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Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire

BACKGROUND: There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS. METHODS: A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3(rd) trimester...

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Autores principales: Guo, Nan, Bindt, Carola, Te Bonle, Marguerite, Appiah-Poku, John, Tomori, Cecilia, Hinz, Rebecca, Barthel, Dana, Schoppen, Stefanie, Feldt, Torsten, Barkmann, Claus, Koffi, Mathurin, Loag, Wibke, Nguah, Samuel Blay, Eberhardt, Kirsten A, Tagbor, Harry, Bass, Judith K, N’Goran, Eliezer, Ehrhardt, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048600/
https://www.ncbi.nlm.nih.gov/pubmed/24884986
http://dx.doi.org/10.1186/1471-244X-14-156
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author Guo, Nan
Bindt, Carola
Te Bonle, Marguerite
Appiah-Poku, John
Tomori, Cecilia
Hinz, Rebecca
Barthel, Dana
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Loag, Wibke
Nguah, Samuel Blay
Eberhardt, Kirsten A
Tagbor, Harry
Bass, Judith K
N’Goran, Eliezer
Ehrhardt, Stephan
author_facet Guo, Nan
Bindt, Carola
Te Bonle, Marguerite
Appiah-Poku, John
Tomori, Cecilia
Hinz, Rebecca
Barthel, Dana
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Loag, Wibke
Nguah, Samuel Blay
Eberhardt, Kirsten A
Tagbor, Harry
Bass, Judith K
N’Goran, Eliezer
Ehrhardt, Stephan
author_sort Guo, Nan
collection PubMed
description BACKGROUND: There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS. METHODS: A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3(rd) trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women’s depression/anxiety and PS adjusting for age, child sex, women’s anemia, education, occupation, spouse’s education, and number of sick child visits. RESULTS: A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d’Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables. CONCLUSIONS: Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. Should our findings be replicated, it appears prudent to design and subsequently evaluate intervention strategies.
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spelling pubmed-40486002014-06-08 Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire Guo, Nan Bindt, Carola Te Bonle, Marguerite Appiah-Poku, John Tomori, Cecilia Hinz, Rebecca Barthel, Dana Schoppen, Stefanie Feldt, Torsten Barkmann, Claus Koffi, Mathurin Loag, Wibke Nguah, Samuel Blay Eberhardt, Kirsten A Tagbor, Harry Bass, Judith K N’Goran, Eliezer Ehrhardt, Stephan BMC Psychiatry Research Article BACKGROUND: There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS. METHODS: A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3(rd) trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women’s depression/anxiety and PS adjusting for age, child sex, women’s anemia, education, occupation, spouse’s education, and number of sick child visits. RESULTS: A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d’Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables. CONCLUSIONS: Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. Should our findings be replicated, it appears prudent to design and subsequently evaluate intervention strategies. BioMed Central 2014-05-29 /pmc/articles/PMC4048600/ /pubmed/24884986 http://dx.doi.org/10.1186/1471-244X-14-156 Text en Copyright © 2014 Guo et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Guo, Nan
Bindt, Carola
Te Bonle, Marguerite
Appiah-Poku, John
Tomori, Cecilia
Hinz, Rebecca
Barthel, Dana
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Loag, Wibke
Nguah, Samuel Blay
Eberhardt, Kirsten A
Tagbor, Harry
Bass, Judith K
N’Goran, Eliezer
Ehrhardt, Stephan
Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title_full Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title_fullStr Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title_full_unstemmed Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title_short Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
title_sort mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in ghana and côte d’ivoire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048600/
https://www.ncbi.nlm.nih.gov/pubmed/24884986
http://dx.doi.org/10.1186/1471-244X-14-156
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