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Cohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural
Siham Sikander1,2, Ikhlaq Ahmad1, Lisa M Bates3
1Human Development Research Foundation, Islamabad, Pakistan.
Insights
Perinatal depression negatively impacts child socioemotional development. This study tracks mother-child dyads to understand long-term effects, offering crucial insights into developmental risks and interventions.
Area of Science:
- Child Development
- Maternal Mental Health
- Epidemiology
Background:
- Perinatal depression poses a significant risk to child development, often with a chronic course.
- Early exposure to maternal depression can lead to detrimental developmental outcomes in children.
- Understanding these long-term effects is crucial for timely interventions.
Purpose of the Study:
- To investigate the effects of perinatal depression on the socioemotional development of children.
- To examine the long-term trajectory of child development in the context of maternal mental health.
- To identify specific risks associated with maternal depression during early childhood.
Main Methods:
- A prospective pregnancy-birth cohort study involving 1154 pregnant women in rural Pakistan.
- Longitudinal data collection on maternal psychosocial factors and child growth, cognitive, and socioemotional measures.
- Community-based, household-level mother-child dyad assessments at multiple time points (3, 6, 12, 24, 36 months).
Main Results:
- Follow-up rates of 76.6% at 3 months, 91% at 6 months, and 93.3% at 12 months post-childbirth.
- Inclusion of a subsample for DNA and inflammatory biomarker analysis (n=73 and n=104, respectively).
- Baseline assessments have been completed, with ongoing 24 and 36-month follow-ups.
Conclusions:
- The study is ongoing, with plans to follow dyads until children are 7-8 years old.
- This research will provide valuable data on the lasting impact of perinatal depression on child socioemotional development.
- Findings will inform public health strategies and clinical practices for maternal and child well-being.
Purpose:
This is a prospective pregnancy-birth cohort designed to investigate the effects of depression on socioemotional development of children. Perinatal depression is a risk factor for poor child development and for many it has a recurring chronic course. Thus, the exposure to depression can continue through the early years of the child with detrimental developmental outcomes.
Participants:
Between October 2014 and February 2016, we recruited 1154 pregnant women from a rural subdistrict of Pakistan. Data include longitudinal and repeated measures of maternal psychosocial measures and child growth, cognitive and socioemotional measures. Follow-up include mother-child dyad assessments at 3rd, 6th, 12th, 24th and 36th months of child age. All these follow-ups are community based at the household level. We have competed baseline assessment.
Findings To Date:
Of the eligible dyads, we followed 885 (76.6%), 929 (91%) and 940 (93.3%) at 3, 6 and 12 months post-childbirth. We include a subsample mother-child dyad DNA and inflammatory biomarkers, 73 and 104, respectively.
Future Plans:
While we continue to do 24-month and 36-month follow-up assessments, we plan to follow these mother-child dyads up to the age of 7-8 years with some children being exposed to at least 1 year of school environment. Investigators interested in learning more about the study can contact (jmaselko@unc.edu) and (siham.sikander@hdrfoundation.org).
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