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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of perinatal somatic and common mental disorder symptoms on functioning in Ethiopian women: The P-MaMiE population-based cohort study
Journal of Affective Disorders, Volume 136, No. 3, Year 2012
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Description
Background: Little is known of the relationship between perinatal somatic and common mental disorder (CMD) symptoms and impaired functioning in women from settings where the burden of undernutrition and infectious disease morbidity is high. Methods: A population-based sample of 1065 women from Butajira, Ethiopia, was recruited in pregnancy (86.4% of those eligible) and reassessed two months postnatal (954 with singleton, live infants). At both time-points, women were administered a modified version of the Patient Health Questionnaire-15 and the Self-Reporting Questionnaire (locally-validated) to assess somatic and CMD symptoms, respectively. Negative binomial regression was used to investigate associations of CMD and somatic symptoms with functional impairment (World Health Organisation Disability Assessment Scale, version-II), after adjusting for maternal anthropometric measures, physical ill-health and sociodemographic factors. Results: In pregnancy, somatic and CMD symptoms were independently associated with worse maternal functional impairment after adjustment for confounders (WHODAS-II score multiplied by 1.09 (95%CI 1.06, 1.13) and 1.11 (95%CI 1.08, 1.14) respectively for each additional symptom). In the postnatal period, the size of association between somatic symptoms and functional impairment was diminished, but the association with CMD symptoms was virtually unchanged (multiplier value 1.04 (95%CI 1.00, 1.09) and 1.11 (95%CI 1.07, 1.16) respectively). Limitations: Use of largely self-report measures. Conclusions: Somatic and CMD symptoms were independently associated with functional impairment in both pregnancy and the postnatal period, with CMD symptoms showing a stronger and more consistent association. This emphasises the public health relevance of both CMD and somatic symptoms in the perinatal period. © 2011 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Senturk, Vesile
United Kingdom, London
King's College London
Turkey, Ankara
Ankara Üniversitesi
Hanlon, Charlotte S.
United Kingdom, London
King's College London
Ethiopia, Addis Ababa
Addis Ababa University
Medhin, Girmay
Ethiopia, Addis Ababa
Addis Ababa University
Dewey, Michael E.
United Kingdom, London
King's College London
Araya, Mesfin
Ethiopia, Addis Ababa
Addis Ababa University
Alem, Atalay
Ethiopia, Addis Ababa
Addis Ababa University
Prince, Martin J.
United Kingdom, London
King's College London
Stewart, Robert J.
United Kingdom, London
King's College London
Statistics
Citations: 73
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1016/j.jad.2011.11.028
ISSN:
01650327
e-ISSN:
15732517
Research Areas
Disability
Food Security
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Ethiopia
Participants Gender
Female