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Artikel: Angst in der Schwangerschaft und Postpartalzeit

Simen, Susanne / Heinermann-Müller, Natalie

(In: Zwanzger, Peter (Ed.), Angst. Medizin. Psychologie. Gesellschaft. (S. 255-270). Berlin: MWV Medizinisch Wissenschaftliche Verlagsgesellschaft)

2019

Abstract: Im Überblick wird dargestellt, wie somatische, psychische und soziale Veränderungen zu Ängsten in der Schwangerschaft und nach der Geburt führen können und welche Maßnahmen jeweils hilfreich sind. Zunächst werden Ängste in der Schwangerschaft behandelt, ... ...

Titelübersetzung	Anxiety in pregnancy and the postpartum period (DeepL)
Serientitel	In: Zwanzger, Peter (Ed.), Angst. Medizin. Psychologie. Gesellschaft. (S. 255-270). Berlin: MWV Medizinisch Wissenschaftliche Verlagsgesellschaft
Abstract	Im Überblick wird dargestellt, wie somatische, psychische und soziale Veränderungen zu Ängsten in der Schwangerschaft und nach der Geburt führen können und welche Maßnahmen jeweils hilfreich sind. Zunächst werden Ängste in der Schwangerschaft behandelt, im Einzelnen Panikattacken, Angst vor der Rolle als Mutter bzw. Vater, Angst bei Depression in der Schwangerschaft, Angst vor Erkrankung bzw. Behinderung des Kindes, Angst bei drohender Fehlgeburt, Angst vor der Geburt. Im Anschluss wird auf Angst bei der Geburt und bei postpartaler posttraumatischer Belastungsstörung sowie postpartale Angst bei Baby Blues und postpartaler Depression eingegangen.
Schlagwörter	Angst ; Angstbewältigung ; Angststörungen ; Anxiety ; Anxiety Disorders ; Anxiety Management ; Postnatal Period ; Postnatale Phase ; Postpartum Depression ; Posttraumatic Stress Disorder ; Posttraumatische Belastungsstörung ; Pregnancy ; Psychotherapie ; Psychotherapy ; Schwangerschaft ; Wochenbettdepression
Sprache	Deutsch
Dokumenttyp	Artikel
Datenquelle	PSYNDEX

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Artikel ; Konferenzbeitrag: UplusE: U-Untersuchung für Kinder PLUS Eltern beim Pädiater zur Förderung der kindlichen Entwicklung

Kittel-Schneider, Sarah / Kuscher, Katharina / Berg, Neeltje van den / Stentzel, Ulrike / Simen, Susanne

Zeitschrift für Geburtshilfe und Neonatologie

2023 Band 227, Heft 03

Veranstaltung/Kongress	Abstracts zur 49. Jahrestagung der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI), Hamburg, 2023-06-15
Sprache	Deutsch
Erscheinungsdatum	2023-06-01
Verlag	Georg Thieme Verlag KG
Erscheinungsort	Stuttgart ; New York
Dokumenttyp	Artikel ; Konferenzbeitrag
ZDB-ID	1226748-x
ISSN	1439-1651 ; 0948-2393 ; 0300-967X ; 1615-5300
ISSN (online)	1439-1651
ISSN	0948-2393 ; 0300-967X ; 1615-5300
DOI	10.1055/s-0043-1769409
Datenquelle	Thieme Verlag

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Artikel ; Online: Antipsychotika in der Schwangerschaft: eine systematische Übersichtsarbeit.

Hillemacher, Thomas / Simen, Susanne / Rehme, Marie-Kathrin / Frieling, Helge

Der Nervenarzt

2020 Band 92, Heft 5, Seite(n) 494–500

Abstract: Background: The benefits and risks of treatment with antipsychotics during pregnancy must be weighed up carefully and individually because antipsychotics can penetrate the placental barrier and prescription is off-label.: Objective: Evaluation of the ...

Titelübersetzung	Antipsychotics during pregnancy: a systematic review.
Abstract	Background: The benefits and risks of treatment with antipsychotics during pregnancy must be weighed up carefully and individually because antipsychotics can penetrate the placental barrier and prescription is off-label. Objective: Evaluation of the risks and benefits of administering antipsychotics during pregnancy or for women who wish to become pregnant regarding teratogenic effects, risk of fetal death and stillbirths, perinatal complications, persisting postnatal impairments or disorders and gestational diabetes. Methods: A systematic review of the literature is provided to aid the selection of psychotropic drugs during pregnancy and in determining whether to begin, continue or switch an antipsychotic treatment during pregnancy. Results: Large, well-designed and controlled studies are missing; however, most studies suggest that the group of antipsychotics seem to be safe in terms of teratogenicity during pregnancy, at least in monotherapy. Conclusion: Treating mental illnesses during pregnancy requires an individual assessment of the benefits and risks. The risk of an untreated mental illness versus the benefit of a suitable treatment with antipsychotics and the potential harm to the infant must be evaluated. If certain rules are observed and a suitable antipsychotic is selected the risk to the newborn child and/or mother during pregnancy can be minimized, however, a decision about subsequent medication can only be indirectly made from the results of this study.
Mesh-Begriff(e)	Antipsychotic Agents/adverse effects ; Female ; Humans ; Infant, Newborn ; Mental Disorders/drug therapy ; Pregnancy ; Pregnancy Complications/drug therapy ; Psychotropic Drugs/therapeutic use
Chemische Substanzen	Antipsychotic Agents ; Psychotropic Drugs
Sprache	Deutsch
Erscheinungsdatum	2020-09-30
Erscheinungsland	Germany
Dokumenttyp	Journal Article ; Review ; Systematic Review
ZDB-ID	123291-5
ISSN	1433-0407 ; 0028-2804
ISSN (online)	1433-0407
ISSN	0028-2804
DOI	10.1007/s00115-020-01006-8
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Mehr Zuversicht. Brigitte Kastner, Georg Endres und Susanne Simen über ein Best-Practice-Beispiel zur Prävention von negativem Geburtserleben bei psychisch vorerkrankten Frauen

Kastner, Brigitte / Endres, Georg / Simen, Susanne

Deutsche Hebammen-Zeitschrift

2020 Band 72, Heft 12, Seite(n) 28

Sprache	Deutsch
Dokumenttyp	Artikel
ZDB-ID	80218-9
ISSN	0012-026X
Datenquelle	Current Contents Medizin

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Konferenzbeitrag: U-Untersuchung für Kinder PLUS Eltern beim Pädiater zur Förderung der kindlichen Entwicklung mit Impuls aus frauenärztlicher Schwangerenvorsorge/UPlusE – Evaluation einer neuen Versorgungsform

Stentzel, Ulrike / van den Berg, Neeltje / Kittel-Schneider, Sarah / Friedmann, Anna / Nehring, Ina / Kuscher, Katharina / Simen, Susanne

2023 , Seite(n) 23dkvf273

Veranstaltung/Kongress	22. Deutscher Kongress für Versorgungsforschung (DKVF); Berlin; Deutsches Netzwerk Versorgungsforschung; 2023
Schlagwörter	Medizin, Gesundheit
Erscheinungsdatum	2023-10-02
Verlag	German Medical Science GMS Publishing House; Düsseldorf
Dokumenttyp	Konferenzbeitrag
DOI	10.3205/23dkvf273
Datenquelle	German Medical Science

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Artikel ; Online: Routine Screening for Peripartum Depression in the Gynecologic and Pediatric Setting - Evaluation of an Adapted EPDS Version.

Simen, Susanne / Kuscher, Katharina / Schröder, Lea / Yilmaz-Terzioglu, Neslisah / Schröder, Torsten / Jung, Ronny / Köhler, Wolfgang / Dammer, Ulf / Kastner, Brigitte / Hillemacher, Thomas / Berg, Neeltje van den / Rauber, Susanne

Zeitschrift fur Geburtshilfe und Neonatologie

2023 Band 227, Heft 3, Seite(n) 213–218

Abstract: Purpose: The aim of the study was to investigate the feasibility and acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two separate Plus Questions (PQ) of the ...

Titelübersetzung	Routinemäßiges Screening auf peripartale Depressionen im gynäkologischen und pädiatrischen Setting – Evaluation einer adaptierten EPDS Version.
Abstract	Purpose: The aim of the study was to investigate the feasibility and acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two separate Plus Questions (PQ) of the "EPDS-Plus" are valid for screening experiences of violence or a traumatic birth and whether they can be associated with symptoms of PD. Methods: Using the EPDS-Plus the prevalence of PD was investigated in 5235 women. The convergent validity of the PQ with the Childhood Trauma Questionnaire (CTQ) and Salmon's Item List (SIL) was assessed using correlation analysis. The association between the experience of violence and/or traumatic birth experience and PD was subjected to the chi-square test. Furthermore, a qualitative analysis for acceptance and satisfaction by the practitioners was performed. Results: The prevalence was 9.94%/10.18% for antepartum/postpartum depression. The convergent validity of the PQ showed strong correlation with CTQ (p<0.001) and SIL (p<0.001). For violence and PD, a significant association was found. There was no significant association for traumatic birth experience and PD. There was a high level of satisfaction and acceptance of the EPDS-Plus questionnaire. Conclusion: Screening for peripartum depression is feasible in regular care and can help to identify depressed as well as potentially traumatized mothers, especially in preparing trauma-sensitive birth care and treatment. Therefore, specialized peripartum "psych" treatment for all affected mothers in all regions has to be implemented.
Mesh-Begriff(e)	Pregnancy ; Female ; Humans ; Child ; Depression ; Peripartum Period ; Depression, Postpartum/diagnosis ; Depression, Postpartum/epidemiology ; Parturition ; Mothers ; Birth Injuries ; Mass Screening
Sprache	Englisch
Erscheinungsdatum	2023-02-16
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	1226748-x
ISSN	1439-1651 ; 0300-967X ; 0948-2393 ; 1615-5300
ISSN (online)	1439-1651
ISSN	0300-967X ; 0948-2393 ; 1615-5300
DOI	10.1055/a-2016-9737
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: [Titelangabe fehlt]

Zeitschrift für Geburtshilfe und Neonatologie

2023 Band 227, Heft 03, Seite(n) 213–218

Abstract	Purpose: The aim of the study was to investigate the feasibility and acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two separate Plus Questions (PQ) of the “EPDS-Plus” are valid for screening experiences of violence or a traumatic birth and whether they can be associated with symptoms of PD. Methods: Using the EPDS-Plus the prevalence of PD was investigated in 5235 women. The convergent validity of the PQ with the Childhood Trauma Questionnaire (CTQ) and Salmon’s Item List (SIL) was assessed using correlation analysis. The association between the experience of violence and/or traumatic birth experience and PD was subjected to the chi-square test. Furthermore, a qualitative analysis for acceptance and satisfaction by the practitioners was performed. Results: The prevalence was 9.94%/10.18% for antepartum/postpartum depression. The convergent validity of the PQ showed strong correlation with CTQ (p<0.001) and SIL (p<0.001). For violence and PD, a significant association was found. There was no significant association for traumatic birth experience and PD. There was a high level of satisfaction and acceptance of the EPDS-Plus questionnaire. Conclusion: Screening for peripartum depression is feasible in regular care and can help to identify depressed as well as potentially traumatized mothers, especially in preparing trauma-sensitive birth care and treatment. Therefore, specialized peripartum “psych” treatment for all affected mothers in all regions has to be implemented.
Schlagwörter	peripartum depression ; EPDS-plus ; violence ; traumatic birth ; trauma ; screening ; Peripartale Depression ; EPDS-plus ; Gewalt ; Traumatische Geburt ; Trauma ; Screening
Sprache	Englisch
Erscheinungsdatum	2023-02-16
Verlag	Georg Thieme Verlag KG
Erscheinungsort	Stuttgart ; New York
Dokumenttyp	Artikel
ZDB-ID	1226748-x
ISSN	1439-1651 ; 0948-2393 ; 0300-967X ; 1615-5300
ISSN (online)	1439-1651
ISSN	0948-2393 ; 0300-967X ; 1615-5300
DOI	10.1055/a-2016-9737
Datenquelle	Thieme Verlag

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Artikel: Routine screening for peripartum depression in the gynecologic and pediatric setting - Evaluation of an adapted EPDS version

Zeitschrift für Geburtshilfe und Neonatologie

2023 Band 227, Seite(n) 213–218

Titelübersetzung	Routine-Screening auf peripartale Depression in der Gynäkologie und Pädiatrie - Bewertung einer angepassten EPDS-Version
Abstract	Purpose: The aim of the study was to investigate the feasibility and acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two separate Plus Questions (PQ) of the "EPDS-Plus" are valid for screening experiences of violence or a traumatic birth and whether they can be associated with symptoms of PD. Methods: Using the EPDS-Plus the prevalence of PD was investigated in 5235 women. The convergent validity of the PQ with the Childhood Trauma Questionnaire (CTQ) and Salmon's Item List (SIL) was assessed using correlation analysis. The association between the experience of violence and/or traumatic birth experience and PD was subjected to the chi-square test. Furthermore, a qualitative analysis for acceptance and satisfaction by the practitioners was performed. Results: The prevalence was 9.94%/10.18% for antepartum/postpartum depression. The convergent validity of the PQ showed strong correlation with CTQ (p<0.001) and SIL (p<0.001). For violence and PD, a significant association was found. There was no significant association for traumatic birth experience and PD. There was a high level of satisfaction and acceptance of the EPDS-Plus questionnaire. Conclusion: Screening for peripartum depression is feasible in regular care and can help to identify depressed as well as potentially traumatized mothers, especially in preparing trauma-sensitive birth care and treatment. Therefore, specialized peripartum "psych" treatment for all affected mothers in all regions has to be implemented.
Schlagwörter	Birth ; Convergent Validity ; Depression Screening ; Depressions-Screening ; Fragebögen ; Geburt ; Geburtsphase ; Gewalt ; Konvergente Validität ; Major Depression ; Perinatal Period ; Pregnancy ; Questionnaires ; Schwangerschaft ; Trauma ; Violence
Sprache	Englisch
Dokumenttyp	Artikel
ZDB-ID	1226748-X
ISSN	0948-2393
ISSN	0948-2393
DOI	10.1055/a-2016-9737
Datenquelle	PSYNDEX

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Artikel: Mothers With Postpartum Psychiatric Disorders: Proposal for an Adapted Method to Assess Maternal Sensitivity in Interaction With the Child.

Heinisch, Christine / Galeris, Mirijam-Griseldis / Gabler, Sandra / Simen, Susanne / Junge-Hoffmeister, Juliane / Fößel, Judith / Spangler, Gottfried

Frontiers in psychiatry

2019 Band 10, Seite(n) 471

Abstract: About 15% of mothers suffer from postpartum psychiatric disorders, such as depression, anxiety, or psychosis. Numerous studies have shown maternal caregiving behavior to be negatively affected under these circumstances. The current study sets out to shed ...

Abstract	About 15% of mothers suffer from postpartum psychiatric disorders, such as depression, anxiety, or psychosis. Numerous studies have shown maternal caregiving behavior to be negatively affected under these circumstances. The current study sets out to shed light on specific caregiving behaviors of affected mothers in the context of parental mental illness at an early stage. There are several methods to assess maternal caregiving behavior in terms of sensitivity. However, all of them have limitations regarding the peculiarities of mothers with postpartum disorders, that is, changes in affect regulation, and the early onset of the disorder postpartum. With the current study, we provide an adapted method to assess maternal sensitivity based on methods recently approved in attachment research. Two groups of mothers, who were either healthy or had different postpartum disorders, were recorded on video during interactions with their infants. Behaviors were rated regarding responsiveness, promptness, appropriateness, intrusiveness, and positive and negative affect. A first analysis revealed an increased number of deficits on all subscales in mothers with postpartum psychiatric disorders as compared to healthy mothers. Depressive mothers with a single diagnosis had lower scores in responsiveness, promptness, and appropriateness and higher scores on intrusiveness as compared to those in healthy mothers. Here, maternal behavior appears more parent-centered, whereas affect seemed to be relatively unharmed. Moreover, as compared to healthy mothers, mothers with comorbid depression and anxiety symptomatology achieved lower scores on responsiveness, appropriateness, and positive affect and higher scores on intrusiveness and negative affect. It is suggested, that increased deficits are related to the severity of illness in mothers with comorbidities. Results on promptness indicate that these mothers are still capable of maintaining higher vigilance to infant cues. Variance in maternal behavior was relatively high in clinical mothers, showing that some of them are well capable of behaving in a sensitive manner toward their child. One strength of our adapted method is that particular aspects of sensitive parent-child interactions are assessed separately. This may shed light on specific behavior patterns of different postpartum psychiatric disorders, which may in turn relate to specific child outcomes. The manual is open for usage, while reliability testing is required.
Sprache	Englisch
Erscheinungsdatum	2019-07-22
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2019.00471
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Mothers with postpartum psychiatric disorders

Heinisch, Christine / Galeris, Mirijam-Griseldis / Gabler, Sandra / Simen, Susanne / Junge-Hoffmeister, Juliane / Fößel, Judith / Spangler, Gottfried

Frontiers in Psychiatry

Proposal for an adapted method to assess maternal sensitivity in interaction with the child

2019

Titelübersetzung	Mütter mit postpartalen psychiatrischen Störungen: Vorschlag für eine angepasste Methode zur Beurteilung der mütterlichen Sensitivität in der Interaktion mit dem Kind
Abstract	About 15% of mothers suffer from postpartum psychiatric disorders, such as depression, anxiety, or psychosis. Numerous studies have shown maternal caregiving behavior to be negatively affected under these circumstances. The current study sets out to shed light on specific caregiving behaviors of affected mothers in the context of parental mental illness at an early stage. There are several methods to assess maternal caregiving behavior in terms of sensitivity. However, all of them have limitations regarding the peculiarities of mothers with postpartum disorders, that is, changes in affect regulation, and the early onset of the disorder postpartum. With the current study, we provide an adapted method to assess maternal sensitivity based on methods recently approved in attachment research. Two groups of mothers, who were either healthy or had different postpartum disorders, were recorded on video during interactions with their infants. Behaviors were rated regarding responsiveness, promptness, appropriateness, intrusiveness, and positive and negative affect. A first analysis revealed an increased number of deficits on all subscales in mothers with postpartum psychiatric disorders as compared to healthy mothers. Depressive mothers with a single diagnosis had lower scores in responsiveness, promptness, and appropriateness and higher scores on intrusiveness as compared to those in healthy mothers. Here, maternal behavior appears more parent-centered, whereas affect seemed to be relatively unharmed. Moreover, as compared to healthy mothers, mothers with comorbid depression and anxiety symptomatology achieved lower scores on responsiveness, appropriateness, and positive affect and higher scores on intrusiveness and negative affect. It is suggested, that increased deficits are related to the severity of illness in mothers with comorbidities. Results on promptness indicate that these mothers are still capable of maintaining higher vigilance to infant cues. Variance in maternal behavior was relatively high in clinical mothers, showing that some of them are well capable of behaving in a sensitive manner toward their child. One strength of our adapted method is that particular aspects of sensitive parent-child interactions are assessed separately. This may shed light on specific behavior patterns of different postpartum psychiatric disorders, which may in turn relate to specific child outcomes. The manual is open for usage, while reliability testing is required.
Schlagwörter	Attachment Behavior ; Bindungsverhalten ; Caring Behaviors ; Emotional Regulation ; Emotionsregulation ; Factor Structure ; Faktorenstruktur ; Fragebögen ; Mother Child Communication ; Mother Child Relations ; Mothers ; Mutter-Kind-Beziehungen ; Mutter-Kind-Kommunikation ; Mütter ; Pflegeverhalten ; Postpartale Psychose ; Postpartum Depression ; Postpartum Psychosis ; Questionnaires ; Sensibilität (Persönlichkeit) ; Sensitivity (Personality) ; Wochenbettdepression
Sprache	Englisch
Dokumenttyp	Artikel
DOI	10.3389/fpsyt.2019.00471
Datenquelle	PSYNDEX

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