Document Detail


Common mental disorder and associated factors amongst women with young infants in rural Malawi.
MedLine Citation:
PMID:  19609476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Common mental disorder (CMD) affecting women during the childbearing years is an important health problem in low and middle income countries. This study investigates CMD and associated factors amongst women with young infants in rural Malawi. METHODS: In this cross-sectional study, mothers of infants due for measles vaccination were recruited from a district hospital child health clinic. Maternal CMD was measured using a Chichewa version of the Self-Reporting Questionnaire (SRQ). DSM-IV diagnoses of major and minor depressive disorder were made using the structured clinical interview for DSM-IV (SCID). Socio-demographic, maternal and infant variables were measured and associations with CMD were determined. RESULTS: Of 519 eligible women, 501 were included in the analysis. Mean age was 24.4 years and median infant age was 9.9 months. The weighted prevalence of any current depressive episode (minor or major) was 30.4% (95% CI 22.8-38.1%). The weighted prevalence of current major depressive episode was 13.9% (95% CI 8.2-19.5%). Mean SRQ score for the total sample was 5.71 (SD 4.42). On multivariate analysis, SRQ score was significantly associated with lower socioeconomic status, lack of a confiding relationship with partner or relative, and recent infant illness. Amongst the women who knew their HIV status (n = 314), SRQ score was also associated with HIV infection. CONCLUSIONS: This study demonstrates that CMD is a significant health burden among women with infants in rural Malawi, and is associated with poverty, relationship difficulties, HIV infection and infant health problems.
Authors:
Robert C Stewart; James Bunn; Maclean Vokhiwa; Eric Umar; Felix Kauye; Margaret Fitzgerald; Barbara Tomenson; Atif Rahman; Francis Creed
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-17
Journal Detail:
Title:  Social psychiatry and psychiatric epidemiology     Volume:  45     ISSN:  1433-9285     ISO Abbreviation:  Soc Psychiatry Psychiatr Epidemiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804358     Medline TA:  Soc Psychiatry Psychiatr Epidemiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  551-9     Citation Subset:  IM    
Affiliation:
Division of Community Health, College of Medicine, Pr Bag 360, Blantyre, Malawi. robcstewart@mac.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Child Health Services / statistics & numerical data
Cross-Sectional Studies
Developing Countries / statistics & numerical data
Female
HIV Infections / epidemiology
Humans
Infant
Malawi / epidemiology
Male
Mental Disorders / epidemiology*
Mothers / psychology,  statistics & numerical data*
Nutritional Status
Poverty / statistics & numerical data
Prevalence
Questionnaires
Risk Factors
Rural Population / statistics & numerical data
Urban Population / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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