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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective
Claire A Wilson1, Hanafi Mohamad Husin2, S Ghazaleh Dashti3
1Institute of Psychiatry, Psychology and Neuroscience, King's College London and South London and Maudsley NHS Foundation Trust, London, UK. claire.1.wilson@kcl.ac.uk.
Insights
Individuals with preconception personality disorder face higher risks of antenatal anxiety and reduced social support during the perinatal period. These findings suggest a need for enhanced support for parents with personality disorder and their families.
Area of Science:
- Perinatal mental health
- Developmental psychology
- Psychiatric epidemiology
Background:
- Personality disorder in young adulthood is linked to potential adverse perinatal outcomes.
- Early identification of at-risk individuals is crucial for parental and child well-being.
- Understanding preconception mental health impacts is vital for targeted interventions.
Purpose of the Study:
- To investigate the perinatal psychosocial outcomes associated with preconception personality disorder.
- To identify specific risks faced by birthing individuals with personality disorder before pregnancy.
- To inform support strategies for vulnerable families during the perinatal period.
Main Methods:
- Prospective analysis of 398 birthing individuals and 609 infants from the Victorian Intergenerational Health Cohort Study (VIHCS).
- Preconception personality disorder assessed at age 24 using the Standardised Assessment of Personality (SAP).
- Parental outcomes evaluated during pregnancy and one year postpartum using log-binomial generalized estimating equations.
Main Results:
- Individuals with preconception personality disorder were twice as likely to experience antenatal anxiety and reduced social support.
- Weaker associations observed for stressful life events, poorer partner relationship quality, and depressive symptoms.
- Null associations found for parent self-efficacy and perceived parent-infant bond.
Conclusions:
- Preconception personality disorder identifies a vulnerable group requiring additional perinatal support.
- Early intervention and ongoing support are beneficial for individuals with personality disorder and their families.
- Addressing mental health prior to pregnancy can mitigate adverse perinatal psychosocial outcomes.
Purpose:
Birthing individuals with personality disorder in young adulthood before pregnancy may be at increased risk of potentially modifiable adverse outcomes in the perinatal period that impact parental and child health. We aimed to investigate the perinatal psychosocial outcomes of preconception (prior to pregnancy) personality disorder.
Methods:
Prospective analysis of 398 birthing individuals with 609 infants from Victorian Intergenerational Health Cohort Study (VIHCS). Preconception personality disorder was measured using the Standardised Assessment of Personality (SAP) at age 24. A range of parental outcomes were assessed during pregnancy and at one year postpartum (age 28 to 37). Log-binomial generalised estimating equations were used to estimate univariable associations between preconception personality disorder and each perinatal outcome.
Results:
Individuals with preconception personality disorder (compared to those without) were approximately two times more likely to have antenatal anxiety symptoms (risk ratio (RR) 2.08, 95% confidence interval (CI) 1.19-3.65) and reduced social support (antenatal RR 2.01, 95% CI 0.98-4.13; postnatal RR 1.38, 95% CI 0.91-2.10). Weaker associations were also observed for experiencing stressful life events (RR 1.37, 95% CI 0.98-1.90) and, albeit with less certainty, for poorer partner relationship quality (RR 1.44, 95% CI 0.78-2.64) and depressive symptoms (antenatal RR 1.56, 95% CI 0.84-2.91; postnatal RR 1.44, 95% CI 0.73-2.83). Close to null associations were observed for parents' self-efficacy or perceived parent-infant bond.
Conclusion:
The findings highlight a group who may be vulnerable to multiple adverse perinatal outcomes; those with personality disorder and their families may benefit from additional support both with pregnancy planning and into parenthood.
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