1:59–70CrossRef Purdy D, Frank E (1993) Should postpartum mood disorders be given a more prominent or distinct place in the DSM-IV? Depression 1:59–70CrossRef
Zurück zum Zitat Reck C, Struben K, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, Sohn C, Mundt C (2008) Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiat Scand 118:459–468CrossRefPubMed Reck C, Struben K, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, Sohn C, Mundt C (2008) Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiat Scand 118:459–468CrossRefPubMed
Zurück zum Zitat Ross LE, McLean LM (2006) Anxiety disorders during pregnancy and the postpartum period: a systematic review. J Clin Psychiatry 67:1285–1298PubMedCrossRef Ross LE, McLean LM (2006) Anxiety disorders during pregnancy and the postpartum period: a systematic review. J Clin Psychiatry 67:1285–1298PubMedCrossRef
Zurück zum Zitat Rowe HJ, Fisher JRW, Loh WM (2008) The Edinburgh postnatal depression scale detects but does not distinguish anxiety disorders from depression in mothers of infants. Arch Women’s Ment Health 11:103–108CrossRef Rowe HJ, Fisher JRW, Loh WM (2008) The Edinburgh postnatal depression scale detects but does not distinguish anxiety disorders from depression in mothers of infants. Arch Women’s Ment Health 11:103–108CrossRef
Zurück zum Zitat Warner R, Appleby L, Whitton A, Faragher B (1997) Attitudes toward motherhood in postnatal depression: development of the maternal attitudes questionnaire. J Psychosom Res 43:351–358CrossRefPubMed Warner R, Appleby L, Whitton A, Faragher B (1997) Attitudes toward motherhood in postnatal depression: development of the maternal attitudes questionnaire. J Psychosom Res 43:351–358CrossRefPubMed
Zurück zum Zitat Weissman AN (1979) The dysfunctional attitude scale: a validation study. Dissertation, University of Pennsylvania Weissman AN (1979) The dysfunctional attitude scale: a validation study. Dissertation, University of Pennsylvania
Zurück zum Zitat Wenzel A, Gorman LL, O’Hara MW, Stuart S (2001) The occurrence of panic and obsessive compulsive symptoms in women with postpartum dysphoria: a prospective study. Arch Women’s Ment Health 4:5–12CrossRef Wenzel A, Gorman LL, O’Hara MW, Stuart S (2001) The occurrence of panic and obsessive compulsive symptoms in women with postpartum dysphoria: a prospective study. Arch Women’s Ment Health 4:5–12CrossRef
Zurück zum Zitat Wenzel A, Haugen EN, Jackson LC, Robinson K (2003) Prevalence of generalized anxiety at eight weeks postpartum. Arch Women’s Ment Health 6:43–49CrossRef Wenzel A, Haugen EN, Jackson LC, Robinson K (2003) Prevalence of generalized anxiety at eight weeks postpartum. Arch Women’s Ment Health 6:43–49CrossRef
Zurück zum Zitat Wenzel A, Haugen EN, Jackson LC, Brendle JR (2005) Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord 19:295–311CrossRefPubMed Wenzel A, Haugen EN, Jackson LC, Brendle JR (2005) Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord 19:295–311CrossRefPubMed
Zurück zum Zitat Whiffen VE (1992) Is postpartum depression a distinct diagnosis? Clin Psychol Rev 12:485–508CrossRef Whiffen VE (1992) Is postpartum depression a distinct diagnosis? Clin Psychol Rev 12:485–508CrossRef
Zurück zum Zitat Whiffen VE, Gotlib IH (1993) Comparison of postpartum and nonpostpartum depression: clinical presentation, psychiatric history, and psychosocial functioning. J Consult Clin Psych 61:485–494CrossRef Whiffen VE, Gotlib IH (1993) Comparison of postpartum and nonpostpartum depression: clinical presentation, psychiatric history, and psychosocial functioning. J Consult Clin Psych 61:485–494CrossRef
Zurück zum Zitat Zanarini MC, Skodol AE, Bender D, Dolan R, Sanislow C, Schaefer E, Morey LC, Grilo CM, Shea MT, McGlashan TH, Gunderson JG (2000) The collaborative longitudinal personality disorders study: reliability of axis I and II diagnoses. J Personal Disord 14:291–299 Zanarini MC, Skodol AE, Bender D, Dolan R, Sanislow C, Schaefer E, Morey LC, Grilo CM, Shea MT, McGlashan TH, Gunderson JG (2000) The collaborative longitudinal personality disorders study: reliability of axis I and II diagnoses. J Personal Disord 14:291–299
Metadaten
Titel
Maternally focused worry
verfasst von
Jane Phillips
Louise Sharpe
Stephen Matthey
Margaret Charles
Publikationsdatum
01.12.2009
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 6/2009
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0091-4

Weitere Artikel der Ausgabe 6/2009

Archives of Women's Mental Health 6/2009 Zur Ausgabe

Neu in den Fachgebieten Neurologie und Psychiatrie