Abstract
For a lot of people, because of the joy and happiness of a new life, pregnancy means being on cloud nine. The general population may not be aware that this does not apply to every woman. Psychopathology during and after pregnancy should not be underrated. For as much as 10-20% of all pregnant women, pregnancy results in black clouds, gathering over them.
This thesis focuses on several aspects of psychopathology around pregnancy. In almost 8000 pregnant women, we investigated risk factors for anxiety and depression. Furthermore, we studied adverse effects of these psychiatric disorders both on breastfeeding and on the (unborn) child. Besides, we investigated the prevalence and severity of anxiety and depression among pregnant women in Nicaragua. We also studied the effects of psychotherapy on maternal symptoms, on perinatal outcomes, and on the development and behaviour of the child, compared to care as usual. Because we found no evidence for a positive effect on maternal symptoms and child development and behaviour and a possible adverse effect on perinatal outcomes, cognitive behavioural therapy should not be provided as treatment of subclinical antenatal psychopathology.
This thesis focuses on several aspects of psychopathology around pregnancy. In almost 8000 pregnant women, we investigated risk factors for anxiety and depression. Furthermore, we studied adverse effects of these psychiatric disorders both on breastfeeding and on the (unborn) child. Besides, we investigated the prevalence and severity of anxiety and depression among pregnant women in Nicaragua. We also studied the effects of psychotherapy on maternal symptoms, on perinatal outcomes, and on the development and behaviour of the child, compared to care as usual. Because we found no evidence for a positive effect on maternal symptoms and child development and behaviour and a possible adverse effect on perinatal outcomes, cognitive behavioural therapy should not be provided as treatment of subclinical antenatal psychopathology.
Original language | English |
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Qualification | Doctor of Philosophy |
Awarding Institution |
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Supervisors/Advisors |
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Award date | 20-Jan-2016 |
Place of Publication | [Groningen] |
Publisher | |
Print ISBNs | 978-90-367-8541-9 |
Electronic ISBNs | 978-90-367-8540-2 |
Publication status | Published - 2016 |