Chronic Maternal Depressive Symptoms Are Associated With Reduced Socio-Emotional Development in Children at 2 Years of Age

Analysis of Data From an Intervention Cohort in Rural Pakistan

Dados Bibliográficos

ID15517101
AutoresClariana Vitória Ramos de Oliveira (0000-0001-9987-9948, Harvard Global Health Institute, autor correspondente), Muneera A Rasheed (0000-0002-9064-0102, Aga Khan University), Muneera Rasheed, Aisha K Yousafzai (0000-0002-1592-8923, Harvard Global Health Institute)
Ano2019
Volume10
Páginas859-859
Data de publicação2019-11-20
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00859
PMID31824356
OpenAlexW2989993739
IdiomaEN
Citações recebidas10
Referências citadas40

Background: Maternal depression affects a high proportion of women during the antenatal and postnatal period in low- and middle-income countries. While maternal depression is recognized as a significant risk for poor early child development that warrants interventions, the effects of chronic maternal depression on children's development are less understood. Objective: To determine the association of chronicity of maternal depressive symptoms and early child development in a rural population in southern Pakistan. Materials and Methods: This study employs data from the "Pakistan Early Child Development Scale-Up Trial," a randomized controlled study that evaluated the integration of responsive stimulation and nutrition interventions in a community health service. In the present analysis, linear regression was used to test the effects of chronicity of high maternal depressive symptoms on children's early development (n = 1205 mother-infant dyads). Children's development was assessed using the Bayley Scales of Infant and Toddler Development at 24 months of age. Maternal depressive symptoms were assessed at baseline and every 6 months using the Self-Reporting Questionnaire. Results: No significant associations were observed between chronic maternal depressive symptoms and child cognitive, language, or motor development after adjusting for parental characteristics, the caregiving environment and socioeconomic variables. A negative significant association between chronicity of high maternal depressive symptoms and child socio-emotional development (β coefficient -2.57, 95% CI: -5.14; -0.04) was observed after adjusting for the selected variables. Conclusions: The results suggest that interventions designed to promote early child development should also integrate repeat screening for depression and longer-term psychosocial support for mothers

Bayley Scales of Infant Development · Child development · Cognition · Depression (economics · Developmental psychology · Environmental health · Population · Psychiatry · Psychological intervention · Psychomotor learning · Socioeconomic status · Toddler · Child and Adolescent Psychosocial and Emotional Development · Child Nutrition and Feeding Issues · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Pediatrics