Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

Chung, Esther K.; McCollum, Kelly F.; Elo, Irma T.; Lee, Helen J.; Culhane, Jennifer F.

doi:10.1542/peds.113.6.e523

Cited by 287 publications

(279 citation statements)

References 53 publications

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“…BDI score > 10; Kinsman, Wildman, & Smucker, 1999). In a low-income community sample, Chung et al (2004) reported an increased likelihood of infant hospitalizations when mothers were experiencing depressive symptoms as measured by the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977).…”

Section: Maternal Negative Affect and Pediatric Health Care Usementioning

confidence: 99%

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Moran

O’Hara

2006

Clinical Effectiveness in Nursing

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Determinants of pediatric health care use extend beyond the health status of the child and economic and access considerations. Parental factors, particularly those associated with the mother, are critical. The common sense model of health and illness behaviors, which was developed to account for adult health care use, may constitute a framework to study the role of mothers in determining pediatric health care use. In the common sense model, the person's cognitive representations of and affective reactions to bodily states influence health care decision-making. There is a growing literature that points to the importance of maternal psychopathology (reflecting the affective component of the common sense model) and maternal parenting self-efficacy (reflecting the cognitive component of the model) as important contributors to pediatric health care use. The implications of this conceptualization for future research and clinical practice are discussed.

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Section: Maternal Negative Affect and Pediatric Health Care Usementioning

confidence: 99%

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Moran

O’Hara

2006

Clinical Effectiveness in Nursing

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“…Depressed mothers are less likely to engage in a range of child protective behaviors considered important by the American Academy of Pediatrics, including: use care seats [1,2], cover electrical outlets [1], have smoke detectors [3], avoid corporal punishment [3], and use "back-to-sleep" positioning [3]. Depressed mothers are less likely to provide a smoke-free home [2] or read to their children daily [1].…”

mentioning

confidence: 99%

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

Rhodes

Iwashyna

2007

Matern Child Health J

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Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smokefree. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention. Abstract Objective: In several populations, maternal depression has been associated with reduced child safety. In an urban pediatric Emergency Department, we examined the relationship between parental depression, social support, and domestic conflict and child safety behaviors.Methods: We studied consecutive patients in an Emergency Department. Trained interviewers used a structured instrument to assess patient, primary caregiver, and household demographics, socio-economic status, psychosocial factors, child safety behaviors (whether a gun was in the home, poisons were locked, a functioning smoke detector was present, and use of carseats or seatbelts), and whether the home was smoke-free. 1,116 patients provided adequate data.Results: Depression was associated with a modest and not statistically significant reduction in child safety behaviors in this population. Lack of social support and the presence of domestic conflict were robustly, independently, and statistically significantly associated with less safe homes. Domestic conflict was associated with more smoking in the home.Conclusion: In our population, child safety was associated less with depression and more with parental lack of social support and domestic conflict. These can be assessed in a Emergency Department and may be amenable to intervention.

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“…Gebelik sayısı açısından bakıldığında postpartum depresyon açısından risk faktörü olarak görülüp görülmeyeceği ile ilgili de bazı çalışmalar yapılmıştır. Yurt dışında yürütülen bazı araştırmalarda multiparite bir risk faktörü olarak tespit edilmekteyken (30,38), bunun aksini vurgulayan, öyle ki, gebelik sayısının postpartum depresyon üzerine olduğu kadar gebelik hüznü için de koruyucu bir faktör olarak değerlendirilebileceği tespitinde bulunan çalışmalara da rastlanmaktadır (39). Ülkemizde ise Ayvaz ve arkadaşlarının (24) çalışmasında gebelik sayısının postpartum depresyon ile herhangi bir ilişkisi saptanamamıştır.…”

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The Relationship of Postpartum Depression With Weight Gain During Pregnancy and Sociodemographic Factors

Selçuk¹,

Usman²,

Oktay³

et al. 2012

J Turgut Ozal Med Cent

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ÖzetAmaç: Bu çalışma postpartum depresyonun yaygınlığı, yaşam kalitesi üzerine etkisi ve gebelikte alınan kilo ile postpartum depresyonun sosyodemografik parametrelerle ilişkilerini araştırmak amacıyla yapılmıştır. Gereç ve Yöntemler: Kadın hastalıkları ve doğum kliniğine Nisan 2008-Mayıs 2008 tarihleri arasında başvuran gebeler arasından rastgele yöntemle seçilmiş 41 postpartum anne araştırmanın evrenini oluşturdu. Bu gebelerin sosyodemografik özelliklerini belirlemek için 25 soruluk anket yapıldı. Sonrasında Edinburgh Postpartum Depresyon Skalası (EPDS) uygulandı. Bulgular: Olgularımızın EPDS değerleri ortalaması 9.6, standart sapması 5.18 idi, minimum değer 0 iken, maksimum değer 23 idi. EPDS düzeylerine ilişkin kesme puanına göre oluşturulan gruplar arasında EPDS düzeyi 13'ten az olan grubun (n=30) ortalama kilo alımı 14.0±4.15 iken 13 ve üzerinde olan gruba (n=11) ortalama kilo alımı 10.5±6.28 idi. Bu sonuçlara göre EPDS düzeyi 13'ten az olan grubun EPDS düzeyi 13 ve üzerinde olan gruba göre gebelikte daha fazla kilo aldığı saptandı (p=0.031). Çalışma sonucu EPDS'ye göre postpartum depresyon insidansı %26 olarak saptandı. Sonuç: Biz postpartum depresyon için risk faktörü olarak gebelik sürecinde beslenme sonucu yetersiz kilo alımının da üzerinde durulması gerektiğini vurgulamak isteriz. Anahtar Kelimeler: Postpartum Depresyon; Risk Faktörleri; Gebe; Kilo Alımı. The Relationship of Postpartum Depression With Weight Gain During Pregnancy and Sociodemographic Factors AbstractObjective: This study is intended to investigate the prevalence of postpartum depression, its effect on life quality, and the relationship of the weight gained during pregnancy and the postpartum depression with sociodemographic parameters. Material and Methods: 41 postpartum mothers chosen randomly among the pregnant women, who had applied to the outpatient clinic for obstetrics and gynecology between dates of April 2008 -May 2008, constituted the extent of the study. A survey including 25 questions was carried out to determine the sociodemographic characteristics of these pregnant women. Thereafter, Edinburgh Postpartum Depression Scale (EPDS) was applied. Results: Average of EPDS scores of our cases was 9.6 and standard derivation was found as 5.18. Minimum value was 0, whereas maximum value was determined to be 23. Among groups, which were constituted according to cut-off scores regarding their EPDS levels, mean weight gain of the group (n=30) with an EPDS score lower than 13 was 14.0±4.15, whereas mean weight gain of the group (n=11) with EPDS score equal to or above 13 was found to be 10.5±6.28. According to these results, it was determined that the group with a EPDS score less than 13 gained more weight during pregnancy compared to the other group (p=0.031). Result of the study with regard to EPDS revealed a postpartum depression incidence of 26%. Conclusion:We also intend to lay emphasis on insufficient weight gain revealed as the result of nutrition, which constitutes a risk factor for postpartum depression during pregnancy.

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Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

Cited by 287 publications

References 53 publications

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Maternal psychosocial predictors of pediatric health care use: Use of the common sense model of health and illness behaviors to extend beyond the usual suspects

Child Injury Risks are Close to Home: Parent Psychosocial Factors Associated with Child Safety

The Relationship of Postpartum Depression With Weight Gain During Pregnancy and Sociodemographic Factors

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