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Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study

OBJECTIVE: A robust literature has identified associations between prenatal maternal depression and adverse child social-emotional and cognitive outcomes. The majority of prior research is from high-income countries despite increased reporting of perinatal depression in low/middle-income countries (...

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Autores principales: Shuffrey, Lauren C, Sania, Ayesha, Brito, Natalie H, Potter, Mandy, Springer, Priscilla, Lucchini, Maristella, Rayport, Yael K, Du Plessis, Carlie, Odendaal, Hein J, Fifer, William P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014070/
https://www.ncbi.nlm.nih.gov/pubmed/35418432
http://dx.doi.org/10.1136/bmjopen-2021-058135
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author Shuffrey, Lauren C
Sania, Ayesha
Brito, Natalie H
Potter, Mandy
Springer, Priscilla
Lucchini, Maristella
Rayport, Yael K
Du Plessis, Carlie
Odendaal, Hein J
Fifer, William P
author_facet Shuffrey, Lauren C
Sania, Ayesha
Brito, Natalie H
Potter, Mandy
Springer, Priscilla
Lucchini, Maristella
Rayport, Yael K
Du Plessis, Carlie
Odendaal, Hein J
Fifer, William P
author_sort Shuffrey, Lauren C
collection PubMed
description OBJECTIVE: A robust literature has identified associations between prenatal maternal depression and adverse child social-emotional and cognitive outcomes. The majority of prior research is from high-income countries despite increased reporting of perinatal depression in low/middle-income countries (LMICs). Additionally, despite the comorbidity between depression and anxiety, few prior studies have examined their joint impact on child neurodevelopment. The objective of the current analysis was to examine associations between prenatal maternal depression and anxiety with child social-emotional and cognitive development in a cohort from the Western Cape Province of South Africa. DESIGN: Prenatal maternal depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory Scale at 20–24 weeks’ gestation. Child neurobehaviour was assessed at age 3 using the Brief Infant-Toddler Social Emotional Assessment and the Bayley Scales of Infant Development III Screening Test (BSID-III ST). We used linear regression models to examine the independent and joint association between prenatal maternal depression, anxiety and child developmental outcomes. RESULTS: Participants consisted of 600 maternal-infant dyads (274 females; gestational age at birth: 38.89 weeks±2.03). Children born to mothers with both prenatal depression and trait anxiety had higher social-emotional problems (mean difference: 4.66; 95% CI 3.43 to 5.90) compared with children born to mothers with no prenatal depression or trait anxiety, each condition alone, or compared with mothers with depression and state anxiety. Additionally, children born to mothers with prenatal maternal depression and trait anxiety had the greatest reduction in mean cognitive scores on the BSID-III ST (mean difference: −1.04; 95% CI −1.99 to –0.08). CONCLUSIONS: The observed association between comorbid prenatal maternal depression and chronic anxiety with subsequent child social-emotional and cognitive development underscores the need for targeting mental health support among perinatal women in LMICs to improve long-term child neurobehavioural outcomes.
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spelling pubmed-90140702022-05-02 Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study Shuffrey, Lauren C Sania, Ayesha Brito, Natalie H Potter, Mandy Springer, Priscilla Lucchini, Maristella Rayport, Yael K Du Plessis, Carlie Odendaal, Hein J Fifer, William P BMJ Open Global Health OBJECTIVE: A robust literature has identified associations between prenatal maternal depression and adverse child social-emotional and cognitive outcomes. The majority of prior research is from high-income countries despite increased reporting of perinatal depression in low/middle-income countries (LMICs). Additionally, despite the comorbidity between depression and anxiety, few prior studies have examined their joint impact on child neurodevelopment. The objective of the current analysis was to examine associations between prenatal maternal depression and anxiety with child social-emotional and cognitive development in a cohort from the Western Cape Province of South Africa. DESIGN: Prenatal maternal depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory Scale at 20–24 weeks’ gestation. Child neurobehaviour was assessed at age 3 using the Brief Infant-Toddler Social Emotional Assessment and the Bayley Scales of Infant Development III Screening Test (BSID-III ST). We used linear regression models to examine the independent and joint association between prenatal maternal depression, anxiety and child developmental outcomes. RESULTS: Participants consisted of 600 maternal-infant dyads (274 females; gestational age at birth: 38.89 weeks±2.03). Children born to mothers with both prenatal depression and trait anxiety had higher social-emotional problems (mean difference: 4.66; 95% CI 3.43 to 5.90) compared with children born to mothers with no prenatal depression or trait anxiety, each condition alone, or compared with mothers with depression and state anxiety. Additionally, children born to mothers with prenatal maternal depression and trait anxiety had the greatest reduction in mean cognitive scores on the BSID-III ST (mean difference: −1.04; 95% CI −1.99 to –0.08). CONCLUSIONS: The observed association between comorbid prenatal maternal depression and chronic anxiety with subsequent child social-emotional and cognitive development underscores the need for targeting mental health support among perinatal women in LMICs to improve long-term child neurobehavioural outcomes. BMJ Publishing Group 2022-04-13 /pmc/articles/PMC9014070/ /pubmed/35418432 http://dx.doi.org/10.1136/bmjopen-2021-058135 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Global Health
Shuffrey, Lauren C
Sania, Ayesha
Brito, Natalie H
Potter, Mandy
Springer, Priscilla
Lucchini, Maristella
Rayport, Yael K
Du Plessis, Carlie
Odendaal, Hein J
Fifer, William P
Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title_full Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title_fullStr Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title_full_unstemmed Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title_short Association of maternal depression and anxiety with toddler social-emotional and cognitive development in South Africa: a prospective cohort study
title_sort association of maternal depression and anxiety with toddler social-emotional and cognitive development in south africa: a prospective cohort study
topic Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9014070/
https://www.ncbi.nlm.nih.gov/pubmed/35418432
http://dx.doi.org/10.1136/bmjopen-2021-058135
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