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Mothers' mental health and infant growth: a case-control study from Rawalpindi, Pakistan

Rahman, A., Lovel, H., Bunn, J., Iqbal, Z. and Harrington, R. (2004) 'Mothers' mental health and infant growth: a case-control study from Rawalpindi, Pakistan'. Child: Care, Health and Development, Vol 30, Issue 1, pp. 21-27.

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Abstract

Background  Epidemiological studies in Pakistan show high rates of depression in women, while rates of malnutrition in children are also high. This study aimed to determine whether poor maternal mental health is associated with an increased risk of infant undernutrition.Methods   Clinic-based case2013control study. A total of 172 consecutive infants and their mothers attending for 9-month measles immunization were recruited over a 3-month period. Eighty-two undernourished infants [weight for age below the National Centre for Health Statistics (NCHS)/World Health Organization (WHO) third centile] were matched to 90 controls (weight for age above 10th centile), and their mothers interviewed for mental distress using the Self-Reporting Questionnaire (WHO SRQ-20, a psychiatric screening instrument). Infants' exposure to maternal distress (score 2265 10 on SRQ-20) and other potential risk or protective biological, social, socio-economic and family factors were measured.Results   Mental distress determined by WHO SRQ-20 was associated with increased risk of undernutrition in infants (odds ratio 3.91, 95% confidence interval 1.9520137.86). This association remained significant after controlling for birthweight and social factors.Conclusion   Exposure to maternal mental distress is associated with undernutrition in 9-month infants in urban Pakistan. These mothers may represent a group whose children are at higher risk of ill health, and potentially be a specific target for advice on infant care. Early recognition and treatment of mental health problems in mothers may help reduce morbidity and mortality rates in children.

Item Type: Article
Uncontrolled Keywords: mothers, mental health, post-natal depression, infant, nutrition disorders, growth
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WM Psychiatry > WM 140 Mental disorders (General)
WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 115 Nutritional requirements. Nutrition disorders
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Digital Object Identifer (DOI): https://doi.org/10.1111/j.1365-2214.2004.00382.x
Depositing User: Ms Julia Martin
Date Deposited: 15 May 2012 08:59
Last Modified: 06 Feb 2018 13:03
URI: https://archive.lstmed.ac.uk/id/eprint/2139

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