Patterns and Predictors of Perinatal Depressive Symptoms Among Kenyan Women: Group-Based Trajectory Analysis from Pregnancy Through 9 Months Postpartum

2022 ◽  
Author(s):  
Anna Larsen ◽  
Jillian Pintye ◽  
mary marwa ◽  
Salphine Watoyi ◽  
John Kinuthia ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Trajectory Analysis ◽  
Kenyan Women ◽  
Perinatal Depressive Symptoms

scholarly journals Perinatal Depression and Its Impact on Infant Outcomes and Maternal-Nurse SMS Communication in a Cohort of Kenyan Women

2021 ◽  
Author(s):  
Alyssa Hummel ◽  
Keshet Ronen ◽  
Amritha Bhat ◽  
Brenda Wandika ◽  
Esther M. Choo ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Infant Health ◽  
Perinatal Depression ◽  
Infant Outcomes ◽  
Increased Risk ◽  
Antenatal Depressive Symptoms ◽  
Kenyan Women ◽  
Perinatal Depressive Symptoms ◽  
Prospective Longitudinal

Abstract Background Perinatal depression is broadly defined as depressive symptoms during pregnancy or within the 12 months following delivery, affecting approximately 20-25% of pregnant and postpartum women in low- and middle-income countries. The wide accessibility of mobile phones allows mobile health (mHealth) interventions to be considered a solution to identify perinatal depression and provide appropriate referrals for treatment. This study, nested in a larger SMS communication project, examined the prevalence and correlates of perinatal depression, determined the association between antenatal depression and infant morbidity/mortality, and compared SMS communication patterns between women with and without perinatal depression. Methods This was a prospective longitudinal cohort of pregnant women seeking antenatal services at two public sector health clinics in Kenya. SMS messages were sent to participants with educational content related to their pregnancy and infant health and two-way SMS communication occurred with a nurse. Sociodemographic and obstetric characteristics, SMS messaging behaviors, infant health status, and depressive symptoms were assessed by a standardized questionnaire administered at enrollment (30-36 weeks gestation) and follow-up (14 weeks postpartum). Generalized estimating equation (GEE) with Poisson link was used to evaluate correlates of perinatal depressive symptoms, infant outcomes, and frequency of SMS messaging. Results Of the 572 women with complete follow-up information, 188 (32.9%) screened positive for elevated depressive symptoms (≥10 by EPDS scale) at some time point during pregnancy or postpartum. The strongest predictors of depressive symptoms included abuse during pregnancy, fewer years of schooling, and maternal unemployment. Antenatal depressive symptoms were associated with an increased risk of infant illness or hospitalization (RR = 1.12, 95% CI: 1.11, 1.13). Women with antenatal or persistent perinatal depressive symptoms sent fewer SMS messages during the study period than their counterparts without depression. Conclusions Prevalence of elevated perinatal depressive symptoms was high in this cohort of Kenyan women. Our findings highlight the importance of screening perinatal women for experiences of abuse and symptoms of depression. Differences in messaging frequency between women with vs. without depressive symptoms presents a potential opportunity to provide more support for those perinatal depression.

scholarly journals Patterns of changes in bipolar depressive symptoms revealed by trajectory analysis among 482 patients with bipolar disorder

2018 ◽  
Author(s):  
Ida Behrendt-Møller ◽  
Trine Madsen ◽  
Holger Jelling Sørensen ◽  
Louisa Sylvia ◽  
Edward S. Friedman ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Depressive Symptoms ◽  
Trajectory Analysis

scholarly journals Causal directions in the relationship between perinatal depressive symptoms and breastfeeding difficulties

2010 ◽  
Vol 24 (S1) ◽  
Author(s):  
Bineti Sidi Vitta ◽  
Laurie A Nommsen‐Rivers ◽  
Roberta J Cohen ◽  
Caroline J Chantry ◽  
Kathryn G Dewey
Keyword(s):  
Depressive Symptoms ◽  
Perinatal Depressive Symptoms ◽  
The Relationship

Profiles and characteristics of clinical subtypes of perinatal depressive symptoms: A latent class analysis

2019 ◽  
Vol 75 (11) ◽  
pp. 2753-2765 ◽  
Author(s):  
Ji‐Wei Sun ◽  
Dan‐Feng Cao ◽  
Jia‐Huan Li ◽  
Xuan Zhang ◽  
Ying Wang ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Class Analysis ◽  
Perinatal Depressive Symptoms

scholarly journals mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

2020 ◽  
Vol 17 (20) ◽  
pp. 7679
Author(s):  
Aliyah Dosani ◽  
Harshmeet Arora ◽  
Sahil Mazmudar
Keyword(s):  
Depressive Symptoms ◽  
Mobile Phone ◽  
Scoping Review ◽  
Perinatal Depression ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mobile Phone Applications ◽  
Perinatal Depressive Symptoms ◽  
Low And Middle Income

Women in low- and middle-income countries have high rates of perinatal depression. As smartphones become increasingly accessible around the world, there is an opportunity to explore innovative mHealth tools for the prevention, screening, and management of perinatal depression. We completed a scoping review of the literature pertaining to the use of mobile phone technologies for perinatal depression in low-and middle-income countries. PubMed CINHAL, and Google Scholar databases were searched, generating 423 results. 12 articles met our inclusion criteria. Two of the 12 articles reviewed mobile phone applications. The remaining 9 articles were study protocols or descriptive/intervention studies. Our results reveal that minimal literature is currently available on the use of mobile health for perinatal depression in low- and middle-income countries. We found four articles that present the results of an intervention that were delivered through mobile phones for the treatment of perinatal depressive symptoms and an additional qualitative study describing the perceptions of mothers receiving cognitive behavioral therapy via telephones. These studies demonstrated that depressive symptoms improved after the interventions. There is potential to improve the quality of mHealth interventions, specifically mobile phone applications for perinatal depressive symptoms and depression, through meaningful collaborative work between healthcare professionals and application developers.

scholarly journals Maternal perinatal depressive symptoms and offspring psychotic experiences at 18 years of age: a longitudinal study

2020 ◽  
Vol 7 (5) ◽  
pp. 431-440 ◽  
Author(s):  
Ramya Srinivasan ◽  
Rebecca M Pearson ◽  
Sonia Johnson ◽  
Gemma Lewis ◽  
Glyn Lewis
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Psychotic Experiences ◽  
Perinatal Depressive Symptoms

Antenatal interpersonal sensitivity as an early predictor of vulnerable mother–infant relationship quality

2019 ◽  
Vol 24 (4) ◽  
pp. 860-875 ◽  
Author(s):  
Karen Hazell Raine ◽  
Philip Boyce ◽  
Karen Thorpe
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Relationship Quality ◽  
Child Outcomes ◽  
Maternal Sensitivity ◽  
Ethnically Diverse ◽  
Perinatal Period ◽  
Interpersonal Sensitivity ◽  
Diverse Populations ◽  
Perinatal Depressive Symptoms

Maternal mental health problems in the perinatal period incur significant human and economic costs attributable to adverse child outcomes. In response, governments invest in screening for perinatal depressive symptoms. Mother–infant relationship quality (MIRQ) is a key mechanism linking maternal perinatal mental health to child outcomes. Perinatal depressive symptoms are typically transient while personality style, including interpersonal sensitivity, is a more stable construct. We have demonstrated that antenatal interpersonal sensitivity independently predicted MIRQ at 12 months postpartum. Building on our previous work, the objective of this study was to examine the associations of antenatal interpersonal sensitivity and depressive symptoms with MIRQ 1 year postnatal. A sample of 73 women attending routine antenatal care, 61 (84%) from ethnically diverse populations, were studied across the perinatal period. At ⩽26 weeks, gestation interpersonal sensitivity and depressive symptoms were measured. At 12 months, postnatal mental health and MIRQ was assessed in 35 of the mother–infant dyads. We found no significant statistical association between antenatal interpersonal sensitivity and depressive symptoms with postnatal MIRQ. Interpersonal sensitivity ( r = –.24) showed weak association with MIRQ. Depressive symptom scores were not associated ( r =–.01). Maternal sensitivity assessment (MIRQ) using the CARE-Index identified low mean scores signifying low levels of maternal sensitivity (potential range 0–14; mean score = 6.3). We cautiously suggest that the findings raise questions about the presentation and assessment of perinatal mental health status among ethnically diverse populations and scoping of parenting support needs within this population.

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