Brief screening for maternal mental health in Vietnam: Measures of positive wellbeing and perceived stress predict prenatal and postnatal depression

Phuc, Huyen; Baker, Philip; Vo, Thang Van; Luong-Thanh, Bao-Yen; Nguyen, Lan Hoang; Valdebenito, Sara; Eisner, Manuel; Tran, Bach Xuan; Hoang, Tuyen Dinh; Dunne, Michael P.

doi:10.1016/j.jadr.2020.100047

Cited by 8 publications

(16 citation statements)

References 57 publications

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“…The fieldworker was available to provide technical assistance [36]. Validation of the survey instrument has been published elsewhere [37]. All participants were screened and provided written informed consent form before the interview.…”

Section: Data Collection and Study Measurementsmentioning

confidence: 99%

“…A dichotomous variable of poor mental health (Yes/No) was generated from any mental health difficulties (low wellbeing or high antenatal distress or moderate or severe depression). The psychometric testing for three scales has been reported elsewhere and suggested that the combined measures of stress, wellbeing, and depression can be more sensitive to classify pregnant women with health problem in Vietnamese population [37]. The Attitudes about Physical Punishment Scale, designed by Deater-Deckard et al (2003), was used to measure endorsement of physical punishment by parents [41].…”

Section: Maternal Wellbeing and Birth Outcomesmentioning

confidence: 99%

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Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

Phuc

Baker

et al. 2021

BMC Pregnancy Childbirth

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Background Girls exposed to violence have a high risk of being victimized as adults and are more likely than non-abused women to have children who are treated violently. This intergenerational transmission may be especially serious when women suffer violence during pregnancy and early motherhood, as it impairs maternal wellbeing and infant health and development. This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. Methods A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and 3 months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. Results One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20–3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = − 1.3). Conclusion These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women’s previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.

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Section: Data Collection and Study Measurementsmentioning

confidence: 99%

Section: Maternal Wellbeing and Birth Outcomesmentioning

confidence: 99%

Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

Phuc

Baker

et al. 2021

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

show abstract

“…Future research should focus on improving the practice of antenatal care via assessing the feasibility of mental health screening during pregnancy (Do et al, 2021a), which is highly recommended by mounting evidence worldwide (Abdelhai & Mosleh, 2015;Accortt & Wong, 2017;Connelly et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…A variable was generated based on whether women had poor mental health on any of three measures. Based on psychometric evaluation (Do et al, 2021a), women who were rated as poor on any of the three measures [low-wellbeing (WHO-5<60), high stress (PSS>20) and moderate or severe depression (PHQ-9>13)]…”

Section: Mental Health Riskmentioning

confidence: 99%

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Violence and adversity among pregnant women and new mothers in central Vietnam

Huyền¹

2021

Preprint

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Prenatal intimate partner violence (p-IPV) can harm the physical and mental health of mothers and their offspring, and the effects can persist throughout life. Among Asian countries, which are strongly influenced by patriarchal ideology, Confucian beliefs and gender norms, Vietnamese women are at high risk of physical and psychological trauma from abusive behaviours. Current social, economic, and political transitions can reinforce gender inequality, and also change expectations of partners within intimate relationship; this interplay has been associated with individual men’s use of violence.

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Development and Validation of an Arabic Version of the World Health Organization Well-Being Index (WHO-5)

Alshayea

2023

J Psychopathol Behav Assess

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Brief screening for maternal mental health in Vietnam: Measures of positive wellbeing and perceived stress predict prenatal and postnatal depression

Cited by 8 publications

References 57 publications

Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

Intergenerational effects of violence on women’s perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

Violence and adversity among pregnant women and new mothers in central Vietnam

Development and Validation of an Arabic Version of the World Health Organization Well-Being Index (WHO-5)

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