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Title: Early infant social behaviour and maternal perinatal depression in Kiang West, The Gambia
Author: Bartram, S. Christine
ISNI:       0000 0004 7967 5034
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2018
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Background: Previous research evidences the influence of caregivers' mental health on early infant development. Maternal perinatal depression (MPD) has been studied in Lower- and Middle-Income Countries (LMICs) in relation to infant health outcomes, but infant social and behavioural development has been less commonly studied. This research assesses the relationship between early infant social behaviour and MPD in a novel LMIC setting. Methods: Data was collected as part of the BRIGHT (Brain Imaging for Global Health) study. Piloting involved contextualisation interviews and adapting the Neonatal Behavioral Assessment Scale (NBAS). The core sample included 106 mother-infant dyads. NBAS was conducted at 2-3 weeks, mother-infant interaction (MII) behaviour filmed at 1 and 5 months, and MPD symptoms self-reported by EPDS at 34-36 weeks' gestation and 1 and 5 months postpartum. Results: MPD period prevalence on the EPDS was 7.5%, though during 1-month MII, 20.4% had low mood. The NBAS was acceptable and orientation scores mid-range, with marginally better orientation to non-social stimuli. At 1 and 5 months infants were highly visually attentive, but had low-to-moderate active communication and positive vocalising (PV). NBAS scores were significantly, negatively associated with maternal parity and EPDS item 10. No significant associations were found between maternal depression and infant social behaviour at 1 month. Antenatal EPDS total score was significantly associated with infant 5-month PV (PV-5), and was a significant predictor in a preliminary regression equation. Conclusions: This was the first study measuring both MPD and infant behaviour in The Gambia. Analyses indicated significant relationship between antenatal MPD and infant social behaviour at 2 weeks and 5 months. The comparatively low MPD prevalence, and inconsistency between measures, implicated further research on MPD expression and measurement in KW, with a view to developing a more comprehensive account of the relationship between MPD and infant development in this setting.
Supervisor: Not available Sponsor: University of Warwick
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: RJ Pediatrics