Dr Maddalena Miele Consultant Perinatal Psychiatrist

Background

Dr Miele has 20 years’ experience in women’s mental health and in developing holistic perinatal mental health care. She graduated in Medicine in 1987. She has a clinical background in O&G and completed a PhD in neuroscience at Oxford University in 1996 before returning to clinical practice. She trained in General Adult Psychiatry at the Maudsley, Bethlem and St Mary’s Hospitals in London, obtaining a CCT with an endorsement in Liaison Psychiatry in 2007. She is also an accredited Infant Mental Health practitioner and a trainer for the Parent Infant Interaction Observation Scale course at Warwick University Medical School. In March 2023 she retired from the NHS Perinatal Mental Health Service at St Mary’s Hospital, where she was appointed consultant in perinatal psychiatry in 2009. She was the trust wide Perinatal Clinical Lead from 2016 to 2020. She chaired the North-West London Perinatal Mental Health Network (NHSE) from 2016 to 2022; she contributed to the development of specialist perinatal mental health services across London and best practice guidelines. Since 2020 she is a trustee of the AIMH UK and the Brazelton Centre UK.

Dr Miele main research interest focussed on the impact of perinatal mental illness on infant development.

Dr Miele is actively involved in training and teaching programs to raise awareness on perinatal mental illness and improve clinical skills in perinatal and infant mental health care.

 

Expertise

Adjustment Disorders, Anxiety Disorder, Phobias, Obsessive Compulsive Disorder (OCD) including perinatal OCD, Panic Disorder, Post-Traumatic Stress Disorder (PTSD), Mood Disorders, Depression, Bipolar Disorder, Perinatal depression (antenatal and/or postnatal depression), Perinatal anxiety ((antenatal and/or postnatal anxiety), Puerperal Disorder, Psychosis, Schizophrenia, Personality Disorders, Parent-infant relationship difficulties

Research & publications

Biaggi, A., Hazelgrove, K., Waites, F., Bind, R. H., Lawrence, A. J., Fuste, M., … Dazzan, P. (2024). Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition. Journal of Affective Disorders, 367, 562-572. doi:https://doi.org/10.1016/j.jad.2024.08.180

Perkins R, Miele M. Music and Parental Mental Wellbeing (chapter 1, pgg 3- 23). Music and Parental Wellbeing – edited by Rosie Perkins - Oxford University Press, August 2024
Kirsten Barnicot, Eloise Stevens, Fiona Robinson, Sarah Labovitch, Rajinder Ballman, Maddalena Miele, Tara Lawn, Sushma Sundaresh & Jane Iles (05 Mar 2024): Video feedback for young babies and maternal perinatal mental illness: intervention adaptation, feasibility and acceptability, Journal of Reproductive and Infant Psychology, DOI: 10.1080/02646838.2024.2322636 To link to this article: https://doi.org/10.1080/02646838.2024.2

Davies, C., Segre, G., Estradé, A., Radua, J., De Micheli, A., Provenzani, U., Olivier, D.,Salazar de Pablo, S.,Ramella-Cravaro,V.,Besozzi,M., Dazzan, P., Miele,M., et al. (2020). Prenatal and perinatal risk and protective factors for psychosis: a systematic review and meta-analysis. The Lancet Psychiatry, 7(5), 399-410. doi:10.1016/S2215-0366(20)30057-2
Barnicot K, Welsh M, Kalwarowsky S, Stevens E, Iles J, Parker J, Miele M, Lawn T, O'Hanlon L, Sundaresh S, Ajala O, Bassett P, Jones C, Ramchandani P, Crawford M. Video feedback parent-infant intervention for mothers experiencing enduring difficulties in managing emotions and relationships: A randomised controlled feasibility trial. Br J Clin Psychol. 2022 Nov;61(4):1188-1210. doi: 10.1111/bjc.12388. Epub 2022 Aug 26. PMID: 36018275; PMCID: PMC9804867.

Biaggi A, Hazelgrove K, Waites F, Fuste M, Conroy S, Howard LM, Mehta MA, Miele M, Seneviratne G, Pawlby S, Pariante CM, Dazzan P. Maternal perceived bonding towards the infant and parenting stress in women at risk of postpartum psychosis with and without a postpartum relapse. J Affect Disord. 2021 Nov 1;294:210-219. doi: 10.1016/j.jad.2021.05.076. Epub 2021 Jun 5. PMID: 34303299.

Sambataro F, Cattarinussi G, Lawrence A, Biaggi A, Fusté M, Hazelgrove K, Mehta MA, Pawlby S, Conroy S, Seneviratne G, Craig MC, Pariante CM, Miele M, Dazzan P. Altered dynamics of the prefrontal networks are associated with the risk for postpartum psychosis: a functional magnetic resonance imaging study. Transl Psychiatry. 2021 May 12;11(1):238. doi: 10.1038/s41398-021-01351-5. PMID: 33976106; PMCID: PMC8113224.

Hazelgrove K, Biaggi A, Waites F, Fuste M, Osborne S, Conroy S, Howard LM, Mehta MA, Miele M, Nikkheslat N, Seneviratne G, Zunszain PA, Pawlby S, Pariante CM, Dazzan P. Risk factors for postpartum relapse in women at risk of postpartum psychosis: The role of psychosocial stress and the biological stress system. Psychoneuroendocrinology. 2021 Jun;128:105218. doi: 10.1016/j.psyneuen.2021.105218. Epub 2021 Apr 3. PMID: 33892376.

Davies, C., G. Segre, A. Estrade, J. Radua, A. De Micheli, U. Provenzani, D. Oliver, G., Salazar de Pablo, V. Ramella-Cravaro, M. Besozzi, P. Dazzan, M. Miele, G. Caputo, C., Spallarossa, G. Crossland, A. Ilyas, G. Spada, P. Politi, R. M. Murray, P. McGuire and P., Fusar-Poli (2020). "Prenatal and perinatal risk and protective factors for psychosis: a systematic review and meta-analysis." The Lancet Psychiatry 7(5): 399-410.

Easter, A. H., H.; Howard, L.M.; Miele, M. (2020). Mental Health Conditions in Preconception Health and Care: A life course approach. J. S. Shawe, E.A.P.; Verbiest, S. Switzerland, Springer.

Cliffe C, Miele M, Reid S. Homicide in pregnant and postpartum women worldwide: a review of the literature. J Public Health Policy. 2019 Jun;40(2):180-216. doi: 10.1057/s41271-018-0150-z. PMID: 30728444.

Rigby, J., Conroy, S., Miele-Norton, M., Pawlby, S., & Happé, F. (2016). Theory of mind as a predictor of maternal sensitivity in women with severe mental illness. Psychological Medicine, 46(9), 1853-1863. d

Private practice

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