Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status
Keywords:
Maternal welfare, Mental health, Urban population, Rural population, Nutritional statusAbstract
CONTEXT AND OBJECTIVE: Compromised maternal mental health (MMH) is considered to be a risk factor for child malnutrition in low income areas. Psychosocial variables associated with MMH are potentially different between urban and rural environments. The aim here was to investigate whether associations existed between MMH and selected sociodemographic risk factors and whether specific to urban or rural settings. DESIGN AND SETTING: Cross-sectional study on a representative population sample of mothers from the semiarid region of Alagoas. METHODS: Multistage sampling was used. The subjects were mothers of children aged up to 60 months. MMH was evaluated through the Self-Reporting Questionnaire-20. Mothers’ nutritional status was assessed using the body mass index and waist circumference. Univariate analysis used odds ratios (OR) and chi-square. Logistic regression was performed separately for urban and rural subsamples using MMH as the dependent variable. RESULTS: The sample comprised 288 mothers. The prevalences of common mental disorders (CMD) in rural and urban areas were 56.2% and 43.8%, respectively (OR = 1.03; 95% CI: 0.64-1.63). In univariate analysis and logistic regression, the variable of education remained associated with MMH (OR = 2.2; 95% CI: 1.03-4.6) in urban areas. In rural areas, the variable of lack of partner remained associated (OR = 2.6; 95% CI: 1.01-6.7). CONCLUSIONS: The prevalence of CMD is high among mothers of children aged up to two years in the semiarid region of Alagoas. This seems to be associated with lower educational level in urban settings and lack of partner in rural settings.
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Patel V, Rahman A, Jacob KS, Hughes M. Effect of maternal mental health on infant growth in low income countries: new evidence from South Asia. BMJ. 2004;328(7443):820-3.
Harpham T, Huttly S, De Silva MJ, Abramsky T. Maternal mental health and child nutritional status in four developing countries. J Epidemiol Community Health. 2005;59(12):1060-4.
Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Arch Dis Child. 2003;88(1):34-7.
Rahman A, Lovel H, Bunn J, Iqbal Z, Harrington R. Mothers’ mental health and infant growth: a case-control study from Rawalpindi, Pakistan. Child Care Health Dev. 2004;30(1):21-7.
de Miranda CT, Turecki G, Mari Jde J, et al. Mental health of the mothers of malnourished children. Int J Epidemiol. 1996;25(1):128-33.
Chagas DSS. O papel da saúde mental materna na desnutrição infantil: um estudo caso controle [Dissertation]. Salvador: Instituto de Saúde Coletiva da Universidade Federal da Bahia; 2007.
Brum EHM, Scherman L. O impacto da depressão materna nas interações iniciais [Impact of mother depression on early interactions]. Psico (Porto Alegre). 2006;37(2):151-8.
Schwengber DDS, Piccinini CA. Depressão materna e interação mãe- bebê no final do primeiro ano de vida [Maternal depression and mother-infant interaction by the end of the first year of life]. Psicol Teor Pesqui. 2004;20(3):233-40.
Kurstjens S, Wolke D. Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psychiatry. 2001;42(5):623-36.
Murray L, Cooper PJ, Wilson A, Romaniuk H. Controlled trial of the short- and long-term effect of psychological treatment of post- partum depression: 2. Impact on the mother-child relationship and child outcome. Br J Psychiatry. 2003;182:420-7.
Brockington I. Postpartum psychiatric disorders. Lancet. 2004;363(9405):303-10.
Patel V, Rodrigues M, DeSouza, N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry. 2002;159(1):43-7.
Chandran M, Tharyan P, Muliyil J, Abraham S. Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. Br J Psychiatry. 2002;181:499-504.
Rahman A, Iqbal Z, Harrington R. Life events, social support and depression in childbirth: perspectives from a rural community in the developing world. Psychol Med. 2003;33(7):1161-7.
Beusenberg M, Orley J. A user’s guide to the self reporting questionnaire (SRQ). Geneva: World Health Organization; 1994. Available from: http://whqlibdoc.who.int/hq/1994/WHO_MNH_PSF_94.8.pdf. Accessed in 2011 (Jul 4).
Kac G, Silveira EA, Oliveira LC, Mari Jde J. Fatores relacionados à prevalência de morbidades psiquiátricas menores em mulheres selecionadas em um Centro de Saúde no Rio de Janeiro, Brasil [Factors associated with minor psychiatric disorders among women selected from a healthcare center in Rio de Janeiro, Brazil]. Cad Saúde Pública = Rep Public Health. 2006;22(5):999-1007.
Judd FK, Jackson HJ, Komiti A, et al. High prevalence disorders in urban and rural communities. Aust N Z J Psychiatry. 2002;36(1): 104-13.
Havenaar JM, Geerlings MI, Vivian L, Collinson M, Robertson B. Common mental health problems in historically disadvantaged urban and rural communities in South Africa: prevalence and risk factors. Soc Psychiatry Psychiatr Epidemiol. 2008;43(3):209-15.
Araújo TM, Pinho PS, Almeida MMG. Prevalência de transtornos mentais comuns em mulheres e sua relação com as características sociodemográficas e o trabalho doméstico [Prevalence of psychological disorders among women according to socio demographic and housework characteristics]. Rev Bras Saúde Matern Infant. 2005;5(3):337-48.
Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2000: Características da População e dos Domicílios: Resultados do universo. Available from: http://www.ibge.gov.br/home/estatistica/populacao/censo2000/default.shtm. Accessed in 2011 (Jul 4).
World Health Organization. Physical status: the use and interpretation of anthropometry (Technical Report Series). Geneva: World Health Organization; 1995. Available from: http://whqlibdoc.who.int/trs/WHO_TRS_854.pdf. Accessed in 2011 (Jul 4).
Kamimura MA, Baxmann A, Sampaio LR, Cuppari L. Avaliação nutricional. In: Cuppari L, editor. Nutrição clínica do adulto. São Paulo: Manole; 2002. p. 71-96.
Mari JJ, Williams P. A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of São Paulo. Br J Psychiatry. 1986;148:23-6.
Associação Brasileira de Empresas de Pesquisa (ABEP). Critério de Classificação Econômica Brasil. 2003. Available from: http://www.marketanalysis.com.br/arquivos-download/biblioteca/cceb-1.pdf. Accessed in 2011 (Jul 4).
Young Lives an International Study of Childhood Poverety. Ethiopia. Available from: http://www.younglives.org.uk/where-we-work/ethiopia. Accessed in 2011 (Jul 4).
Young Lives an International Study of Childhood Poverety. India (Andhra Pradesh). Available from: http://www.younglives.org.uk/where-we-work/índia. Accessed in 2011 (Jul 4).
Young Lives an International Study of Childhood Poverety. Peru. Available from: http://www.younglives.org.uk/where-we-work/peru. Accessed in 2011 (Jul 4).
Young Lives an International Study of Childhood Poverety. Vietnam. Available from: http://www.younglives.org.uk/where-we-work/Vietnam. Accessed in 2011 (Jul 4).
Costa AG, Ludermir AB. Transtornos mentais comuns e apoio social: estudo em comunidade rural da Zona da Mata de Pernambuco, Brasil [Common mental disorders and social support in a rural community in Zona da Mata, Pernambuco State, Brazil]. Cad Saúde Pública = Rep Public Health. 2005;21(1):73-9.
Ludermir AB, Melo Filho DA. Condições de vida e estrutura ocupacional associadas a transtornos mentais comuns [Living conditions and occupational organization associated with common mental disorders]. Rev Saúde Pública = J Public Health. 2002;36(2):213-21.
Monteiro CA, Conde WL, Konno SC, et al. Avaliação antropométrica do estado nutricional de mulheres em idade fértil e crianças menores de cinco anos. In: Brasil. Ministério da Saúde. Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher - PNDS 2006: dimensões do processo reprodutivo e da saúde da criança. Brasilia: Ministério da Saúde; 2009. p. 213-30. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pnds_crianca_mulher.pdf. Accessed in 2011 (Jul 4).
Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R. Impact of maternal depression on infant nutritional status and illness: a cohort study. Arch Gen Psychiatry. 2004;61(9):946-52.
