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Title: Changing family relationships, perinatal depression, and child development in Turkey
Author: Senturk, Vesile
ISNI:       0000 0004 6424 2500
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2017
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Background: Perinatal depression is important not only for women affected but also potentially for their children and families. However, the incidence, persistence and impact of depression and its risk factors throughout the perinatal period are poorly understood outside Western settings: particularly the relationship with social support in traditional and nuclear family structures and the impact on child development. Aims: Through a prospective study of perinatal depression carried out in Ankara, Turkey, the candidate sought to estimate prevalence incidence and persistence of depression between antenatal and postnatal periods and associations with social support, and to investigate the effect of perinatal depression on changes in social support and child development Method: A community sample of 730 women were recruited in their third trimester and followed up at 2 months, 12 months and 18 months after birth. Depressive symptoms were ascertained using the Edinburgh Postnatal Depression Scale, social support (relationship quality) with the Close Persons Questionnaire applied to relationships with the husband, mother and mother-in-law, and child development with the Guide for Monitoring Child Development (GMCD). Traditional and nuclear family settings were compared. Results: Prevalence of antenatal depression was 33.1%, incidence at 2 months after birth was 13.9%, and persistence of depression between these two points was 49.7%. Lower social support, particularly that from the husband and mother-in-law was strongly associated with antenatal depression. While some predictive associations were found for this exposure with incidence and persistence of depression to the post-natal period, more consistent and stronger associations were found between antenatal depression and a subsequent exaggerated decline in social support over all four examinations. No associations were found between perinatal depression and child development. Conclusion: Perinatal depression was common in this population and a predictor of declining quality in key relationships. However, no adverse effects were found of depression on child development.
Supervisor: Stewart, Robert James Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available