Maternal neurotic symptoms and infants' risk of developing persistent diarrhoea

Humphreys, Derek; Araya, Magdalena; Cruchet, Sylvia; Espinoza, J; Brunser, O

doi:10.1590/s0034-89101996000300002

Cited by 10 publications

(12 citation statements)

References 12 publications

(3 reference statements)

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“…This paper extends the growing body of literature from Pakistan, Chile and Nigeria linking poor maternal mental health to increased risk of infant illness 18 22 23. In this study, persistent perinatal CMD symptoms were associated with more than double the risk of an infant diarrhoeal episode during the first 2 months of life.…”

Section: Discussionsupporting

confidence: 69%

“…In Pakistan,23 infants of mothers with postnatal depression had 2.3 times the odds of having five or more diarrhoeal episodes in their first year, after adjusting for confounders. Studies from Chile22 and Nigeria18 found similar associations with infant diarrhoeal episodes and other illnesses, although neither study adjusted for confounders. Possible mechanisms underlying the association have been postulated24 although not investigated systematically.…”

Section: Introductionmentioning

confidence: 90%

“…Maternal CMD has been associated with low birth weight in some,11–13 although not all,14LAMIC settings and a range of adverse infant outcomes: undernutrition,15–20 poorer cognitive development,16 child injury21 and increased diarrhoeal illness 22–24. In Pakistan,23 infants of mothers with postnatal depression had 2.3 times the odds of having five or more diarrhoeal episodes in their first year, after adjusting for confounders.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perinatal mental distress and infant morbidity in Ethiopia: a cohort study

Ross

Hanlon

Medhin

et al. 2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

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Objectives(1) To investigate the impact of perinatal common mental disorders (CMD) in Ethiopia on the risk of key illnesses of early infancy: diarrhoea, fever and acute respiratory illnesses (ARI) and (2) to explore the potential mediating role of maternal health behaviours.DesignPopulation-based cohort study.SettingDemographic surveillance site in a predominantly rural area of Ethiopia.Participants1065 women (86.3% of eligible) in the third trimester of pregnancy were recruited and 954 (98.6%) of surviving, singleton mother–infant pairs were followed up until 2 months after birth.Main exposure measureHigh levels of CMD symptoms, as measured by the locally validated Self-Reporting Questionnaire (SRQ-20 ≥6), in pregnancy only, postnatally only and at both time-points (‘persistent’).Main outcome measuresMaternal report of infant illness episodes in first 2 months of life.ResultsThe percentages of infants reported to have experienced diarrhoea, ARI and fever were 26.0%, 25.0% and 35.1%, respectively. Persistent perinatal CMD symptoms were associated with 2.15 times (95% CI 1.39 to 3.34) increased risk of infant diarrhoea in a fully adjusted model. The strength of association was not affected by including potential mediators: breast feeding practices, hygiene, the infant's vaccination status or impaired maternal functioning. Persistent perinatal CMD was not associated with infant ARI or fever after adjusting for confounders.ConclusionsPersistent perinatal CMD was associated with infant diarrhoea in this low-income country setting. The observed relationship was independent of maternal health-promoting practices. Future research should further explore the mechanisms underlying the observed association to inform intervention strategies.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perinatal mental distress and infant morbidity in Ethiopia: a cohort study

Ross

Hanlon

Medhin

et al. 2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

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“…To our knowledge, only few studies examined the association between maternal mental health and child illness [5, 18, 19]. Nguyen et al discovers association of maternal mental health with both diarrhea and ARI [5].…”

Section: Discussionmentioning

confidence: 99%

Maternal common mental disorders and associated factors: a cross-sectional study in an urban slum area of Dhaka, Bangladesh

Khan¹,

Flora

2017

Int J Ment Health Syst

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BackgroundPoor maternal mental health has a negative impact on child growth and development. The objective of the study was to find out the associated factors of maternal common mental disorders (CMD) in an urban slum area of Bangladesh.MethodsThis cross-sectional study was carried out from September to November 2013 among conveniently selected 264 mothers having under-five children at Kamrangirchar area of Dhaka. A structured questionnaire based on Self-Reporting Questionnaire-20 (SRQ-20) was used for data collection where a cut-off of 7 was considered to ascertain CMD.ResultsMajority of the mothers were housewives (89.8%), educated up to primary level (40.9%) and lived in nuclear families (83.0%) with low socioeconomic status (64.4%) and moderate household food insecurity (57.5%). The prevalence of maternal CMD was 46.2%. In bivariate analysis, the associated factors of CMD were higher maternal age (p = 0.043), lower educational qualification (p = 0.015), low socioeconomic status (p = 0.004), household food insecurity (p < 0.001), maternal undernutrition (p = 0.001), child wasting (p = 0.005) and child underweight (p < 0.001). Household food insecurity (p < 0.001) and maternal undernutrition (p = 0.004) were identified as associated factors of maternal CMD after controlling for socio-demographic variables. There were about 5 times and 12 times increased odds of having maternal CMD in moderately (adjusted OR = 4.8, 95% CI 2.0–11.7) and severely food insecure household (adjusted OR = 11.6, 95% CI 3.5–38.1), respectively, than food secure one. Underweight mothers had 2.5 times increased odds of experiencing CMD as compared with mothers who were not underweight (adjusted OR = 2.6, 95% CI 1.4–5.0).ConclusionThe prevalence of maternal CMD was relatively higher than other developing countries studied so far. Household food insecurity and maternal under-nutrition were the associated factors of maternal CMD. Therefore, interventions to improve household food security and maternal nutrition can improve maternal CMD and thus make useful contributions to child growth and development.

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“…Other studies have found similar associations with episodes of diarrhea and other childhood diseases in Nigeria, but none of them were adjusted for confounding factors. 20 Possible mechanisms underlying these associations have been postulated, but not systematically investigated.…”

Section: Positive Resultsmentioning

confidence: 99%

Common mental disorders in mothers vs. infant and obstetric outcomes: a review

Borba

Zambaldi²,

Cantilino³

et al. 2012

Trends Psychiatry Psychother.

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Transtornos mentais comuns em mães versus desfechos infantis e obstétricos: uma revisãoCommon mental disorders in mothers vs. infant and obstetric outcomes: a review Abstract Introduction: Pregnancy has been shown to increase women's vulnerability to mental disorders. Common mental disorders (CMDs) have been studied both in the general population and in pregnant vs. non-pregnant women. During pregnancy, CMDs have been considered a potential predictor of obstetric and infant outcomes. Methods: A search was conducted on the PubMed/MEDLINE, LILACS, and SciELO databases to find relevant articles written in English, Spanish, and Portuguese. No limit was established for year of publication, but only studies involving human beings were included. Results: A total of 25 articles were selected. There was a consensus among studies that the mean prevalence of CMD during pregnancy is 20%. There was also agreement that the occurrence of CMDs during pregnancy is a predictor of postpartum depression and anxiety disorders and that the disorder remains underdiagnosed and undertreated. As for the positive association between CMDs and obstetric and infant complications, results are still conflicting. In lower-income countries, frequently there is an association between CMD and perinatal changes. It is argued that some confounding factors, such as sociodemographic and cultural differences, health and maternal conditions, and type of instruments used, probably contribute to this lack of consensus. Conclusion: We believe that the conflicting results found in the literature are caused by differences in methodology and sociodemographic factors that influence the development of CMDs. Despite these differences, our findings underscore the need for depression and anxiety disorders during pregnancy to be studied and better identified by all professionals who provide antenatal care.

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Maternal neurotic symptoms and infants' risk of developing persistent diarrhoea

Cited by 10 publications

References 12 publications

Perinatal mental distress and infant morbidity in Ethiopia: a cohort study

Perinatal mental distress and infant morbidity in Ethiopia: a cohort study

Maternal common mental disorders and associated factors: a cross-sectional study in an urban slum area of Dhaka, Bangladesh

Common mental disorders in mothers vs. infant and obstetric outcomes: a review

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