Maternal mental health and child well-being in Nigeria: A systematic review

Int J Clinical Practice

Hawa

et al. 2021

Self Cite

Aims of the study To test the feasibility and acceptability of a group psychosocial intervention called Learning Through Play (LTP) plus Culturally adapted Cognitive Behaviour Therapy (CaCBT) for depressed Kenyan mothers with children aged 0‐36 months. Methods used to conduct the study This study was a single‐arm mixed methods feasibility study to test an integrated parenting intervention for postnatal depression in a low‐income rural area of Fumbini village in Kilifi District of Kenya. Women between the ages of 18 and 45 years with children up to 3 years were screened for depression using the Patient Health Questionnaire (PHQ‐9). Those scoring above 10 on PHQ‐9 were interviewed using the Revised Clinical Interview Schedule (CIS‐R) to confirm the diagnosis of depression. Assessments were carried out at baseline and at the end of the intervention (3 months), followed by qualitative interviews with 12 women. Qualitative interviews were analysed using thematic analysis from a socio‐constructionist theoretical lens. Results of the study The LTP Plus was both feasible and acceptable with high satisfaction among the participants. Qualitative results showed that the women perceived the intervention as beneficial in reducing the symptoms of depression, coping with stress and negative emotions. The results also indicated a reduction in scores on PHQ‐9, GAD‐7 with an increase in perceived social support, health‐related quality of life and an improvement in mothers’ knowledge about child development at the end of the intervention. Conclusions drawn from the study and clinical implications This study represents the first feasibility research on integrated parenting intervention in Kenya. The results indicated that culturally adapted LTP plus CaCBT is feasible and acceptable in a low‐income setting of Kenya. There is now a need to study the clinical and cost‐effectiveness of LTP plus CaCBT in an appropriately powered larger randomised control trial, with a longer follow‐up period.

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of maternal depression in low‐income women: A feasibility study from Kilifi, Kenya

Notiar¹,

Int J Clinical Practice

Hawa

et al. 2021

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“…Discrimination against mental illness in Africa has often been documented in published literature (Jidong et al, 2021a). Such discriminatory acts among the general population sometimes arise from misinformation about mental disorders (Jidong et al, 2021b). In Nigeria, some studies have explored lived experiences of maternal anxiety and depression (e.g., Jidong et al, 2021c); however, there is a dearth of literature investigating how the general public views individuals with BDs.…”

Section: Introductionmentioning

confidence: 99%

Bipolar disorders in Nigeria: A mixed-methods study of patients, family caregivers, clinicians, and the community members’ perspectives

Husain

Ike

et al. 2022

Preprint

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Background: Bipolar Disorders (BDs) are chronic mental health disorders that often result in functional impairment and contribute significantly to the disability-adjusted life years (DALY). BDs are historically under-researched compared to other mental health disorders, especially in Sub-Saharan Africa and Nigeria. Design: A mixed-methods design was utilised, with Study 1 exploring knowledge of mood management in BDs in relation to sociodemographic outcomes using quantitative data. Study 2 qualitatively assesses the lived experiences of patients with BDs, clinicians, and family members. Methods: In Study 1, a non-clinical sample of n = 575 participants responded to a compact questionnaire that assessed their knowledge and beliefs about BDs and how they relate to certain sociodemographic variables. One-way ANOVA was used to analyse quantitative data. Study 2 interviewed N = 15 (n = 5 patients with BDs; n = 7 clinicians; n = 3 family caregivers). These semi-structured interviews were audio-recorded, transcribed, and thematically analysed.Results: In Study 1, findings showed no statistically significant differences, suggesting low awareness of BDs, especially among vulnerable populations such as young people and older adults. However, there was a trajectory in increased knowledge of BDs among participants between the ages of 25-44 years and part-time workers compared to other ages and employment status. In Study 2, qualitative findings showed that BDs are perceived to be genetically and psycho-socially induced by specific lived experiences of patients and their caregivers or family members. Although psychotropic medications and psychotherapy are available treatment options in Nigeria, cultural and religious beliefs were significant barriers to treatment uptake. Conclusions: This study provides insight into knowledge and beliefs about BDs in Nigeria. The present study provides evidence of the lived experiences of patients with BDs, their caregivers and clinicians in Nigeria. It highlights the need for further studies assessing Nigeria's feasibility and acceptability of culturally adapted psychosocial interventions for patients with BDs.

Culturally adapted psychological intervention for treating maternal depression in British mothers of African and Caribbean origin: A randomized controlled feasibility trial

Clin Psychology and Psychoth

Tarela

Husain

et al. 2023

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Background: Women are likely to suffer from maternal depression due to childbirth difficulties and parenting responsibilities, leading to long-term negative consequences on their children and families. British mothers of African/Caribbean origin uptake of mental healthcare is low due to the lack of access to culturally appropriate care. Methods: A mixed-methods randomized controlled feasibility trial was adopted to test the appropriateness and acceptability of Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) for treating maternal depression compared with Psychoeducation (PE). Mothers (N = 26) aged 20-55 were screened for depression using the Patient Health Questionnaire (PHQ-9). Those who scored >5 on PHQ-9 were further interviewed using the Revised Clinical Interview Schedule to confirm the diagnosis and randomized into LTP+CaCBT (n = 13) or PE (n = 13) groups. Assessments were taken at baseline, end of the intervention at 3-and 6-months post-randomization. N = 2 focus groups (LTP+CaCBT, n = 12; PE, n = 7) and N = 8 individual interviews were conducted (LTP+CaCBT, n = 4; PE, n = 4).Results: The LTP+CaCBT group showed higher acceptability, feasibility and satisfaction levels than the PE group. Participants experienced the intervention as beneficial to their parenting skills with reduced depression and anxiety in the LTP+CaCBT compared to the PE group.Conclusions: This is the first feasibility trial of an integrated online parenting intervention for British African and Caribbean mothers. The results indicated that culturally adapted LTP+CaCBT is acceptable and feasible. There is a need to study the clinical and cost-effectiveness of LTP+CaCBT in an appropriately powered randomized control trial and include the child's outcomes.Trial registration. www.ClinicalTrials.gov (no. NCT04820920).