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. 2016 Feb;70(2):168-73.
doi: 10.1136/jech-2014-205311. Epub 2015 Sep 10.

Maternal mental health, and child growth and development, in four low-income and middle-income countries

Ian M Bennett  1 , Whitney Schott  2 , Sofya Krutikova  3 , Jere R Behrman  2
Affiliations

Maternal mental health, and child growth and development, in four low-income and middle-income countries

Ian M Bennett et al. J Epidemiol Community Health. 2016 Feb.

Abstract

Objective: Extend analyses of maternal mental health and infant growth in low- and middle-income countries (LMICs) to children through age eight years, and broaden analyses to cognitive and psychosocial outcomes.

Design: Community-based longitudinal cohort study in four LMICs (Ethiopia, India, Peru and Vietnam). Surveys and anthropometric assessments were carried out when the children were approximately ages 1, 5 and 8 years. Risk of maternal common mental disorders (rCMDs) was assessed with the Self-Reporting Questionnaire (SRQ)-20 (score ≥8).

Setting: Rural and urban as well as low- and middle-income communities.

Participants: 7722 mothers and their children.

Main outcome measures: Child stunting and underweight (Z score ≤2 of height and weight for age), and <20th centile for: cognitive development (Peabody Picture Vocabulary Test), and the psychosocial outcomes self pride and life satisfaction.

Results: A high rate of rCMD, stunting and underweight was seen in the cohorts. After adjusting for confounders, significant associations were found between maternal rCMDs and growth variables in the first year of life, with persistence to age 8 years in India and Vietnam, but not in the other countries. India and Vietnam also showed significant associations between rCMDs and lower cognitive development. After adjustment, rCMD was associated with low life satisfaction in Ethiopia but not in the other cohorts.

Conclusions: Associations of maternal rCMD in the first year of life with child outcomes varied across the study cohorts and, in some cases, persisted across the first 8 years of life of the child, and included growth, cognitive development and psychosocial domains.

Keywords: DEPRESSION; GROWTH; MATERNAL & CHILD CG; MATERNAL HEALTH.

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Conflict of interest statement

Competing interests: There are no competing interests relevant to the current work for any of the authors.

Figures

Figure 1
Figure 1
Conceptual framework and measures.
See this image and copyright information in PMC

References

    1. Stein A, Pearson R, Goodman SH, et al. Effects of perinatal mental disorders on the fetus and child. Lancet. 2014;384:1800–19. - PubMed
    1. Stein AD, Wang M, Martorell R, et al. Growth Patterns in Early Childhood and Final Attained Stature: Data from Five Birth Cohorts from Low- And Middle-Income Countries. American Journal of Human Biology. 2010;22(3):353–359. - PMC - PubMed
    1. Lundeen EA, Stein AD, Adair LA, et al. Increases in HAZ co-exist with increasing deficits in height among children in middle-income countries. American Journal of Clinical Nutrition. 2014 (forthcoming)
    1. Medhin G, Hanlon C, Dewey M, et al. The effect of maternal common mental disorders on infant undernutrition in Butajira, Ethiopia: The P-MaMiE study. Bmc Psychiatry. 2010:10. - PMC - PubMed
    1. Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Archives of Disease in Childhood. 2003;88(1):34–37. - PMC - PubMed

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