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Course of perinatal depressive symptoms among South African women: associations with child outcomes at 18 and 36 months

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Course of perinatal depressive symptoms among South African women : associations with child outcomes at 18 and 36 months. / Garman, Emily Claire; Cois, Annibale; Tomlinson, Mark; Rotheram-Borus, Mary Jane; Lund, Crick.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 54, No. 9, 01.09.2019, p. 1111-1123.

Research output: Contribution to journalArticle

Harvard

Garman, EC, Cois, A, Tomlinson, M, Rotheram-Borus, MJ & Lund, C 2019, 'Course of perinatal depressive symptoms among South African women: associations with child outcomes at 18 and 36 months', Social Psychiatry and Psychiatric Epidemiology, vol. 54, no. 9, pp. 1111-1123. https://doi.org/10.1007/s00127-019-01665-2

APA

Garman, E. C., Cois, A., Tomlinson, M., Rotheram-Borus, M. J., & Lund, C. (2019). Course of perinatal depressive symptoms among South African women: associations with child outcomes at 18 and 36 months. Social Psychiatry and Psychiatric Epidemiology, 54(9), 1111-1123. https://doi.org/10.1007/s00127-019-01665-2

Vancouver

Garman EC, Cois A, Tomlinson M, Rotheram-Borus MJ, Lund C. Course of perinatal depressive symptoms among South African women: associations with child outcomes at 18 and 36 months. Social Psychiatry and Psychiatric Epidemiology. 2019 Sep 1;54(9):1111-1123. https://doi.org/10.1007/s00127-019-01665-2

Author

Garman, Emily Claire ; Cois, Annibale ; Tomlinson, Mark ; Rotheram-Borus, Mary Jane ; Lund, Crick. / Course of perinatal depressive symptoms among South African women : associations with child outcomes at 18 and 36 months. In: Social Psychiatry and Psychiatric Epidemiology. 2019 ; Vol. 54, No. 9. pp. 1111-1123.

Bibtex Download

@article{ed5f683a5118422396f02a5e1afb9dbd,
title = "Course of perinatal depressive symptoms among South African women: associations with child outcomes at 18 and 36 months",
abstract = "Purpose: Latent modelling was used to identify trajectories of depressive symptoms among low-income perinatal women in South Africa. Predictors of trajectories and the association of trajectories with child outcomes were assessed. Methods: This is a secondary analysis of data collected among women living in Cape Town settlements (N = 446). Participants were eligible if pregnant and 18 years or older, and included in the analysis if allocated to the control arm (routine perinatal care). Participants were excluded in case of non-singleton birth and baby death. Follow-up assessments were at 2 weeks, 6-, 18-, and 36-month postpartum. Trajectories of depressive symptoms were based on the Edinburgh Postnatal Depression Scale scores until 18-month postpartum, using latent class growth analysis. Child physical, cognitive, socio-emotional, and behavioural outcomes were assessed at 18 and/or 36 months. Univariate and multivariate regressions were used to identify predictors of trajectories and differences in child outcomes. Results: Four trajectories were identified: chronic low (71.1{\%}), late postpartum (10.1{\%}), early postpartum (14.4{\%}), and chronic high (4.5{\%}). Low social support, unwanted pregnancy, and risky drinking were associated with the chronic high trajectory; unemployment and HIV-positive status with the early postpartum trajectory; and intimate partner violence with the late postpartum trajectory. Weight-to-length and weight-for-age z-scores at 18 months, and weight-for-age z-scores, length-for-age z-scores, emotional symptom, and peer problem scores at 36 months differed across trajectories. Conclusions: Severe depressive symptoms in postpartum period have a lasting effect on child physical and socio-emotional outcomes. Multiple screening throughout pregnancy and 1-year postpartum is essential.",
keywords = "Child development, Depression, Latent class growth analysis, Perinatal, Trajectories",
author = "Garman, {Emily Claire} and Annibale Cois and Mark Tomlinson and Rotheram-Borus, {Mary Jane} and Crick Lund",
year = "2019",
month = "9",
day = "1",
doi = "10.1007/s00127-019-01665-2",
language = "English",
volume = "54",
pages = "1111--1123",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
number = "9",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Course of perinatal depressive symptoms among South African women

T2 - associations with child outcomes at 18 and 36 months

AU - Garman, Emily Claire

AU - Cois, Annibale

AU - Tomlinson, Mark

AU - Rotheram-Borus, Mary Jane

AU - Lund, Crick

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Purpose: Latent modelling was used to identify trajectories of depressive symptoms among low-income perinatal women in South Africa. Predictors of trajectories and the association of trajectories with child outcomes were assessed. Methods: This is a secondary analysis of data collected among women living in Cape Town settlements (N = 446). Participants were eligible if pregnant and 18 years or older, and included in the analysis if allocated to the control arm (routine perinatal care). Participants were excluded in case of non-singleton birth and baby death. Follow-up assessments were at 2 weeks, 6-, 18-, and 36-month postpartum. Trajectories of depressive symptoms were based on the Edinburgh Postnatal Depression Scale scores until 18-month postpartum, using latent class growth analysis. Child physical, cognitive, socio-emotional, and behavioural outcomes were assessed at 18 and/or 36 months. Univariate and multivariate regressions were used to identify predictors of trajectories and differences in child outcomes. Results: Four trajectories were identified: chronic low (71.1%), late postpartum (10.1%), early postpartum (14.4%), and chronic high (4.5%). Low social support, unwanted pregnancy, and risky drinking were associated with the chronic high trajectory; unemployment and HIV-positive status with the early postpartum trajectory; and intimate partner violence with the late postpartum trajectory. Weight-to-length and weight-for-age z-scores at 18 months, and weight-for-age z-scores, length-for-age z-scores, emotional symptom, and peer problem scores at 36 months differed across trajectories. Conclusions: Severe depressive symptoms in postpartum period have a lasting effect on child physical and socio-emotional outcomes. Multiple screening throughout pregnancy and 1-year postpartum is essential.

AB - Purpose: Latent modelling was used to identify trajectories of depressive symptoms among low-income perinatal women in South Africa. Predictors of trajectories and the association of trajectories with child outcomes were assessed. Methods: This is a secondary analysis of data collected among women living in Cape Town settlements (N = 446). Participants were eligible if pregnant and 18 years or older, and included in the analysis if allocated to the control arm (routine perinatal care). Participants were excluded in case of non-singleton birth and baby death. Follow-up assessments were at 2 weeks, 6-, 18-, and 36-month postpartum. Trajectories of depressive symptoms were based on the Edinburgh Postnatal Depression Scale scores until 18-month postpartum, using latent class growth analysis. Child physical, cognitive, socio-emotional, and behavioural outcomes were assessed at 18 and/or 36 months. Univariate and multivariate regressions were used to identify predictors of trajectories and differences in child outcomes. Results: Four trajectories were identified: chronic low (71.1%), late postpartum (10.1%), early postpartum (14.4%), and chronic high (4.5%). Low social support, unwanted pregnancy, and risky drinking were associated with the chronic high trajectory; unemployment and HIV-positive status with the early postpartum trajectory; and intimate partner violence with the late postpartum trajectory. Weight-to-length and weight-for-age z-scores at 18 months, and weight-for-age z-scores, length-for-age z-scores, emotional symptom, and peer problem scores at 36 months differed across trajectories. Conclusions: Severe depressive symptoms in postpartum period have a lasting effect on child physical and socio-emotional outcomes. Multiple screening throughout pregnancy and 1-year postpartum is essential.

KW - Child development

KW - Depression

KW - Latent class growth analysis

KW - Perinatal

KW - Trajectories

UR - http://www.scopus.com/inward/record.url?scp=85062152536&partnerID=8YFLogxK

U2 - 10.1007/s00127-019-01665-2

DO - 10.1007/s00127-019-01665-2

M3 - Article

AN - SCOPUS:85062152536

VL - 54

SP - 1111

EP - 1123

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

IS - 9

ER -

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