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Maternal depression and infant growth and development in British Pakistani women: a cohort study

OBJECTIVES: Perinatal depression has been found to be a strong and independent risk factor for poor child growth and development in low-income South Asian populations. The authors aimed to study if there was a similar association in first and second-generation British women of Pakistani origin. DESI...

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Autores principales: Husain, Nusrat, Cruickshank, John Kennedy, Tomenson, Barbara, Khan, Sarah, Rahman, Atif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312074/
https://www.ncbi.nlm.nih.gov/pubmed/22436136
http://dx.doi.org/10.1136/bmjopen-2011-000523
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author Husain, Nusrat
Cruickshank, John Kennedy
Tomenson, Barbara
Khan, Sarah
Rahman, Atif
author_facet Husain, Nusrat
Cruickshank, John Kennedy
Tomenson, Barbara
Khan, Sarah
Rahman, Atif
author_sort Husain, Nusrat
collection PubMed
description OBJECTIVES: Perinatal depression has been found to be a strong and independent risk factor for poor child growth and development in low-income South Asian populations. The authors aimed to study if there was a similar association in first and second-generation British women of Pakistani origin. DESIGN: A prospective cohort study. SETTING: The study was conducted in the North-West of England, in areas with high density of Pakistani-origin population. The subjects were recruited from Central Manchester Hospital in the City of Manchester and East Lancashire Hospital in Lancashire. PARTICIPANTS: 704 physically healthy women were assessed in two phases (screening and detailed assessment of high scorers and a proportion of low scorers) during the third trimester of pregnancy to obtain at birth a cohort of 63 infants of depressed mothers and 173 infants of psychologically well mothers. PRIMARY AND SECONDARY OUTCOME MEASURES: All infants were weighed and measured at birth and 6 months, and their development was assessed using the Bayley Scales of Infant Development–Third Edition. RESULTS: There was no difference in the birth weight or weight and height at 6 months of infants of depressed mothers versus infants of psychologically well mothers. The only significant difference between the two groups was in the infants' adaptive behaviour; infants of depressed mothers scored significantly lower than those of psychologically well mothers (mean difference 4.6, t=2.81, df 195, p=0.006). The associations remained significant after adjustment for socio-demographic factors by multivariate analyses. CONCLUSIONS: Prenatal depression is not associated with impaired growth in this sample of British Pakistani women. There is, however, an association of prenatal depression with parent-reported problems in the infants' adaptive behaviour. Further research is needed to understand various pathways through which maternal depression affects infant outcomes in low- and high-income settings.
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spelling pubmed-33120742012-04-02 Maternal depression and infant growth and development in British Pakistani women: a cohort study Husain, Nusrat Cruickshank, John Kennedy Tomenson, Barbara Khan, Sarah Rahman, Atif BMJ Open Mental Health OBJECTIVES: Perinatal depression has been found to be a strong and independent risk factor for poor child growth and development in low-income South Asian populations. The authors aimed to study if there was a similar association in first and second-generation British women of Pakistani origin. DESIGN: A prospective cohort study. SETTING: The study was conducted in the North-West of England, in areas with high density of Pakistani-origin population. The subjects were recruited from Central Manchester Hospital in the City of Manchester and East Lancashire Hospital in Lancashire. PARTICIPANTS: 704 physically healthy women were assessed in two phases (screening and detailed assessment of high scorers and a proportion of low scorers) during the third trimester of pregnancy to obtain at birth a cohort of 63 infants of depressed mothers and 173 infants of psychologically well mothers. PRIMARY AND SECONDARY OUTCOME MEASURES: All infants were weighed and measured at birth and 6 months, and their development was assessed using the Bayley Scales of Infant Development–Third Edition. RESULTS: There was no difference in the birth weight or weight and height at 6 months of infants of depressed mothers versus infants of psychologically well mothers. The only significant difference between the two groups was in the infants' adaptive behaviour; infants of depressed mothers scored significantly lower than those of psychologically well mothers (mean difference 4.6, t=2.81, df 195, p=0.006). The associations remained significant after adjustment for socio-demographic factors by multivariate analyses. CONCLUSIONS: Prenatal depression is not associated with impaired growth in this sample of British Pakistani women. There is, however, an association of prenatal depression with parent-reported problems in the infants' adaptive behaviour. Further research is needed to understand various pathways through which maternal depression affects infant outcomes in low- and high-income settings. BMJ Group 2012-03-20 /pmc/articles/PMC3312074/ /pubmed/22436136 http://dx.doi.org/10.1136/bmjopen-2011-000523 Text en © 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.
spellingShingle Mental Health
Husain, Nusrat
Cruickshank, John Kennedy
Tomenson, Barbara
Khan, Sarah
Rahman, Atif
Maternal depression and infant growth and development in British Pakistani women: a cohort study
title Maternal depression and infant growth and development in British Pakistani women: a cohort study
title_full Maternal depression and infant growth and development in British Pakistani women: a cohort study
title_fullStr Maternal depression and infant growth and development in British Pakistani women: a cohort study
title_full_unstemmed Maternal depression and infant growth and development in British Pakistani women: a cohort study
title_short Maternal depression and infant growth and development in British Pakistani women: a cohort study
title_sort maternal depression and infant growth and development in british pakistani women: a cohort study
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312074/
https://www.ncbi.nlm.nih.gov/pubmed/22436136
http://dx.doi.org/10.1136/bmjopen-2011-000523
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