Show simple item record

dc.contributor.authorNahar, Baitun
dc.contributor.authorHossain, Iqbal
dc.contributor.authorD. Hamadani, Jena
dc.contributor.authorT, Ahmed
dc.contributor.authorPersson, Lena
dc.identifier.citationNahar, 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.12176en_US
dc.descriptionThis article was published in Child: Care, Health and Development [© 2015 Blackwell Publishing Ltd] and the definite version is available at:
dc.description.abstractBackground: 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.publisher© 2015 Blackwell Publishing Ltden_US
dc.subjectFood supplementationen_US
dc.subjectMaternal depressive symptomsen_US
dc.subjectPsychosocial stimulationen_US
dc.subjectSevere malnutritionen_US
dc.titleEffect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladeshen_US
dc.contributor.departmentJames P Grant School of Public Health, BRAC University

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record