Characteristics of perinatal depression in rural central, India: a cross-sectional study
| dc.contributor.author | Rathod, Sujit D | |
| dc.contributor.author | Honikman, Simone | |
| dc.contributor.author | Hanlon, Charlotte | |
| dc.contributor.author | Shidhaye, Rahul | |
| dc.date.accessioned | 2018-11-20T10:06:52Z | |
| dc.date.available | 2018-11-20T10:06:52Z | |
| dc.date.issued | 2018-11-12 | |
| dc.date.updated | 2018-11-18T04:25:18Z | |
| dc.description.abstract | Background Perinatal depression is associated with negative effects on child behavioural, cognitive and emotional development, birth outcomes, and physical growth. In India, increased priority accorded to mental health programs mean it is now possible to reduce the population-level burden of perinatal depression. In this secondary analysis of two studies, we aimed to describe the epidemiological features of depression among community- and facility-based samples of perinatal women from rural central India, and to describe the help-seeking behaviours from those women who screened positive for depression. Methods The Community Study was a multi-round population-based cross-sectional survey (n = 6087). The Facility Study was a multi-round facility-based cross-sectional survey (n = 1577). Both studies were conducted in Sehore District, Madhya Pradesh between 2013 and 2017. Field workers conducted structured interviews with perinatal women. The questionnaire had sections relating to sociodemographic characteristics, depression screening using the Patient’s Health Questionnaire (PHQ9), treatment seeking for depression-related symptoms, and disability. Using data pooled from both studies, we tested each characteristic for association with the total screening score and with screening positive for depression. Results We identified 224 perinatal women from the Community Study and 130 perinatal women from the Facility Study, of whom 8.8% and 18.5% screened positive for depression, respectively. For the continuous PHQ9 score, there was evidence of a “U” shaped association with age, and positive associations with pregnancy, disability score, suicidality and being a health facility attendee. For the binary PHQ9 score, there was evidence of positive associations with pregnancy, disability score, suicidality and being a health facility attendee. Conclusions This study highlights where the largest population-level variations in perinatal depression symptoms are present in this Indian sample, for which mental health service provision should be made a priority. Epidemiological evidence generated by this study, as well as new evidence on peer-delivered interventions for perinatal depression, must be utilized by policy-makers to prioritize mental health services for mothers along with maternal and child health services. | |
| dc.identifier.apacitation | Rathod, S. D., Honikman, S., Hanlon, C., & Shidhaye, R. (2018). Characteristics of perinatal depression in rural central, India: a cross-sectional study. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/29069 | en_ZA |
| dc.identifier.chicagocitation | Rathod, Sujit D, Simone Honikman, Charlotte Hanlon, and Rahul Shidhaye "Characteristics of perinatal depression in rural central, India: a cross-sectional study." <i>International Journal of Mental Health Systems</i> (2018) http://hdl.handle.net/11427/29069 | en_ZA |
| dc.identifier.citation | International Journal of Mental Health Systems. 2018 Nov 12;12(1):68 | |
| dc.identifier.ris | TY - Journal Article AU - Rathod, Sujit D AU - Honikman, Simone AU - Hanlon, Charlotte AU - Shidhaye, Rahul AB - Background Perinatal depression is associated with negative effects on child behavioural, cognitive and emotional development, birth outcomes, and physical growth. In India, increased priority accorded to mental health programs mean it is now possible to reduce the population-level burden of perinatal depression. In this secondary analysis of two studies, we aimed to describe the epidemiological features of depression among community- and facility-based samples of perinatal women from rural central India, and to describe the help-seeking behaviours from those women who screened positive for depression. Methods The Community Study was a multi-round population-based cross-sectional survey (n = 6087). The Facility Study was a multi-round facility-based cross-sectional survey (n = 1577). Both studies were conducted in Sehore District, Madhya Pradesh between 2013 and 2017. Field workers conducted structured interviews with perinatal women. The questionnaire had sections relating to sociodemographic characteristics, depression screening using the Patient’s Health Questionnaire (PHQ9), treatment seeking for depression-related symptoms, and disability. Using data pooled from both studies, we tested each characteristic for association with the total screening score and with screening positive for depression. Results We identified 224 perinatal women from the Community Study and 130 perinatal women from the Facility Study, of whom 8.8% and 18.5% screened positive for depression, respectively. For the continuous PHQ9 score, there was evidence of a “U” shaped association with age, and positive associations with pregnancy, disability score, suicidality and being a health facility attendee. For the binary PHQ9 score, there was evidence of positive associations with pregnancy, disability score, suicidality and being a health facility attendee. Conclusions This study highlights where the largest population-level variations in perinatal depression symptoms are present in this Indian sample, for which mental health service provision should be made a priority. Epidemiological evidence generated by this study, as well as new evidence on peer-delivered interventions for perinatal depression, must be utilized by policy-makers to prioritize mental health services for mothers along with maternal and child health services. DA - 2018-11-12 DB - OpenUCT DP - University of Cape Town J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Characteristics of perinatal depression in rural central, India: a cross-sectional study TI - Characteristics of perinatal depression in rural central, India: a cross-sectional study UR - http://hdl.handle.net/11427/29069 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s13033-018-0248-5 | |
| dc.identifier.uri | http://hdl.handle.net/11427/29069 | |
| dc.identifier.vancouvercitation | Rathod SD, Honikman S, Hanlon C, Shidhaye R. Characteristics of perinatal depression in rural central, India: a cross-sectional study. International Journal of Mental Health Systems. 2018; http://hdl.handle.net/11427/29069. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.institution | University of Cape Town | |
| dc.rights.holder | The Author(s) | |
| dc.source | International Journal of Mental Health Systems | |
| dc.source.uri | https://ijmhs.biomedcentral.com/ | |
| dc.subject.other | Perinatal | |
| dc.subject.other | Depression | |
| dc.subject.other | Women | |
| dc.subject.other | Epidemiology | |
| dc.subject.other | India | |
| dc.title | Characteristics of perinatal depression in rural central, India: a cross-sectional study | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |