Predictors of Recovery from Depression and Anxiety in Women : A Longitudinal Study from Childbirth to 6 Years
Bibliographic record
Abstract
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. Objectif : Cette étude a examiné prospectivement les prédicteurs maternels biopsychosociaux du rétablissement de la dépression et de l’anxiété comorbides à compter de 25 semaines de gestation jusqu’à 6 ans après la naissance. Spécifiquement, l’étude a recherché l’influence des 1) facteurs maternels et 2) des comportements et de la santé physique de l’enfant sur le cours de l’humeur déprimée et anxieuse de la mère. Méthodes : Quatre-vingt-six femmes ayant reçu un diagnostic de dépression/anxiété prénatale ont été recrutées au sein du programme de santé mentale génésique et de pratiques familiales de Vancouver. Selon la trajectoire et l’état de la rémission de leurs symptômes, les participantes ont été réparties en 3 groupes : rétablissement complet, rétablissement partiel, et aucun rétablissement. Les mesures suivantes ont été utilisées sur 6 ans : l’échelle d’anxiété de Hamilton (HAM-A) et l’échelle de dépression de Hamilton (HAM-D) au départ; l’indice de stress parental (PSI) ajouté à 6 mois du postpartum; l’inventaire d’anxiété de Beck (BAI), l’inventaire de dépression de Beck (BDI-II) et la liste de controˆ le du comportement des enfants (CBCL) à 3 ans après la naissance; la HAM-A, la HAM-D, le questionnaire MacArthur sur la santé et le comportement (HBQ-P) et le PSI à 6 ans après la naissance. Résultats : Les facteurs qui prédisaient un rétablissement complet de la dépression étaient notamment l’absence de problèmes de santé maternels, un faible stress parental total et peu de difficultés de comportement de l’enfant; tandis que les faibles niveaux de stress du conjoint étaient un facteur significatif de l’atteinte du rétablissement complet de l’anxiété. Conclusion : Une variété de facteurs maternels et liés à l’enfant régit le rétablissement complet ou la rémission durable de la dépression/anxiété dans le postpartum jusqu’à 6 ans apre`s la naissance. La sensibilisation précoce à ces prédicteurs pourrait mener à des interventions en temps opportun, pour assurer le bien-être mère-enfant à long terme.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".