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Persistent Maternal Mental Health Disorders and Toddler Neurodevelopment at 18 Months

Longitudinal Follow-up of a Low-Income South African Cohort

Bibliographic Data

ID15514801
AuthorsMarlette Burger (0000-0001-6529-5469, Western Cape Department of Health, corresponding author), Christa Einspieler (0000-0002-7875-0632, Medical University of Graz), Esmé Jordaan (0000-0002-0361-3473, South African Medical Research Council), Marianne Unger (0000-0003-4557-9418, Western Cape Department of Health), Dana Niehaus (0000-0001-9696-5605, Stellenbosch University)
Year2023
Volume20
Issue12
Pages6192-6192
Publication date2023-06-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20126192
PMID37372776
OpenAlexW4381661889
LanguageEN
References cited20

One of the biggest threats to early childhood development in Africa is poor maternal mental health. The present study reports on the relationships between clinical diagnoses of persistent maternal mental health disorders (at 3- and/or 6- and 18-month post-term age) and toddler neurodevelopment at 18 months of age. Eighty-three mother-toddler dyads from low socio-economic status settings in Cape Town, South Africa, were included. At the 3-, 6- and 18-month postnatal visits, clinician-administered structured diagnostic assessments were carried out according to the Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V) criteria. Toddler neurodevelopment at 18 months corrected age was assessed with the Bayley Scales of Infant and Toddler Development (BSID-III). No significant differences ( p > 0.05) were found between toddlers with exposure to persistent mood or psychotic disorders in the different BSID-III domains compared to toddlers with no exposure. Toddlers exposed to persistent comorbid anxiety and mood disorders scored significantly higher on the cognitive ( p = 0.049), motor ( p = 0.013) and language ( p = 0.041) domains and attained significantly higher fine motor ( p = 0.043) and gross motor ( p = 0.041) scaled scores compared to toddlers with no maternal mental health disorder exposure. Future investigations should focus on the role of protective factors to explain the pathways through which maternal mental health status is associated with positive toddler neurodevelopmental outcomes

Anxiety · Bayley Scales of Infant Development · Child development · Cognition · Cohort · Developmental psychology · Gross motor skill · Mental health · Mood · Mood disorders · Motor skill · Psychiatry · Psychomotor learning · Toddler · Child and Adolescent Psychosocial and Emotional Development · Infant Development and Preterm Care · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Pediatrics

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Highly citedNo
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