Prost, Audrey, Lakshminarayana, Rashmi, Nair, Nirmala, Tripathy, Prasanta, Copas, Andrew, Mahapatra, Rajendra, Rath, Shibanand, Gope, Raj Kumar, Rath, Suchitra, Bajpai, Aparna, Patel, Vikram and Costello, Anthony (2012) Predictors of maternal psychological distress in rural India: a cross-sectional community-based study. Journal of Affective Disorders, 138 (3). pp. 277-286. ISSN 0165-0327
Full text not available from this repository.Abstract
Maternal common mental disorders are prevalent in low-resource settings and have far-reaching consequences for maternal and child health. We assessed the prevalence and predictors of psychological distress as a proxy for common mental disorders among mothers in rural Jharkhand and Orissa, eastern India, where over 40% of the population live below the poverty line and access to reproductive and mental health services is low. Method: We screened 5801 mothers around 6 weeks after delivery using the Kessler-10 item scale, and identified predictors of distress using multiple hierarchical logistic regression. Results: 11.5% (95% CI: 10.7-12.3) of mothers had symptoms of distress (K10 score > 15). High maternal age, low asset ownership, health problems in the antepartum, delivery or postpartum periods, caesarean section, an unwanted pregnancy for the mother, small perceived infant size and a stillbirth or neonatal death were all independently associated with an increased risk of distress. The loss of an infant or an unwanted pregnancy increased the risk of distress considerably (AORs: 7.06 95% CI: 5.51-9.04 and 1.49, 95% CI: 1.12-1.97, respectively). Limitations: We did not collect data on antepartum depression, domestic violence or a mother's past birth history, and were therefore unable to examine the importance of these factors as predictors of psychological distress. Conclusions: Mothers living in underserved areas of India who experience infant loss, an unwanted pregnancy, health problems in the perinatal and postpartum periods and socio-economic disadvantage are at increased risk of distress and require access to reproductive healthcare with integrated mental health interventions.
| Item Type: | Article |
|---|---|
| Official URL: | http://www.elsevier.com/wps/find/journaldescriptio... |
| Additional Information: | © 2012 Elsevier B.V. |
| Divisions: | Centre for Economic Performance |
| Subjects: | H Social Sciences > HN Social history and conditions. Social problems. Social reform R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| JEL classification: | I - Health, Education, and Welfare > I1 - Health I - Health, Education, and Welfare > I1 - Health > I12 - Health Production: Nutrition, Mortality, Morbidity, Suicide, Substance Abuse and Addiction, Disability, and Economic Behavior |
| Date Deposited: | 15 Mar 2012 16:23 |
| Last Modified: | 12 Dec 2024 00:06 |
| URI: | http://eprints.lse.ac.uk/id/eprint/42572 |
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