Cited by 458Maternal Mental Health During Pregnancy and PostpartumChild Nutrition and Water AccessGlobal Maternal and Child Health

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Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis

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Surkan, Pamela J, Kennedy, Caitlin E, Hurley, Kristen M, Black, Maureen M·2011·Bulletin of the World Health Organization

DOI 10.2471/blt.11.088187PMC PMC3150769

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Abstract

OBJECTIVE: To investigate the relationship between maternal depression and child growth in developing countries through a systematic literature review and meta-analysis. METHODS: Six databases were searched for studies from developing countries on maternal depression and child growth published up until 2010. Standard meta-analytical methods were followed and pooled odds ratios (ORs) for underweight and stunting in the children of depressed mothers were calculated using random effects models for all studies and for subsets of studies that met strict criteria on study design, exposure to maternal depression and outcome variables. The population attributable risk (PAR) was estimated for selected studies. FINDINGS: Seventeen studies including a total of 13,923 mother and child pairs from 11 countries met inclusion criteria. The children of mothers with depression or depressive symptoms were more likely to be underweight (OR: 1.5; 95% confidence interval, CI: 1.2-1.8) or stunted (OR: 1.4; 95% CI: 1.2-1.7). Subanalysis of three longitudinal studies showed a stronger effect: the OR for underweight was 2.2 (95% CI: 1.5-3.2) and for stunting, 2.0 (95% CI: 1.0-3.9). The PAR for selected studies indicated that if the infant population were entirely unexposed to maternal depressive symptoms 23% to 29% fewer children would be underweight or stunted. CONCLUSION: Maternal depression was associated with early childhood underweight and stunting. Rigorous prospective studies are needed to identify mechanisms and causes. Early identification, treatment and prevention of maternal depression may help reduce child stunting and underweight in developing countries.

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Authors: Surkan, P. J., Kennedy, C. E., Hurley, K. M., & Black, M. M.
Affiliations: Johns Hopkins University (US)
University of Maryland, Baltimore (US)
ORCID: Surkan, Pamela J
Kennedy, Caitlin E
Hurley, Kristen M
Black, Maureen M
Venue: Bulletin of the World Health Organization
Publisher: WHO Press
Published: 2011-05-26
Volume: 89
Issue: 8
Pages: 608-615E
ISSN: 0042-9686 (ISSN-L)
DOI: 10.2471/blt.11.088187
PMC: PMC3150769
OpenAlex: W2110270352
Cited by: 458
References: 59
Citations by year: 2026: 18 · 2025: 30 · 2024: 21 · 2023: 33 · 2022: 29 · 2021: 50 · 2020: 36 · 2019: 36 · 2018: 34 · 2017: 39 · 2016: 35 · 2015: 28 · 2014: 28 · 2013: 22 · 2012: 15
FWCI: 3.40
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by
Locations: Bulletin of the World Health Organization (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords: maternal depression, child growth, underweight children, child stunting, early childhood, developing countries, population attributable risk, maternal depressive symptoms, child malnutrition
MeSH terms: Child Development, Child, Preschool, Depression, Developing Countries, Female, Humans, Mother-Child Relations, Mothers

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Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis

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