Trajectories of maternal ante- and postpartum depressive symptoms and their association with child- and mother-related characteristics in a West African birth cohort study

Dana Barthel, Levente Kriston, Daniel Fordjour, Yasmin Mohammed, Esther Doris Kra-Yao, Carine Esther Bony Kotchi, Ekissi Jean Koffi Armel, Kirsten Alexandra Eberhardt, Torsten Feldt, Rebecca Hinz, Koffi Mathurin, Stefanie Schoppen, Carola Bindt, Stephan Ehrhardt and on behalf of the International CDS Study Group

PLOS ONE, 2017, vol. 12, issue 11, 1-16

Abstract: Background: The vast majority of research on mental health has been undertaken in high income countries. This study aimed at investigating the long-term course of maternal depressive symptoms and its association with various mother- and child-related characteristics in two West African lower middle income countries with focus on the relationship with long-term anxiety symptoms. Methods: In the Child Development Study, a prospective birth cohort study in Côte d’Ivoire and Ghana, the 9-item Patient Health Questionnaire (PHQ-9) was answered by N = 776 women 3 months antepartum, and 3, 12, and 24 months postpartum between April 2010 and March 2014. Growth mixture modeling was used to identify distinct trajectories of depressive symptoms. Several psychosocial, obstetric, and sociodemographic characteristics were assessed and multinomial regression analysis was performed to investigate the influence of these variables on the different depression trajectories. Results: We found three distinct classes of depressive symptoms that were characterized by an asymptomatic trajectory (91.5%), by recurrent risk (4.3%) and by postnatal risk (4.3%). The longitudinal course of depressive symptoms was strongly associated with anxiety symptoms (χ2 = 258.54, df = 6, p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0187267

DOI: 10.1371/journal.pone.0187267

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