Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.

Rotheram-Fuller, Erin; Tomlinson, Mark; Scheffler, Aaron; Weichle, Thomas W.; Rezvan, Panteha Hayati; Comulada, W. Scott; Rotheram‐Borus, Mary Jane

doi:10.1037/ccp0000281

Cited by 49 publications

(54 citation statements)

References 78 publications

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“…Population: most trials were conducted in upper-middle-income countries (Brazil, Chile, China, Iran, Lebanon, Malaysia, Mexico and South Africa) (Langer et al, 1998;Bastani et al, 2006;Aracena et al, 2009;Carvalho et al, 2009;Cooper et al, 2009;Le Roux et al, 2013;Le Roux et al, 2014; Rotheram-Borus et al, 2014a; Rotheram-Borus et al, 2014b; Tomlinson, 2014; Karamoozian and Askarizadeh, 2015;Murray et al, 2015;Tomlinson et al, 2015;Tomlinson et al, 2016b;Tomlinson et al, 2016a;Zhao et al, 2017, Rotheram-Fuller et al, 2018Mohd Shukri et al, 2019;Nabulsi et al, 2019;Rotheram-Borus et al, 2019;Guo et al, 2020;Zhao et al, 2020) followed by lower-middle-income (India, Nigeria and Pakistan) (Rahman et al, 2008;Tripathy et al, 2010;Maselko et al, 2015;Dabas et al, 2019;Fuhr et al, 2019;Gureje et al, 2019;Sikander et al, 2019;Rajeswari and SanjeevaReddy, 2020), low-income (Pakistan) (Rahman et al, 2008;Maselko et al, 2015) and a multi-site trial of lower-middle (Cuba) and upper-middle-income countries (Argentina, Brazil and Mexico) (Villar et al, 1992) (Table 1). Most trials enrolled pregnant women in their second and/or third trimester (Villar et al, 1992; Epidemiology and Psychiatric Sciences Langer et al, 1998;Bastani et al, 2006;Rahman et al, 2008;Aracena et al, 2009;Co...…”

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

“…Most trials enrolled pregnant women in their second and/or third trimester (Villar et al, 1992; Epidemiology and Psychiatric Sciences Langer et al, 1998;Bastani et al, 2006;Rahman et al, 2008;Aracena et al, 2009;Cooper et al, 2009;Le Roux et al, 2013;Le Roux et al, 2014;Tomlinson, 2014;Rotheram-Borus et al, 2014a;Rotheram-Borus et al, 2014b;Maselko et al, 2015;Murray et al, 2015;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b;Fuhr et al, 2019;Gureje et al, 2019;Kola et al, 2019;Mohd Shukri et al, 2019;Oladeji et al, 2019;Sikander et al, 2019;Guo et al, 2020;Rajeswari and SanjeevaReddy, 2020;Zhao et al, 2020). Four trials enrolled women that had recently given birth (Carvalho et al, 2009;Tripathy et al, 2010;Le Roux et al, 2013;Le Roux et al, 2014;Rotheram-Borus et al, 2014b;Tomlinson, 2014;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b, Rotheram-Fuller et al, 2018Dabas et al, 2019;Rotheram-Borus et al, 2019). Some trials enrolled specific subgroups of pregnant women including adolescents or young adults (Aracena et al, 2009), low-income (Cooper et al, 200...…”

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

“…Four trials enrolled women that had recently given birth (Carvalho et al, 2009;Tripathy et al, 2010;Le Roux et al, 2013;Le Roux et al, 2014;Rotheram-Borus et al, 2014b;Tomlinson, 2014;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b, Rotheram-Fuller et al, 2018Dabas et al, 2019;Rotheram-Borus et al, 2019). Some trials enrolled specific subgroups of pregnant women including adolescents or young adults (Aracena et al, 2009), low-income (Cooper et al, 2009;Le Roux et al, 2013;Le Roux et al, 2014;Rotheram-Borus et al, 2014b;Tomlinson, 2014;Murray et al, 2015;Tomlinson et al, 2015;Tomlinson et al, 2016a;Tomlinson et al, 2016b, Rotheram-Fuller et al, 2018Rotheram-Borus et al, 2019), pregnant with a single foetus, no previous vaginal delivery and no evidence of severe obstetric disease (Langer et al, 1998;Mohd Shukri et al, 2019), high-risk pregnancies (Zhao et al, 2017) or HIV-positive (Rotheram-Borus et al, 2014a). Several trials enrolled subgroups of pregnant women meeting specific mental health criterion including having mild to moderate stress (Rajeswari and SanjeevaReddy, 2020), elevated anxiety or depressive symptoms (Bastani et al, 2006;Cooper et al, 2009;Murray et al, 2015;Guo et al, 2020) screening positive for depression based on PHQ9 ≥ 10 (Fuhr et al, 2019), EPDS ≥ 9 (Zhao et al, 2017;Zhao et al, 2020), EPDS = 12…”

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

See 2 more Smart Citations

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

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Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

Section: Overview Of Study Characteristics and Qualitymentioning

confidence: 99%

See 1 more Smart Citation

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

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“…Depression is associated with significant life challenges, including poverty, unstable income, food insecurity, lack of partner support, violence and poor health [9][10][11][12][13][14]. Maternal depression reduces quality of life and is a leading cause of disability and poor maternal health outcomes, especially in the context of HIV [15,16].…”

Section: Introductionmentioning

confidence: 99%

“…Maternal depression reduces quality of life and is a leading cause of disability and poor maternal health outcomes, especially in the context of HIV [15,16]. Further, maternal depression has been associated with adverse effects on the quality of the mother-infant relationship and child development outcomes [4,17], which can have implications for young children's long-term psychosocial, cognitive, and economic well-being [13,16].…”

Section: Introductionmentioning

confidence: 99%

Addressing the interaction between food insecurity, perinatal depression and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

Horwood

Haskins

Rachael

et al. 2020

Preprint

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Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability.Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using USAID Household Food Insecurity Access Scale (HIFAS). Data was analysed using SPSS and STATA.Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health, and child health and development outcomes. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could support these mothers care for their children.

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Analysis of Maternal Postnatal Depression, Socioeconomic Factors, and Offspring Internalizing Symptoms in a Longitudinal Cohort in South Africa

et al. 2021

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IMPORTANCE Few studies from low-and-middle income countries have investigated long-term associations between maternal postnatal depression and offspring internalizing (ie, depressive and anxiety) symptoms, and none have investigated interactions in this association. OBJECTIVE To investigate the association between maternal postnatal depression and offspringinternalizing symptoms from adolescence to adulthood and the interaction with exposure to socioeconomic adversity and with the child's sex. DESIGN, SETTING, AND PARTICIPANTS This secondary analysis used data from Birth to TwentyPlus (BT20+), a prospective birth cohort study of children born in Soweto, South Africa, and followed up until age 28 years. Data were collected from 1990 to 2018, and data were analyzed for this study from February 16 through December 15, 2020.EXPOSURES Maternal postnatal depression self-reported by mothers 6 months after childbirth. MAIN OUTCOMES AND MEASURESThe main outcome was offspring internalizing symptoms, assessed at offspring ages 14 years, 22 years, and 28 years and modeled longitudinally. Participants with the highest probability of experiencing high internalizing symptoms (ie, those in the top 20% of the distribution) from age 14 to 28 years were categorized as belonging to the high internalizing symptoms trajectory (vs the low trajectory). Socioeconomic adversity was measured with an index (continuous variable) including low maternal education, household crowding, low assets, and low maternal age. This variable was further stratified into more than 1 SD above the mean index, more than 1 SD below the mean index, and from 1 SD below to 1 SD above the mean index to conduct subgroup analyses. Associations were investigated using multivariable regression models. RESULTS Among 1087 participants born in Soweto, South Africa (543 [50.0%] male participants; 544 [50.0%] female participants), 118 individuals (10.8%) showed a high trajectory of internalizing symptoms from age 14 to 28 years vs 969 individuals (89.1%) with a low trajectory. Children exposed to maternal postnatal depression had statistically significantly increased odds of following the high trajectory

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Maternal patterns of antenatal and postnatal depressed mood and the impact on child health at 3-years postpartum.

Cited by 49 publications

References 78 publications

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Addressing the interaction between food insecurity, perinatal depression and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

Analysis of Maternal Postnatal Depression, Socioeconomic Factors, and Offspring Internalizing Symptoms in a Longitudinal Cohort in South Africa

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