Child mental health and maternal depression history in Pakistan

Maselko, Joanna; Sikander, Siham; Bangash, Omer; Bhalotra, Sonia R.; Franz, Lauren; Ganga, Nima; Rajan, Divya Guru; O’Donnell, Karen; Rahman, Atıf

doi:10.1007/s00127-015-1143-x

Cited by 31 publications

(41 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study revealed abnormally high total emotional and behavioural difficulties score in 10% of the children studied, with 2% of the children having abnormally low scores on prosocial behaviour. This is comparable to the findings of a follow-up study done in Pakistan, which found 13.3% of the children of mothers with depression to have an abnormal total difficulties score at 7 years [ 20 ]. However, the rates of conduct problems were much higher in the study conducted in Pakistan (47.1% of boys; 34.7% of girls) than in the current study where conduct problems were present in 13.1% of children.…”

Section: Discussionsupporting

confidence: 87%

“…Many studies have shown rates of psychological problems in children of depressed mothers to be higher than in the children of nondepressed mothers [ 4 – 11 ]. A follow-up study in Pakistan showed that the SDQ scores were highest in children whose mothers were depressed both perinatally and currently and decreased in a stepwise pattern for children whose mothers were only depressed currently, mothers who were only depressed perinatally, to mothers who were never depressed [ 20 ]. Similar patterns have been demonstrated in a study done in Australia, where 23.9% of children whose mothers have persistent and increasing depressive symptoms have SDQ scores in the clinical range, with proportions decreasing to 19.1% when there are subclinical depressive symptoms and to 7% when there are minimal depressive symptoms [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychological Problems and Socioemotional Wellbeing among Children of Mothers with Depression and Their Association with Sociodemographic Factors in a Sri Lankan Setting

2018

View full text Add to dashboard Cite

Background Maternal depression is known to be associated with anxiety, depression, oppositional and conduct disorders, neurocognitive deficits, ADHD, substance abuse, and personality disorder in the offspring. We aimed to describe the proportion of psychological problems among children of mothers with depression in Sri Lanka and to describe the associated sociodemographic factors. Methods A cross-sectional descriptive study was conducted on 100 children and adolescents between 4 and 16 years, whose mothers have a diagnosis of depression and are currently in remission. Specifically designed instruments were used to extract sociodemographic details and data on mother's illness. Strengths and Difficulties Questionnaire (SDQ) was used to detect psychological problems in children. Results 14% of the children scored abnormally high in hyperactivity, 13% in conduct problems, 12% in emotional problems, 9% in peer problems, and 10% in total difficulties. Children (4–12 years) scored significantly higher than the adolescents in hyperactivity and externalizing problems (p < 0.05). Significant differences were also found in peer problems (p < 0.05), internalizing problems (p < 0.05), and total difficulties (p < 0.05) in relation to the age of the mother. Conclusion Screening the children of mothers with depression for psychological problems and developing a holistic management plan, which includes measures to ensure their wellbeing, is important.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Psychological Problems and Socioemotional Wellbeing among Children of Mothers with Depression and Their Association with Sociodemographic Factors in a Sri Lankan Setting

2018

View full text Add to dashboard Cite

show abstract

“…In a study of young African-American mothers and their offspring ( N = 196), prenatal depressive symptoms were indirectly associated with increased child social/emotional problems at age 2 through postnatal maternal depressive symptoms and maternal parenting sensitivity, but this effect was significant only among boys [73]. Similarly, a community-based cohort study ( N = 885) found a significant interaction between prenatal maternal depression and child sex in predicting a broad measure of social-emotional well-being at age 7: Prenatal maternal depression was associated with much higher levels of emotional-behavioral problems among boys and was not significant for girls [40]. Pickles et al ( N = 813) found that the adverse effects of prenatal pregnancy-specific anxiety on child internalizing and externalizing symptoms at age 3.5 were ameliorated by maternal-infant stroking.…”

Section: Resultsmentioning

confidence: 99%

Sex Differences in Vulnerability to Prenatal Stress: a Review of the Recent Literature

Sutherland

Brunwasser

2018

Curr Psychiatry Rep

129

View full text Add to dashboard Cite

Most articles (k = 35) found evidence of either sex-specific associations (significant in one sex but not the other) or significant PNMSstress interactions for at least one child health outcome. Evidence for sex-dependent effects was strongest in the group of studies evaluating child neural/nervous system development and temperament as outcomes. There is sufficient evidence of sex-dependent associations to recommend that researchers always consider the potential role of child sex in PNMS programming studies and report descriptive statistics for study outcomes stratified by child biological sex.

show abstract

“…We extend this research by focusing our analysis on depression among women during the prenatal period, estimated to affect at least 16% of women in LMIC ( Fisher et al, 2012 ). The majority of women who are depressed prenatally remain depressed postnatally ( Rahman & Creed, 2007 ) and depression during this perinatal period has been linked with other health problems for the mother as well as with multiple negative developmental outcomes for her offspring ( Brown and Lumley, 2000 , Galler et al, 2004 , Rahman et al, 2004 , Gelaye et al, 2016 , Maselko et al, 2016 ). Therefore, a better understanding of the relationship between socioeconomic status and depression during pregnancy can inform efforts to improve the mental health of mothers as well as to improve the developmental trajectories of their children.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic status indicators and common mental disorders: Evidence from a study of prenatal depression in Pakistan

Maselko

Bates²,

Bhalotra

et al. 2018

SSM - Population Health

Self Cite

View full text Add to dashboard Cite

There is growing interest in the relationship between socioeconomic status (SES), poverty, and mental health in low and middle-income countries (LMIC). However, it is not clear whether a gradient approach focused on a wider SES distribution or a binary poverty approach is more salient for mental health in LMIC. Yet this distinction has implications for interventions aimed at improving population health. We contribute to the literature by examining how multiple indicators of socioeconomic status, including gradient SES and binary poverty indicators, contribute to prenatal depression symptoms in a LMIC context. Prenatal depression is an important public health concern with negative sequela for the mother and her children. We use data on assets, education, food insecurity, debt, and depression symptoms from a sample of 1154 pregnant women residing in rural Pakistan. Women who screened positive for depression participated in a cluster randomized controlled trial of a perinatal depression intervention; all women were interviewed October 2015-February 2016, prior to the start of the intervention. Cluster-specific sampling weights were used to approximate a random sample of pregnant women in the area. Findings indicate that fewer assets, experiencing food insecurity, and having household debt are independently associated with worse depression symptoms. The association with assets is linear with no evidence of a threshold effect, supporting the idea of a gradient in the association between levels of SES and depression symptoms. A gradient was also initially observed with woman’s educational attainment, but this association was attenuated once other SES variables were included in the model. Together, the asset, food insecurity, and debt indicators explain 14% of the variance in depression symptoms, more than has been reported in high income country studies. These findings support the use of multiple SES indicators to better elucidate the complex relationship between socioeconomic status and mental health in LMIC.

show abstract

Child mental health and maternal depression history in Pakistan

Cited by 31 publications

References 67 publications

Psychological Problems and Socioemotional Wellbeing among Children of Mothers with Depression and Their Association with Sociodemographic Factors in a Sri Lankan Setting

Psychological Problems and Socioemotional Wellbeing among Children of Mothers with Depression and Their Association with Sociodemographic Factors in a Sri Lankan Setting

Sex Differences in Vulnerability to Prenatal Stress: a Review of the Recent Literature

Socioeconomic status indicators and common mental disorders: Evidence from a study of prenatal depression in Pakistan

Contact Info

Product

Resources

About