ArticleJournal of affective disorders2014
Predictors of psychological distress among postnatal mothers in rural Nepal: a cross-sectional community-based study.
Article in Journal of affective disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Risk factors of perinatal depression in women: a systematic review and meta-analysis.BMC psychiatry · 2022Pooled it
- Mental health of adolescents associated with sexual and reproductive outcomes: a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- Raising multiples: mental health of mothers and fathers in early parenthood.Archives of women's mental health · 2015Pooled it
- Determining factors for the prevalence of depressive symptoms among postpartum mothers in lowland region in southern Nepal.PloS one · 2021Trial
- Daughters-in-law and mothers-in-law in lowland rural Nepal: The balance of power and health outcomes.Evolution, medicine, and public health · 2026Article
- Investigating mental health disparities in rural sexual and gender minority adults: protocol for the rural exploration and approaches to LGBTQ + Mental Health (REALM) prospective cohort study.BMC public health · 2025Article
- Feasibility, acceptability and preliminary effectiveness of a culturally adapted nonspecialist delivery Problem-Solving Therapy: Friendship Bench Intervention for perinatal psychological distress in Sierra Leone.Global mental health (Cambridge, England) · 2025Article
- Is the mental health of couples with twins more at risk? Results from an Italian cohort study.Frontiers in psychiatry · 2024Article
- Association between the person-centered maternity care experience and mental health after delivery in urban and rural Dhading, Nepal: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- The burden of mental disorders in Nepal between 1990 and 2019: Findings from the Global Burden of Disease Study 2019.Global mental health (Cambridge, England) · 2023Article
- Maternal mental health and economic autonomy in lowland rural Nepal: Do parents-in-law provide constraint or support?Evolution, medicine, and public health · 2023Article
- Maternal mental health and infant and young child undernutrition: protocol for a systematic review.BMJ open · 2021Article
- Prevalence and Factors Associated with Postpartum Depression in Primary Healthcare Centres in Yangon, Myanmar.The Malaysian journal of medical sciences : MJMS · 2021Article
- Psychological Distress among Caregivers of Children with Neurodevelopmental Disorders in Nepal.International journal of environmental research and public health · 2021Article
- Postpartum Depression and Quality of Life: A Path Analysis.The Yale journal of biology and medicine · 2021Article
- Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.PloS one · 2021Article
- Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition.Public health nutrition · 2020Article
- Factors Associated with Postpartum Depressive Symptoms in Community of Central Nepal.Psychiatry journal · 2020Article
- Psychological morbidity in Nepali cross-border migrants in India: a community based cross-sectional study.BMC public health · 2019Article
- Food insecurity, mental distress and suicidal ideation in rural Africa: Evidence from Nigeria, Uganda and Ghana.The International journal of social psychiatry · 2019Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundPerinatal common mental disorders are a major cause of disability among women and have consequences for children's growth and development. We aimed to identify factors associated with psychological distress, a proxy for common mental disorders, among mothers in rural Dhanusha, Nepal.
methodsWe used data from 9078 mothers who were screened for distress using the 12-item General Health Questionnaire (GHQ-12) around six weeks after delivery. We assessed the association between GHQ-12 score and socioeconomic, gender-based, cultural and reproductive health factors using a hierarchical analytical framework and multilevel linear regression models.
resultsUsing a threshold GHQ-12 score of ≥6 to indicate caseness, the prevalence of distress was 9.8% (886/9078). Factors that predicted distress were severe food insecurity (β 2.21 (95% confidence interval 1.43, 3.40)), having a multiple birth (2.28 (1.27, 4.10)), caesarean section (1.70 (0.29, 2.24)), perinatal health problems (1.58 (1.23, 2.02)), no schooling (1.37 (1.08, 1.73)), fewer assets (1.33 (1.10, 1.60)), five or more children (1.33 (1.09, 1.61)), poor or no antenatal care (1.31 (1.15, 1.48) p<0.001), having never had a son (1.31 (1.14, 1.49)), not staying in the parental home in the postnatal period (1.15 (1.02, 1.30)), having a husband with no schooling (1.17 (0.96, 1.43)) and lower maternal age (0.99 (0.97, 1.00)). LIMITATIONS: The study was cross-sectional and we were therefore unable to infer causality. Because data were not collected for some established predictors, including infant death, domestic violence and history of mental illness, we could not assess their associations with distress.
conclusionsSocioeconomic disadvantage, gender inequality and poor reproductive health predict distress among mothers in Dhanusha. Maternal and child health programmes, as well as poverty-alleviation and educational interventions, may be beneficial for maternal mental health.
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