Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
Identifieur interne : 000658 ( Ncbi/Merge ); précédent : 000657; suivant : 000659Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
Auteurs : Nan Guo [États-Unis] ; Carola Bindt [Allemagne] ; Marguerite Te Bonle ; John Appiah-Poku [Ghana] ; Cecilia Tomori [États-Unis] ; Rebecca Hinz [Allemagne] ; Dana Barthel [Allemagne] ; Stefanie Schoppen [Allemagne] ; Torsten Feldt [Allemagne] ; Claus Barkmann [Allemagne] ; Mathurin Koffi ; Wibke Loag [Allemagne] ; Samuel Blay Nguah [Ghana] ; Kirsten A. Eberhardt [Allemagne] ; Harry Tagbor [Ghana] ; Judith K. Bass [États-Unis] ; Eliezer N Oran ; Stephan Ehrhardt [États-Unis, Allemagne]Source :
- BMC Psychiatry [ 1471-244X ] ; 2014.
Abstract
There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS.
A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3rd trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women’s depression/anxiety and PS adjusting for age, child sex, women’s anemia, education, occupation, spouse’s education, and number of sick child visits.
A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d’Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables.
Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. Should our findings be replicated, it appears prudent to design and subsequently evaluate intervention strategies.
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DOI: 10.1186/1471-244X-14-156
PubMed: 24884986
PubMed Central: 4048600
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Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Te Bonle, Marguerite" sort="Te Bonle, Marguerite" uniqKey="Te Bonle M" first="Marguerite" last="Te Bonle">Marguerite Te Bonle</name><affiliation><nlm:aff id="I3">Centre de Guidance Infantile, Institut National de Santé Publique, Abidjan BP V 47, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Appiah Poku, John" sort="Appiah Poku, John" uniqKey="Appiah Poku J" first="John" last="Appiah-Poku">John Appiah-Poku</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Tomori, Cecilia" sort="Tomori, Cecilia" uniqKey="Tomori C" first="Cecilia" last="Tomori">Cecilia Tomori</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Hinz, Rebecca" sort="Hinz, Rebecca" uniqKey="Hinz R" first="Rebecca" last="Hinz">Rebecca Hinz</name><affiliation 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nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Schoppen, Stefanie" sort="Schoppen, Stefanie" uniqKey="Schoppen S" first="Stefanie" last="Schoppen">Stefanie Schoppen</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Feldt, Torsten" sort="Feldt, Torsten" uniqKey="Feldt T" first="Torsten" last="Feldt">Torsten Feldt</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Barkmann, Claus" sort="Barkmann, Claus" uniqKey="Barkmann C" first="Claus" last="Barkmann">Claus Barkmann</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Koffi, Mathurin" sort="Koffi, Mathurin" uniqKey="Koffi M" first="Mathurin" last="Koffi">Mathurin Koffi</name><affiliation><nlm:aff id="I6">Jean Lorougnon Guede University, Daloa, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Loag, Wibke" sort="Loag, Wibke" uniqKey="Loag W" first="Wibke" last="Loag">Wibke Loag</name><affiliation wicri:level="3"><nlm:aff id="I7">Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Nguah, Samuel Blay" sort="Nguah, Samuel Blay" uniqKey="Nguah S" first="Samuel Blay" last="Nguah">Samuel Blay Nguah</name><affiliation wicri:level="1"><nlm:aff id="I8">Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Eberhardt, Kirsten A" sort="Eberhardt, Kirsten A" uniqKey="Eberhardt K" first="Kirsten A" last="Eberhardt">Kirsten A. Eberhardt</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Tagbor, Harry" sort="Tagbor, Harry" uniqKey="Tagbor H" first="Harry" last="Tagbor">Harry Tagbor</name><affiliation wicri:level="1"><nlm:aff id="I9">Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K" last="Bass">Judith K. Bass</name><affiliation wicri:level="1"><nlm:aff id="I10">Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD</wicri:regionArea><wicri:noRegion>Baltimore MD</wicri:noRegion></affiliation></author><author><name sortKey="N Oran, Eliezer" sort="N Oran, Eliezer" uniqKey="N Oran E" first="Eliezer" last="N Oran">Eliezer N Oran</name><affiliation><nlm:aff id="I11">Research Unit of Parasitology and Parasite Ecology at Unité de Formation et de Recherche en Biosciences, Université de Cocody, Abidjan, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Ehrhardt, Stephan" sort="Ehrhardt, Stephan" uniqKey="Ehrhardt S" first="Stephan" last="Ehrhardt">Stephan Ehrhardt</name><affiliation wicri:level="2"><nlm:aff 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Guo</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Bindt, Carola" sort="Bindt, Carola" uniqKey="Bindt C" first="Carola" last="Bindt">Carola Bindt</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Te Bonle, Marguerite" sort="Te Bonle, Marguerite" uniqKey="Te Bonle M" first="Marguerite" last="Te Bonle">Marguerite Te Bonle</name><affiliation><nlm:aff id="I3">Centre de Guidance Infantile, Institut National de Santé Publique, Abidjan BP V 47, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Appiah Poku, John" sort="Appiah Poku, John" uniqKey="Appiah Poku J" first="John" last="Appiah-Poku">John Appiah-Poku</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Tomori, Cecilia" sort="Tomori, Cecilia" uniqKey="Tomori C" first="Cecilia" last="Tomori">Cecilia Tomori</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Hinz, Rebecca" sort="Hinz, Rebecca" uniqKey="Hinz R" first="Rebecca" last="Hinz">Rebecca Hinz</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Barthel, Dana" sort="Barthel, Dana" uniqKey="Barthel D" first="Dana" last="Barthel">Dana Barthel</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Schoppen, Stefanie" sort="Schoppen, Stefanie" uniqKey="Schoppen S" first="Stefanie" last="Schoppen">Stefanie Schoppen</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Feldt, Torsten" sort="Feldt, Torsten" uniqKey="Feldt T" first="Torsten" last="Feldt">Torsten Feldt</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Barkmann, Claus" sort="Barkmann, Claus" uniqKey="Barkmann C" first="Claus" last="Barkmann">Claus Barkmann</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Koffi, Mathurin" sort="Koffi, Mathurin" uniqKey="Koffi M" first="Mathurin" last="Koffi">Mathurin Koffi</name><affiliation><nlm:aff id="I6">Jean Lorougnon Guede University, Daloa, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Loag, Wibke" sort="Loag, Wibke" uniqKey="Loag W" first="Wibke" last="Loag">Wibke Loag</name><affiliation wicri:level="3"><nlm:aff id="I7">Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Nguah, Samuel Blay" sort="Nguah, Samuel Blay" uniqKey="Nguah S" first="Samuel Blay" last="Nguah">Samuel Blay Nguah</name><affiliation wicri:level="1"><nlm:aff id="I8">Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Eberhardt, Kirsten A" sort="Eberhardt, Kirsten A" uniqKey="Eberhardt K" first="Kirsten A" last="Eberhardt">Kirsten A. Eberhardt</name><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Tagbor, Harry" sort="Tagbor, Harry" uniqKey="Tagbor H" first="Harry" last="Tagbor">Harry Tagbor</name><affiliation wicri:level="1"><nlm:aff id="I9">Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K" last="Bass">Judith K. Bass</name><affiliation wicri:level="1"><nlm:aff id="I10">Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD</wicri:regionArea><wicri:noRegion>Baltimore MD</wicri:noRegion></affiliation></author><author><name sortKey="N Oran, Eliezer" sort="N Oran, Eliezer" uniqKey="N Oran E" first="Eliezer" last="N Oran">Eliezer N Oran</name><affiliation><nlm:aff id="I11">Research Unit of Parasitology and Parasite Ecology at Unité de Formation et de Recherche en Biosciences, Université de Cocody, Abidjan, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Ehrhardt, Stephan" sort="Ehrhardt, Stephan" uniqKey="Ehrhardt S" first="Stephan" last="Ehrhardt">Stephan Ehrhardt</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I5">Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author></analytic><series><title level="j">BMC Psychiatry</title><idno type="eISSN">1471-244X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS.</p></sec><sec><title>Methods</title><p>A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3<sup>rd</sup> trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women’s depression/anxiety and PS adjusting for age, child sex, women’s anemia, education, occupation, spouse’s education, and number of sick child visits.</p></sec><sec><title>Results</title><p>A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d’Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables.</p></sec><sec><title>Conclusions</title><p>Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Psychiatry</journal-id><journal-id journal-id-type="iso-abbrev">BMC Psychiatry</journal-id><journal-title-group><journal-title>BMC Psychiatry</journal-title></journal-title-group><issn pub-type="epub">1471-244X</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24884986</article-id><article-id pub-id-type="pmc">4048600</article-id><article-id pub-id-type="publisher-id">1471-244X-14-156</article-id><article-id pub-id-type="doi">10.1186/1471-244X-14-156</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes" id="A1"><name><surname>Guo</surname><given-names>Nan</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>nguo@jhsph.edu</email></contrib><contrib contrib-type="author" equal-contrib="yes" id="A2"><name><surname>Bindt</surname><given-names>Carola</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>bindt@uke.de</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Te Bonle</surname><given-names>Marguerite</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>mdiawartb@yahoo.fr</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Appiah-Poku</surname><given-names>John</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>jappiahpoku1@yahoo.com</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Tomori</surname><given-names>Cecilia</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>ctomori@jhsph.edu</email></contrib><contrib contrib-type="author" id="A6"><name><surname>Hinz</surname><given-names>Rebecca</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>hinz@bni-hamburg.de</email></contrib><contrib contrib-type="author" id="A7"><name><surname>Barthel</surname><given-names>Dana</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>barthel@bni-hamburg.de</email></contrib><contrib contrib-type="author" id="A8"><name><surname>Schoppen</surname><given-names>Stefanie</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>schoppen@bni-hamburg.de</email></contrib><contrib contrib-type="author" id="A9"><name><surname>Feldt</surname><given-names>Torsten</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>ToFeldt@web.de</email></contrib><contrib contrib-type="author" id="A10"><name><surname>Barkmann</surname><given-names>Claus</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>barkmann@uke.de</email></contrib><contrib contrib-type="author" id="A11"><name><surname>Koffi</surname><given-names>Mathurin</given-names></name><xref ref-type="aff" rid="I6">6</xref><email>m9koffi@yahoo.fr</email></contrib><contrib contrib-type="author" id="A12"><name><surname>Loag</surname><given-names>Wibke</given-names></name><xref ref-type="aff" rid="I7">7</xref><email>loag@bni-hamburg.de</email></contrib><contrib contrib-type="author" id="A13"><name><surname>Nguah</surname><given-names>Samuel Blay</given-names></name><xref ref-type="aff" rid="I8">8</xref><email>sbnguah@gmail.com</email></contrib><contrib contrib-type="author" id="A14"><name><surname>Eberhardt</surname><given-names>Kirsten A</given-names></name><xref ref-type="aff" rid="I5">5</xref><email>kirsten.eberhardt@gmail.com</email></contrib><contrib contrib-type="author" id="A15"><name><surname>Tagbor</surname><given-names>Harry</given-names></name><xref ref-type="aff" rid="I9">9</xref><email>Harry.Tagbor@lshtm.ac.uk</email></contrib><contrib contrib-type="author" id="A16"><name><surname>Bass</surname><given-names>Judith K</given-names></name><xref ref-type="aff" rid="I10">10</xref><email>jbass@jhsph.edu</email></contrib><contrib contrib-type="author" id="A17"><name><surname>N’Goran</surname><given-names>Eliezer</given-names></name><xref ref-type="aff" rid="I11">11</xref><email>eliezerngoran@yahoo.fr</email></contrib><contrib contrib-type="author" corresp="yes" id="A18"><name><surname>Ehrhardt</surname><given-names>Stephan</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I5">5</xref><email>sehrhard@jhsph.edu</email></contrib><on-behalf-of>The International CDS Study Group<xref ref-type="corresp" rid="d33e166"></xref></on-behalf-of></contrib-group><aff id="I1"><label>1</label>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</aff><aff id="I2"><label>2</label>Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany</aff><aff id="I3"><label>3</label>Centre de Guidance Infantile, Institut National de Santé Publique, Abidjan BP V 47, Côte d’Ivoire</aff><aff id="I4"><label>4</label>Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="I5"><label>5</label>Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</aff><aff id="I6"><label>6</label>Jean Lorougnon Guede University, Daloa, Côte d’Ivoire</aff><aff id="I7"><label>7</label>Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany</aff><aff id="I8"><label>8</label>Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana</aff><aff id="I9"><label>9</label>Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><aff id="I10"><label>10</label>Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA</aff><aff id="I11"><label>11</label>Research Unit of Parasitology and Parasite Ecology at Unité de Formation et de Recherche en Biosciences, Université de Cocody, Abidjan, Côte d’Ivoire</aff><author-notes><corresp id="d33e166">The International CDS Study Group</corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>29</day><month>5</month><year>2014</year></pub-date><volume>14</volume><fpage>156</fpage><lpage>156</lpage><history><date date-type="received"><day>28</day><month>1</month><year>2014</year></date><date date-type="accepted"><day>15</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Guo et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Guo et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1471-244X/14/156"></self-uri><abstract><sec><title>Background</title><p>There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS.</p></sec><sec><title>Methods</title><p>A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3<sup>rd</sup> trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women’s depression/anxiety and PS adjusting for age, child sex, women’s anemia, education, occupation, spouse’s education, and number of sick child visits.</p></sec><sec><title>Results</title><p>A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d’Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables.</p></sec><sec><title>Conclusions</title><p>Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. Should our findings be replicated, it appears prudent to design and subsequently evaluate intervention strategies.</p></sec></abstract><kwd-group><kwd>Africa</kwd><kwd>Children</kwd><kwd>Mothers</kwd><kwd>Parenting stress</kwd><kwd>Depression</kwd><kwd>Perinatal</kwd><kwd>Antepartum</kwd><kwd>Post-partum</kwd><kwd>Pregnancy</kwd><kwd>Generalized estimating equation</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Allemagne</li><li>Ghana</li><li>États-Unis</li></country><region><li>Hambourg</li><li>Maryland</li></region><settlement><li>Hambourg</li></settlement></list><tree><noCountry><name sortKey="Koffi, Mathurin" sort="Koffi, Mathurin" uniqKey="Koffi M" first="Mathurin" last="Koffi">Mathurin Koffi</name><name sortKey="N Oran, Eliezer" sort="N Oran, Eliezer" uniqKey="N Oran E" first="Eliezer" last="N Oran">Eliezer N Oran</name><name sortKey="Te Bonle, Marguerite" sort="Te Bonle, Marguerite" uniqKey="Te Bonle M" first="Marguerite" last="Te Bonle">Marguerite Te Bonle</name></noCountry><country name="États-Unis"><region name="Maryland"><name sortKey="Guo, Nan" sort="Guo, Nan" uniqKey="Guo N" first="Nan" last="Guo">Nan Guo</name></region><name sortKey="Bass, Judith K" sort="Bass, Judith K" uniqKey="Bass J" first="Judith K" last="Bass">Judith K. Bass</name><name sortKey="Ehrhardt, Stephan" sort="Ehrhardt, Stephan" uniqKey="Ehrhardt S" first="Stephan" last="Ehrhardt">Stephan Ehrhardt</name><name sortKey="Tomori, Cecilia" sort="Tomori, Cecilia" uniqKey="Tomori C" first="Cecilia" last="Tomori">Cecilia Tomori</name></country><country name="Allemagne"><region name="Hambourg"><name sortKey="Bindt, Carola" sort="Bindt, Carola" uniqKey="Bindt C" first="Carola" last="Bindt">Carola Bindt</name></region><name sortKey="Barkmann, Claus" sort="Barkmann, Claus" uniqKey="Barkmann C" first="Claus" last="Barkmann">Claus Barkmann</name><name sortKey="Barthel, Dana" sort="Barthel, Dana" uniqKey="Barthel D" first="Dana" last="Barthel">Dana Barthel</name><name sortKey="Eberhardt, Kirsten A" sort="Eberhardt, Kirsten A" uniqKey="Eberhardt K" first="Kirsten A" last="Eberhardt">Kirsten A. Eberhardt</name><name sortKey="Ehrhardt, Stephan" sort="Ehrhardt, Stephan" uniqKey="Ehrhardt S" first="Stephan" last="Ehrhardt">Stephan Ehrhardt</name><name sortKey="Feldt, Torsten" sort="Feldt, Torsten" uniqKey="Feldt T" first="Torsten" last="Feldt">Torsten Feldt</name><name sortKey="Hinz, Rebecca" sort="Hinz, Rebecca" uniqKey="Hinz R" first="Rebecca" last="Hinz">Rebecca Hinz</name><name sortKey="Loag, Wibke" sort="Loag, Wibke" uniqKey="Loag W" first="Wibke" last="Loag">Wibke Loag</name><name sortKey="Schoppen, Stefanie" sort="Schoppen, Stefanie" uniqKey="Schoppen S" first="Stefanie" last="Schoppen">Stefanie Schoppen</name></country><country name="Ghana"><noRegion><name sortKey="Appiah Poku, John" sort="Appiah Poku, John" uniqKey="Appiah Poku J" first="John" last="Appiah-Poku">John Appiah-Poku</name></noRegion><name sortKey="Nguah, Samuel Blay" sort="Nguah, Samuel Blay" uniqKey="Nguah S" first="Samuel Blay" last="Nguah">Samuel Blay Nguah</name><name sortKey="Tagbor, Harry" sort="Tagbor, Harry" uniqKey="Tagbor H" first="Harry" last="Tagbor">Harry Tagbor</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Mental health related determinants of parenting stress among urban mothers of young children – results from a birth-cohort study in Ghana and Côte d’Ivoire
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:24884986" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
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