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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.
- Source :
- Child: Care, Health & Development; May2015, Vol. 41 Issue 3, p483-493, 11p
- Publication Year :
- 2015
-
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 (150-300 kcal/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. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALYSIS of covariance
MALNUTRITION
ANALYSIS of variance
CHI-squared test
CHILD nutrition
CLINICAL trials
CONFIDENCE intervals
COUNSELING
MENTAL depression
DIETARY supplements
MOTHERS
PLAY therapy
PSYCHOLOGICAL tests
QUESTIONNAIRES
RESEARCH funding
PRE-tests & post-tests
DATA analysis software
CHILDREN
PSYCHOLOGY
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 03051862
- Volume :
- 41
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Child: Care, Health & Development
- Publication Type :
- Academic Journal
- Accession number :
- 102038429
- Full Text :
- https://doi.org/10.1111/cch.12176