Cohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan

BMJ Open. 2019 May 5;9(5):e025644. doi: 10.1136/bmjopen-2018-025644.

Abstract

Purpose: This is a prospective pregnancy-birth cohort designed to investigate the effects of depression on socioemotional development of children. Perinatal depression is a risk factor for poor child development and for many it has a recurring chronic course. Thus, the exposure to depression can continue through the early years of the child with detrimental developmental outcomes.

Participants: Between October 2014 and February 2016, we recruited 1154 pregnant women from a rural subdistrict of Pakistan. Data include longitudinal and repeated measures of maternal psychosocial measures and child growth, cognitive and socioemotional measures. Follow-up include mother-child dyad assessments at 3rd, 6th, 12th, 24th and 36th months of child age. All these follow-ups are community based at the household level. We have competed baseline assessment.

Findings to date: Of the eligible dyads, we followed 885 (76.6%), 929 (91%) and 940 (93.3%) at 3, 6 and 12 months post-childbirth. We include a subsample mother-child dyad DNA and inflammatory biomarkers, 73 and 104, respectively.

Future plans: While we continue to do 24-month and 36-month follow-up assessments, we plan to follow these mother-child dyads up to the age of 7-8 years with some children being exposed to at least 1 year of school environment. Investigators interested in learning more about the study can contact (jmaselko@unc.edu) and (siham.sikander@hdrfoundation.org).

Keywords: child socio-emotional development; cohort profile; lmic; maternal depression trajectories; perinatal depression; rural pakistan.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Child
  • Child Development / physiology*
  • Child, Preschool
  • Depression, Postpartum / complications
  • Depression, Postpartum / psychology*
  • Depression, Postpartum / therapy
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Longitudinal Studies
  • Male
  • Maternal-Child Health Services*
  • Mother-Child Relations / psychology*
  • Mothers / psychology*
  • Pakistan / epidemiology
  • Pregnancy
  • Rural Population