Siham Sikander
Dados Biográficos
| ID | 3929252 |
|---|---|
| NOME | Siham Sikander |
| PRENOMES | Siham |
| SOBRENOME | Sikander |
| ASSINATURA | SIKANDER S |
| AFILIAÇÕES | Human Development Research Foundation, Islamabad, Pakistan |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAÇÕES | 9 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Cost-effectiveness of a technology-assisted peer-delivered perinatal mental health intervention in Pakistan
INTRODUCTION: Perinatal depression in low- and middle-income countries is a global health concern. Interventions to support women suffering from perinatal depression using mental health specialists, such as the WHO Thinking Healthy Programme (WHO-THP), are established but may not be scalable in resource-constrained settings. The technology-assisted peer-delivered THP (THP-TAP) has been developed as a potential solution to deliver an intervention …
Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development
Maternal depression is a global public health concern with far-reaching impacts on child development, yet our understanding of mechanisms remains incomplete. This study examined whether parenting mediates the association between maternal depression and child outcomes. Participants included 841 rural Pakistani mother–child dyads (50% female). Maternal depression was measured at 12 months postpartum, parenting behaviors (warmth, stimulation, and ha…
Early life grandmother caregiving trajectories and child development
Grandmothers are influential caregivers for young children, yet their contributions to child development remains understudied. This study characterized trajectories of grandmother caregiving from infancy to 2 years and examined their associations with child development. Data came from a longitudinal birth cohort study in rural Pakistan ( n = 959). Grandmother caregiving behaviors were maternally reported at 3 months, 1 year, and 2 years postpartu…
An examination of multiple illness and social related stressors during the Covid-19 pandemic on maternal and child mental health; findings from a birth cohort in rural Pakistan
These findings provide evidence of additional pathways through which prolonged global events, like the pandemic, can have multigenerational mental health impacts
Maternal self‐efficacy during infancy
Maternal self‐efficacy during infancy is shaped by many factors, including maternal mental health and social support. This study examines how depression, emotional support, and childcare support relate to maternal self‐efficacy among mothers of infants in rural Pakistan. Participants included 885 mothers assessed at 3 and 6 months postpartum. At 3 months postpartum, mothers completed interview measures of depression, emotional social support, sup…
Impacts of chronic suicidal ideation on parenting and child development
Maternal suicidality in Pakistan
South Asia has the highest rate of suicide fatalities for women globally. However, the underlying factors and processes that contribute to suicidal behavior among women in Pakistan remain underexplored and existing interventions worldwide are dominated by Western-informed suicide theories. We employed a decolonized form of grounded theory, informed by critical feminist theory and Pakistani feminist scholarship, to explore the experiences of suici…
Effectiveness of Learning through Play Plus (LTP Plus) Parenting Intervention on Behaviours of Young Children of Depressed Mothers
Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised controlled trial with depressed mothers aged 18-44 years with a child aged 0 to 36 months. This paper reports findings from the d…
Trauma exposure among young children in rural Pakistan
Findings show that childhood trauma exposure is common in this setting and associated with worse mental health problems among young boys and girls. Results suggest that trauma-informed interventions are important for supporting child mental health in South Asia
The Day‐in‐the‐Life method for assessing infant caregiving in rural Pakistan
Maternal adverse childhood experiences on child growth and development in rural Pakistan
Maternal adverse childhood experiences (ACEs) have significant impacts on the next generation with links to negative birth outcomes, impaired cognitive development, and increased socioemotional problems in children. However, not all types or levels of adversity are similarly deleterious and research from diverse contexts is needed to better understand why and how intergenerational transmission of adversity occurs. We examined the role of maternal…
Feasibility and Acceptability of an Online Mindfulness-Based Intervention for Stress Reduction and Psychological Wellbeing of University Students in Pakistan
The rise in mental health concerns of university students is causing a serious hinderance to their wellbeing, impeding their functioning. The socio-economic and political friction in low- and middle-income countries adds to their vulnerability and calls for a cost-effective indigenous intervention. Consequently, this study aimed to inform a large definitive trial by assessing the feasibility and acceptability of a randomized controlled trial (RCT…
Effects of a maternal psychosocial intervention on hair derived biomarkers of HPA axis function in mothers and children in rural Pakistan
Disruptions in the hypothalamic-pituitary-adrenal (HPA) axis are thought to be key neuroendocrine mechanisms involved in psychopathology and may have intergenerational impacts. Hair-derived HPA hormones offer a measure of long-term HPA axis activity that may be useful in assessing maternal and infant health. Building on a community-based randomized control trial of a perinatal depression intervention in Pakistan, we examine intervention effects o…
Covid-19 mental health impact and responses in low-income and middle-income countries
Predictors of Prenatal Depression
Objective: To determine the prevalence and association of prenatal depression with socioeconomic, demographic and personal factors among pregnant women living in Kallar Syedan, Rawalpindi, Pakistan. Methods: Five hundred women in the second and third trimester of pregnancy, living in Kallar Syedan, a rural area of district Rawalpindi Pakistan, were included in the study. Depression was assessed using "Patient health questionnaire" (PHQ9) in Urdu,…
Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan
Background: Evidence indicates that mental health issues like depression, epilepsy, and substance misuse can be detected with reasonable accuracy in resource-poor settings. The Community Informant Detection Tool (CIDT) is one such approach used for detecting mental health problems, including depression. We adapted this community informant approach for detecting maternal depression in Pakistan. Methods: Adaptation of Community Informant Detection …
Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of pr…
Scalable Screening and Treatment Response Monitoring for Perinatal Depression in Low- and Middle-Income Countries
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- and middle-income countries. Several tools exist for screening and monitoring treatment responses, which have frequently been tested globally in clinical and research settings. However, these tools are relatively long and not practical for integration into routine data systems in most settings. This study aims to address this gap by considering th…
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
The contribution of grandmother involvement to child growth and development
INTRODUCTION: Early childhood interventions primarily focus on the mother-child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 y…
The Intergenerational Effects of Intimate Partner Violence in Pregnancy
Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outc…
Maternal depression in rural Pakistan
NCT02111915. Registered 18 September 2015. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered
Father involvement in the first year of life
Evaluating feasibility and acceptability of a local psycho-educational intervention for pregnant women with common mental problems affected by armed conflict in Swat, Pakistan
BACKGROUND: The current research was conducted in the Swat valley, where widespread conflict and militancy had been experienced prior to the field activities. The aim of this trial was to evaluate the feasibility and acceptability of a locally developed psycho-educational intervention. METHODS: This mixed-methods study incorporated a quantitative and qualitative component. For the quantitative component, trial participants were identified from a …
Father involvement in the first year of life
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan
Using cognitive‐behavioural techniques to improve exclusive breastfeeding in a low‐literacy disadvantaged population
Despite being an important component of Pakistan's primary health care programme, the rates of exclusive breastfeeding at 6 months remain among the lowest in the world. Low levels of literacy in women and deeply held cultural beliefs and practices have been found to contribute to the ineffectiveness of routine counselling delivered universally by community health workers in Pakistan. We aimed to address this by incorporating techniques of cogniti…
The impact of perinatal depression on exclusive breastfeeding
Perinatal depression is associated with infant undernutrition. We hypothesised that perinatal depression was associated with early cessation of exclusive breastfeeding and reduced quantity of breast milk in rural Pakistan. We used a prospective cohort design to study a population-based sample of 132 depressed and 147 non-depressed women from the third trimester of pregnancy to 6 months post-natal. Current major depressive episode was measured in …
Evaluating feasibility and acceptability of a local psycho-educational intervention for pregnant women with common mental problems affected by armed conflict in Swat, Pakistan
BACKGROUND: The current research was conducted in the Swat valley, where widespread conflict and militancy had been experienced prior to the field activities. The aim of this trial was to evaluate the feasibility and acceptability of a locally developed psycho-educational intervention. METHODS: This mixed-methods study incorporated a quantitative and qualitative component. For the quantitative component, trial participants were identified from a …
Father involvement in the first year of life
The contribution of grandmother involvement to child growth and development
INTRODUCTION: Early childhood interventions primarily focus on the mother-child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 y…
The Intergenerational Effects of Intimate Partner Violence in Pregnancy
Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outc…
Maternal depression in rural Pakistan
NCT02111915. Registered 18 September 2015. NCT02658994. Registered 22 January 2016. Both trials were prospectively registered
Covid-19 mental health impact and responses in low-income and middle-income countries
Predictors of Prenatal Depression
Objective: To determine the prevalence and association of prenatal depression with socioeconomic, demographic and personal factors among pregnant women living in Kallar Syedan, Rawalpindi, Pakistan. Methods: Five hundred women in the second and third trimester of pregnancy, living in Kallar Syedan, a rural area of district Rawalpindi Pakistan, were included in the study. Depression was assessed using "Patient health questionnaire" (PHQ9) in Urdu,…
Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan
Background: Evidence indicates that mental health issues like depression, epilepsy, and substance misuse can be detected with reasonable accuracy in resource-poor settings. The Community Informant Detection Tool (CIDT) is one such approach used for detecting mental health problems, including depression. We adapted this community informant approach for detecting maternal depression in Pakistan. Methods: Adaptation of Community Informant Detection …
Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of pr…
Scalable Screening and Treatment Response Monitoring for Perinatal Depression in Low- and Middle-Income Countries
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- and middle-income countries. Several tools exist for screening and monitoring treatment responses, which have frequently been tested globally in clinical and research settings. However, these tools are relatively long and not practical for integration into routine data systems in most settings. This study aims to address this gap by considering th…
Adverse childhood experiences and depression among women in rural Pakistan
NCT02111915 . Registered 11 April 2014. NCT02658994 . Registered 22 January 2016. Both trials were prospectively registered
Longitudinal effects of perinatal social support on maternal depression
BACKGROUND: Depression in the perinatal period, during pregnancy or within 1 year of childbirth, imposes a high burden on women with rippling effects through her and her child's life course. Social support may be an important protective factor, but the complex bidirectional relationship with depression, alongside a paucity of longitudinal explorations, leaves much unknown about critical windows of social support exposure across the perinatal peri…
Effects of a maternal psychosocial intervention on hair derived biomarkers of HPA axis function in mothers and children in rural Pakistan
Disruptions in the hypothalamic-pituitary-adrenal (HPA) axis are thought to be key neuroendocrine mechanisms involved in psychopathology and may have intergenerational impacts. Hair-derived HPA hormones offer a measure of long-term HPA axis activity that may be useful in assessing maternal and infant health. Building on a community-based randomized control trial of a perinatal depression intervention in Pakistan, we examine intervention effects o…
The Day‐in‐the‐Life method for assessing infant caregiving in rural Pakistan
Maternal adverse childhood experiences on child growth and development in rural Pakistan
Maternal adverse childhood experiences (ACEs) have significant impacts on the next generation with links to negative birth outcomes, impaired cognitive development, and increased socioemotional problems in children. However, not all types or levels of adversity are similarly deleterious and research from diverse contexts is needed to better understand why and how intergenerational transmission of adversity occurs. We examined the role of maternal…
Feasibility and Acceptability of an Online Mindfulness-Based Intervention for Stress Reduction and Psychological Wellbeing of University Students in Pakistan
The rise in mental health concerns of university students is causing a serious hinderance to their wellbeing, impeding their functioning. The socio-economic and political friction in low- and middle-income countries adds to their vulnerability and calls for a cost-effective indigenous intervention. Consequently, this study aimed to inform a large definitive trial by assessing the feasibility and acceptability of a randomized controlled trial (RCT…
Maternal suicidality in Pakistan
South Asia has the highest rate of suicide fatalities for women globally. However, the underlying factors and processes that contribute to suicidal behavior among women in Pakistan remain underexplored and existing interventions worldwide are dominated by Western-informed suicide theories. We employed a decolonized form of grounded theory, informed by critical feminist theory and Pakistani feminist scholarship, to explore the experiences of suici…
Effectiveness of Learning through Play Plus (LTP Plus) Parenting Intervention on Behaviours of Young Children of Depressed Mothers
Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised controlled trial with depressed mothers aged 18-44 years with a child aged 0 to 36 months. This paper reports findings from the d…
Trauma exposure among young children in rural Pakistan
Findings show that childhood trauma exposure is common in this setting and associated with worse mental health problems among young boys and girls. Results suggest that trauma-informed interventions are important for supporting child mental health in South Asia
Cost-effectiveness of a technology-assisted peer-delivered perinatal mental health intervention in Pakistan
INTRODUCTION: Perinatal depression in low- and middle-income countries is a global health concern. Interventions to support women suffering from perinatal depression using mental health specialists, such as the WHO Thinking Healthy Programme (WHO-THP), are established but may not be scalable in resource-constrained settings. The technology-assisted peer-delivered THP (THP-TAP) has been developed as a potential solution to deliver an intervention …
Longitudinal pathways between maternal depression, parenting behaviors, and early childhood development
Maternal depression is a global public health concern with far-reaching impacts on child development, yet our understanding of mechanisms remains incomplete. This study examined whether parenting mediates the association between maternal depression and child outcomes. Participants included 841 rural Pakistani mother–child dyads (50% female). Maternal depression was measured at 12 months postpartum, parenting behaviors (warmth, stimulation, and ha…
Early life grandmother caregiving trajectories and child development
Grandmothers are influential caregivers for young children, yet their contributions to child development remains understudied. This study characterized trajectories of grandmother caregiving from infancy to 2 years and examined their associations with child development. Data came from a longitudinal birth cohort study in rural Pakistan ( n = 959). Grandmother caregiving behaviors were maternally reported at 3 months, 1 year, and 2 years postpartu…
Medicine (24 obras) · Maternal Mental Health During Pregnancy and Postpartum (22 obras) · Psychiatry (22 obras) · Psychology (21 obras) · Clinical Psychology (13 obras) · Mental health (13 obras) · Child and Adolescent Psychosocial and Emotional Development (10 obras) · Pregnancy (10 obras) · Developmental psychology (9 obras) · Anxiety (8 obras)