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More Than the Baby Blues Effects of Depression on Pregnant and Post-Partum Women and the Mother-Infant-Child Relationship
CORE Group Panel ,[object Object],[object Object],[object Object],[object Object],[object Object]
Maternal Depression: Introduction ,[object Object],[object Object],[object Object],[object Object]
Maternal Depression: Current Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Understanding Post-partum Depression (PPD) ,[object Object],[object Object]
Prevalence ,[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object]
Etiology- Relationship of Abuse ,[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect on the Mother-Infant-Child Relationship and Impact on Growth and Development ,[object Object],[object Object]
Effect of Depression on the Mother ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of Depression on the Infant ,[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of Maternal Depression on the Young Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of Maternal Depression on Child Nutrition ,[object Object],[object Object],[object Object]
Association between maternal MD and child undernutrition ** p<0.05; *p<0.01  Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3  and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam;  2 IFPRI, New Delhi, India;  3 IFPRI, Washington, DC.  Poster presentation at the Experimental Biology conference  in 2011
Association between maternal MD and IYCF practices Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3  and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam;  2 IFPRI, New Delhi, India;  3 IFPRI, Washington, DC.  Poster presentation at the Experimental Biology conference  in 2011
Coefficients for associations between  high maternal MD and child undernutrition (multivariate regression analysis) Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3  and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam;  2 IFPRI, New Delhi, India;  3 IFPRI, Washington, DC.  Poster presentation at the Experimental Biology conference  in 2011
MD Research Conclusions ,[object Object],[object Object],[object Object],Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3  and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam;  2 IFPRI, New Delhi, India;  3 IFPRI, Washington, DC.  Poster presentation at the Experimental Biology conference  in 2011
Example of Program Implementation ,[object Object],Janine Schooley, MPH Sr. Vice President for Programs Health   Education   Action for Latinas
What is HEAL?   Health Education Action for Latinas A Guide A Curriculum A Discussion  What are the roles a woman plays in her life, family, community, work, church, etc.?
HEAL’s History   ,[object Object],[object Object],[object Object]
Group setting Guided discussion around specific topics Time set aside for women to reflect & dialogue A program that builds self esteem Educational, psychological, reflexive  Gender-specific How does HEAL work?
Screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Edinburgh Postnatal Depression Scale (EPDS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],QUESTIONS 1, 2, & 4 (without an *) Are scored 0, 1, 2 or 3 with top box scored as 0 and the bottom box scored as 3. QUESTIONS 3, 5-10 (marked with an *) Are reverse scored with the top box scored as a 3 and the bottom box scored as 0. Maximum score: 30 Possible Depression: 10 or greater Always look at item 10 (suicidal thoughts)
PRIME-MD Patient Health Questionnaire- PHQ-9 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depression screenings 2007-2010 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Support Groups ,[object Object],[object Object],[object Object]
6 Weekly Sessions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where to Go? Discuss community resources and referrals ,[object Object],[object Object],[object Object]
Barriers ,[object Object],[object Object],[object Object]
Outcomes General Latina women:  Improved depression scores by 40% Pregnant women:  Improved depression scores by 60%
[object Object]
Buzz Group Sessions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Feedback from Buzz Groups
Thank You

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More than baby blues_Senefeld, Reider, Schooley_10.13.11

  • 1. More Than the Baby Blues Effects of Depression on Pregnant and Post-Partum Women and the Mother-Infant-Child Relationship
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  • 17. Association between maternal MD and child undernutrition ** p<0.05; *p<0.01 Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
  • 18. Association between maternal MD and IYCF practices Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
  • 19. Coefficients for associations between high maternal MD and child undernutrition (multivariate regression analysis) Maternal mental distress is associated with child feeding practices and anthropometry in Vietnam Phuong H. Nguyen 1 , Purnima Menon 2 , Rawat Rahul 3 and Marie T. Ruel 3 1 International Food Policy Research Institute (IFPRI), Hanoi, Viet Nam; 2 IFPRI, New Delhi, India; 3 IFPRI, Washington, DC. Poster presentation at the Experimental Biology conference in 2011
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  • 22. What is HEAL? Health Education Action for Latinas A Guide A Curriculum A Discussion What are the roles a woman plays in her life, family, community, work, church, etc.?
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  • 24. Group setting Guided discussion around specific topics Time set aside for women to reflect & dialogue A program that builds self esteem Educational, psychological, reflexive Gender-specific How does HEAL work?
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  • 36. Outcomes General Latina women: Improved depression scores by 40% Pregnant women: Improved depression scores by 60%
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Notes de l'éditeur

  1. The prevalence of stunting (16.8%), underweight (13.2%) and wasting (4.8%) among children was low; nearly a third of mothers (33.2%) had high MD scores. The mean age of mothers was 29 years, and average maternal education was 9 years. More than 20% of household had moderate or severe food insecurity. In bivariate analyses, the prevalence of stunting, underweight and wasting was significantly higher among mothers with a high MD score. However, the significant association only remained for underweight after controlling for child, maternal, and HH level confounders
  2. Mothers with a high MD score have a lower rate of optimal infant and young child feeding. Multivariate models confirm these results and the statistical significance of associations remain for early initiation of breastfeeding and achieving a minimum acceptable diet.
  3. High maternal MD was associated with lower child WAZ (-0.11, 95% CI: -0.18, -0.04) and WHZ (-0.13, 95% CI: -0.19, -0.07) after controlling for several confounding factors (child level, maternal level and household level) and adjusting for sample clustering