A structural equation modelling of the buffering effect of social support on the report of common mental disorders in Zimbabwean women in the postnatal period.

Tanaka Kaseke, James January, Catherine Tadyanemhandu, Matthew Chiwaridzo, Jermaine M Dambi

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Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Tanaka KasekeDepartment of Rehabilitation, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe.ORCID http://orcid.org/0000-0002-9605-9060

James JanuaryDepartment of Community Medicine, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe.ORCID http://orcid.org/0000-0001-8074-9940

Catherine TadyanemhanduDepartment of Rehabilitation, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe.ORCID http://orcid.org/0000-0003-1610-3699

Matthew ChiwaridzoDepartment of Rehabilitation, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe.ORCID http://orcid.org/0000-0003-4470-9604

Jermaine M DambiDepartment of Rehabilitation, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe. jermainedambi@gmail.com.ORCID http://orcid.org/0000-0002-2446-7903

Funding

Wellcome Trust

6 · The paper itself

Abstract

objectiveGlobally, 13-20% of women experience a common mental disorder (CMD) postnatally. Unfortunately, the burden of CMDs is disproportionally substantial in women from low-income countries. Nevertheless, there is a growing recognition of the buffering effect of social support (SS) on psychiatric morbidity and the need for mental well-being support services/interventions. This study evaluated the relationship between psychiatric morbidity and SS levels, and factors influencing the mental health functioning of Zimbabwean women postnatally. Data were collected from 340 mothers and were analysed through structural equation modelling.

resultsThe mothers' mean age was 26.6 (SD 5.6) years. The mean Multidimensional Scale of Perceived Social Support score was 42.7 (SD 10.8), denoting high levels of SS. Additionally, 29.1% of the population reported excessive psychiatric morbidity, the median Shona Symptoms Questionnaire score was 5 (IQR: 2-8). The structural equation model demonstrated the buffering effects of SS on psychiatric morbidity (r = - 0.585, p = 0.01), and accounted for 70% of the variance. Being unmarried, increased maternal age, lower educational and income levels were associated with poorer maternal mental health. There is a need for routine; surveillance and treatment of CMDs in women in the postnatal period, including integration of low-cost, evidenced-based and task-shifting SS interventions.

Indexed as

Models, TheoreticalSocial SupportUrban PopulationAdolescentAdultCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMental DisordersPatient Acceptance of Health CarePuerperal DisordersYoung AdultZimbabweMental healthPostnatalSocial supportWomenZimbabwe

Identifiers

PMID30819242

DOI10.1186/s13104-019-4151-1

PMCPMC6394011

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