dc.contributor.author | Nahar, Baitun | |
dc.contributor.author | Hossain, Iqbal | |
dc.contributor.author | D. Hamadani, Jena | |
dc.contributor.author | T, Ahmed | |
dc.contributor.author | Persson, Lena | |
dc.date.accessioned | 2017-01-03T10:25:13Z | |
dc.date.available | 2017-01-03T10:25:13Z | |
dc.date.issued | 2015 | |
dc.identifier.citation | Nahar, B., Hossain, I., Hamadani, J. D., Ahmed, T., Grantham-Mcgregor, S., & Persson, L. -. (2015). Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in bangladesh. Child: Care, Health and Development, 41(3), 483-493. doi:10.1111/cch.12176 | en_US |
dc.identifier.issn | 03051862 | |
dc.identifier.uri | http://hdl.handle.net/10361/7485 | |
dc.description | This article was published in Child: Care, Health and Development [© 2015 Blackwell Publishing Ltd] and the definite version is available at: http://onlinelibrary.wiley.com/doi/10.1111/cch.12176/abstract | en_US |
dc.description.abstract | Background: Maternal depression is associated with poor child development and growth in low-income countries. This paper evaluates the effect of a community-based trial providing psychosocial stimulation and food supplements to severely malnourished children on maternal depressive symptoms in Bangladesh. Methods: Severely underweight (weight-for-age Z-score < -3) hospitalized children aged 6-24 months (n = 507), were randomly assigned to: psychosocial stimulation (PS), food supplementation (FS), PS+FS, clinic control (CC) and hospital control (CH) at discharge. PS included play sessions with children and parental counselling to mothers during fortnightly follow-up visit at community clinics, conducted by trained play leaders for 6 months. FS involved cereal-based supplements (150-300kcal/day) for 3 months. All groups received medical care, micronutrient supplements and growth monitoring. We used Bayley scales, Home Observation for Measurement of Environment (HOME) inventory and a parenting questionnaire to assess child development, home stimulation and mothers' child-rearing practices, respectively. We assessed mothers' depressive symptoms using a modified version of Centre for Epidemiologic Studies Depression Scale at baseline and at 6 months post intervention. Results: Maternal depressive symptoms were significantly lower in the CH group at baseline (P = 0.014). After 6 months of intervention there was no significant effect of intervention after adjusting for baseline scores and all possible confounders. Maternal depressive symptoms were higher among poorer (P = 0.06), older (P = 0.057) and less educated (P = 0.019) mothers, who were housewives (P = 0.053), and whose husbands had more unstable jobs (P = 0.058). At 6 months post intervention, children's cognitive (P = 0.045) and motor (P = 0.075) development, HOME (P = 0.012) and mother's parenting score (P = 0.057) were higher among mothers with lower depressive symptoms. Conclusion: The study did not show a significant effect of the intervention on the level of maternal depressive symptoms. Interventions with higher intensity and/or of longer duration focusing directly on maternal psychosocial functioning are probably needed to reduce maternal depressive symptoms. | en_US |
dc.language.iso | en | en_US |
dc.publisher | © 2015 Blackwell Publishing Ltd | en_US |
dc.relation.uri | http://onlinelibrary.wiley.com/doi/10.1111/cch.12176/abstract | |
dc.subject | Food supplementation | en_US |
dc.subject | Bangladesh | en_US |
dc.subject | Maternal depressive symptoms | en_US |
dc.subject | Psychosocial stimulation | en_US |
dc.subject | Severe malnutrition | en_US |
dc.title | Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh | en_US |
dc.type | Article | en_US |
dc.description.version | Published | |
dc.contributor.department | James P Grant School of Public Health, BRAC University | |
dc.identifier.doi | http://doi.org/10.1111/cch.12176 | |