Psychological interventions for maternal depression among women of African and Caribbean origin: a systematic review

Jidong, Dung Ezekiel; Husain, Nusrat; Roche, Ayesha; Lourie, Grace; Ike, Tarela Juliet; Murshed, Maisha; Park, Miriam Sang‐Ah; Karick, Haruna; Dagona, Zubairu Kwambo; Pwajok, J; Gumber, Anil; Francis, Christopher; Nyam, Pam P; Mwankon, Shadrack B

doi:10.1186/s12905-021-01202-x

Cited by 19 publications

(32 citation statements)

References 45 publications

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“…Access to cell phones can connect women in such settings with virtual social networks that may be beyond the realm of their physical settings [ 31 ] in coping with external stressors. This is especially important for women of Caribbean and African origin [ 32 ], who may have limited access to psychological interventions after birth. Mobile phones offer researchers ample opportunity to create and/or tailor culturally appropriate virtual interventions to serve the unique needs of this subpopulation of women and mothers, who may experience mental health inequities [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring association of mobile phone access with positive health outcomes and behaviors amongst post-partum mothers in rural Malawi

Anto-Ocrah

Latulipe

Mark

et al. 2022

BMC Pregnancy Childbirth

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Background Access to mass media and emerging technologies (e.g., cell phones, the internet, and social media) is a social determinant of health that has been shown to profoundly influence women’s health outcomes. In the African region, where women in rural settings with limited access to care are most vulnerable to maternal mortality and other pregnancy-related morbidities, mobile phone access can be an important and life-saving health determinant. Objective The goal of this study was to examine the association between mobile/cellular phone ownership and health behaviors of post-partum mothers in rural Malawi. Methods In this cross-sectional study, we recruited and consented a convenient sample of 174 post-partum mothers of 4- and 5-month-olds who were attending well-child clinics in Gowa, situated in the rural Ntcheu district of Malawi. Using logistic regression models, we hypothesized that compared to non-cell phone owners, mobile phone ownership will be predictive (greater odds) of antenatal visit frequency, exclusive breastfeeding knowledge and practices, health-seeking behaviors, and involvement in motherhood support groups; and protective (lower odds) of infant illnesses, breastfeeding challenges, and post-partum depressive symptoms. Results Mobile phones were highly prevalent in this rural setting, with 45% (n = 79) of post-partum women indicating they owned at least one cell phone. Cell phone owners tended to have higher levels of education (p < 0.012) and wealth (p < 0.001). Interestingly, mobile phone ownership was only associated with exclusive breastfeeding practices; and phone owners had 75% lower odds of exclusively breastfeeding (adj. OR 0.25; 95% CI: 0.07–0.92, p = 0.038) in multivariable models. Though not statistically significant but clinically meaningful, cell phone ownership was associated with fewer depressive symptoms (adj. OR 0.84; 95% CI: 0.39–1.84, p = 0.67) and more social support (adj. OR 1.14; 95% CI: 0.61–2.13, p = 0.70). Conclusions Digital literacy and internet connectivity are social determinants of health, thus delving deeper into mothers’ digital experiences to identify and ameliorate their unique barriers to full digital access will be crucial to successful implementation of digital interventions to address post-partum challenges for women in hard-to-reach settings such as ours. Such interventions are of even greater relevance as the Covid-19 pandemic has increased the urgency of reaching vulnerable, marginalized populations.

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Section: Discussionmentioning

confidence: 99%

Exploring association of mobile phone access with positive health outcomes and behaviors amongst post-partum mothers in rural Malawi

Anto-Ocrah

Latulipe

Mark

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…Although the factors associated with maternal mental health in the present study may not be significant in non-African settings. Therefore, cultural differences should be accounted for when formulating preventive measures and mental health interventions (Jidong et al, 2021b). Essentially, strategies may focus on improving the social network for mothers to address the trauma associated with childbirth, alongside supportive measures to further address possible or perceived lack of spousal or family support (Jidong et al, 2021a).…”

Section: Discussionmentioning

confidence: 99%

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

Jidong

Husain

Ike

et al. 2021

Health Psychology Open

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Maternal mental health distress has a disease burden of severe adverse effects for both mother and child. This review identified maternal mental health concerns, their impact on child growth and the current practice of maternal healthcare for both mothers and their children in Nigeria. The Population, phenomenon of Interest and Context (PICo) model was adopted to formulate the review strategy, and five databases were searched for published articles between 1999 and 2019. Databases include Scopus, PubMed, ProQuest, Applied Social Science Index and Abstracts and Web of Science. Boolean operators (AND/OR/NOT) helped to ensure rigorous use of search terms which include ‘maternal’, ‘pre/peri/postnatal’, ‘mental health’, ‘mental illness’, ‘disorders’, ‘intervention,’ ‘Nigeria’, ‘child’, ‘infant growth’, and ‘wellbeing’. Thirty-four studies met the inclusion criteria, and extracted data were qualitatively synthesised and analysed thematically. Five themes emerged. These include (i) marital difficulties, (ii) relationship status of the mother, (iii) child’s gender, (iv) mode of child delivery and (v) child growth and development. The review showed a significant paucity of literature on the impact of specific maternal mental health problems on child physical growth and cognitive development. We concluded that culturally appropriate and evidence-based psychological interventions for maternal mental health problems would benefit Nigerian indigenous mothers. Therefore, the study recommends randomised controlled trials that are culturally appropriate and cost-effective for distressed mothers with children.

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“…Preventive and intervention efforts moving forward must attend to the syndemic facing young mothers of color and proceed with a culturally responsive lens that has been absent from our field for too long. 24…”

Section: What a Long Strange Trip It Has Beenmentioning

confidence: 99%

Editors’ Best of 2021

Novins¹,

Althoff²,

Cortese³

et al. 2022

Journal of the American Academy of Child & Adolescent Psych

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Journal, an embarrassment of riches, and picking a "best" seems to demand a certain qualification: is the "best" the most interesting, most surprising, most educational, most important, most provocative, most enjoyable? How to choose? We are hardly unbiased and can admit to a special affection for the ones that we and the authors worked hardest on, hammering version after version into shape. Acknowledging these biases, here are the 2021 articles that we think deserve your attention or at least a second read.

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Psychological interventions for maternal depression among women of African and Caribbean origin: a systematic review

Cited by 19 publications

References 45 publications

Exploring association of mobile phone access with positive health outcomes and behaviors amongst post-partum mothers in rural Malawi

Exploring association of mobile phone access with positive health outcomes and behaviors amongst post-partum mothers in rural Malawi

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

Editors’ Best of 2021

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