Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh

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

Détails bibliographiques
Auteurs principaux:	Nahar, Baitun, Hossain, Iqbal, D. Hamadani, Jena, T, Ahmed, Persson, Lena
Autres auteurs:	James P Grant School of Public Health, BRAC University
Format:	Article
Langue:	English
Publié:	© 2015 Blackwell Publishing Ltd 2017
Sujets:	Food supplementation Bangladesh Maternal depressive symptoms Psychosocial stimulation Severe malnutrition
Accès en ligne:	http://hdl.handle.net/10361/7485 http://doi.org/10.1111/cch.12176

id	10361-7485
record_format	dspace
spelling	10361-74852018-03-27T04:55:10Z Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh Nahar, Baitun Hossain, Iqbal D. Hamadani, Jena T, Ahmed Persson, Lena James P Grant School of Public Health, BRAC University Food supplementation Bangladesh Maternal depressive symptoms Psychosocial stimulation Severe malnutrition 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 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. Published 2017-01-03T10:25:13Z 2017-01-03T10:25:13Z 2015 Article 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 03051862 http://hdl.handle.net/10361/7485 http://doi.org/10.1111/cch.12176 en http://onlinelibrary.wiley.com/doi/10.1111/cch.12176/abstract © 2015 Blackwell Publishing Ltd
institution	Brac University
collection	Institutional Repository
language	English
topic	Food supplementation Bangladesh Maternal depressive symptoms Psychosocial stimulation Severe malnutrition
spellingShingle	Food supplementation Bangladesh Maternal depressive symptoms Psychosocial stimulation Severe malnutrition Nahar, Baitun Hossain, Iqbal D. Hamadani, Jena T, Ahmed Persson, Lena Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
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
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Nahar, Baitun Hossain, Iqbal D. Hamadani, Jena T, Ahmed Persson, Lena
format	Article
author	Nahar, Baitun Hossain, Iqbal D. Hamadani, Jena T, Ahmed Persson, Lena
author_sort	Nahar, Baitun
title	Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
title_short	Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
title_full	Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
title_fullStr	Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
title_full_unstemmed	Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh
title_sort	effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in bangladesh
publisher	© 2015 Blackwell Publishing Ltd
publishDate	2017
url	http://hdl.handle.net/10361/7485 http://doi.org/10.1111/cch.12176
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Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in Bangladesh

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