Evidence map›Paper›PMID 36468464›Full record

ArticleWomen's health (London, England)

Mother-in-law childcare and perinatal depression in rural Pakistan.

Esther O Chung, Ashley Hagaman, Amina Bibi, Allison Frost, Sarah C Haight, Siham Sikander, Joanna Maselko

Open access · goldAbstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Esther O ChungEpidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-2866-949X
Ashley HagamanDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
Amina BibiGlobal Institute of Human Development, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Allison FrostCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sarah C HaightEpidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Siham SikanderGlobal Institute of Human Development, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Joanna MaselkoEpidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USShifa Tameer-e-Millat University · PKUniversity of Liverpool · GBYale University · US

Funding

POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Impact of Perinatal Depression treatment on child developmental outcomesR01HD075875 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MASELKO, JOANNA · 2014 to 2024
$5.2M
Training Program in Reproductive, Perinatal, and Pediatric EpidemiologyT32HD052468 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Julie L Daniels · 2008 to 2026
$3.8M
South Asian Hub for Advocacy, Research & Education on Mental Health (SHARE)U19MH095687 · NIMH · LONDON SCH/HYGIENE & TROPICAL MEDICINE · PI PATEL, VIKRAM H, RAHMAN, ATIF · 2011 to 2015
$2.9M
Opportunities for suicide prevention integration into task-shifted mental health interventions in low-resourced contextsK01MH125142 · NIMH · YALE UNIVERSITY · PI HAGAMAN, ASHLEY K · 2021 to 2025
$964k
NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD075875NICHD NIH HHS T32 HD007168NICHD NIH HHS T32 HD052468NIMH NIH HHS K01 MH125142NIMH NIH HHS U19 MH095687
6 · The paper itself

Abstract

backgroundMothers-in-law often provide key childcare support to daughters-in-law during the perinatal period that may enhance maternal mental health. Yet, poor mother-in-law/daughter-in-law relationships may be associated with maternal depression. The extent to which mother-in-law childcare involvement affects perinatal depression may differ across contexts of family conflict.

objectiveWe explored the relationship between mother-in-law childcare and daughter-in-law perinatal depression in rural Pakistan across contexts of family conflict.

methodsData on 783 women came from the Bachpan Cohort, a birth cohort in Pakistan. Maternally-reported mother-in-law childcare was assessed at 3 and 12 months postpartum using a 24-h recall and categorized into no, low, and high involvement. Major depression was captured at 3 and 12 months using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders IV. Family conflict was captured using three items from the Life Events Checklist. Log-Poisson models were used to estimate cross-sectional associations between mother-in-law childcare and perinatal depression, stratified by family conflict.

resultsMother-in-law childcare was common in the first year postpartum. The association between mother-in-law childcare and perinatal depression differed by the presence of family conflict and postpartum timing. At 3 months postpartum, low and high mother-in-law childcare (vs no involvement) were associated with a lower prevalence of depression regardless of family conflict. At 12 months postpartum, among families with no conflict, low mother-in-law childcare (vs no involvement) was associated with lower perinatal depression; however, among families with conflict, high mother-in-law childcare was associated with increased perinatal depression.

conclusionOur findings highlight the complexities of associations between mother-in-law childcare support and perinatal depression in the first year after birth. Mother-in-law childcare in the immediate postpartum period was beneficial for mothers. Understanding the source, amount, timing, and context of social support is necessary to inform research and interventions that aim to improve maternal mental health.

Indexed as

Child CareMothersChildCross-Sectional StudiesDepressionFemaleHumansPakistanPregnancychild carefamily conflictintergenerational relationsmaternal mental healthmother-in-lawPakistanperinatal depressionsocial support

Identifiers

PMID36468464
PMCPMC9726850
OpenAlexW4311501180

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.