Asmita Sharma, Yograj Sharma, Asha Thapa, Nilamadhab Kar
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引用次数: 0
Abstract
Background: Maternal mental health may influence the nutritional status of their children. It was intended to assess the mental health status of the mothers of children admitted to a nutrition rehabilitation center. We specifically explored the relationship between maternal mental health and malnutrition of the child; to observe any change of maternal depressive/anxiety symptoms and weight gain in the child following admission.
Methods: In a prospective observational study, malnutrition of children was assessed based on weight for height z scores using the WHO Anthro-Survey-Analyser. We evaluated anxiety using the Generalized Anxiety Disorder Scale (GAD-7) and depression by Patient Health Questionnaire (PHQ-9). Demographic and clinical variables were collected.
Results: The degree of malnutrition of the children at admission and discharge was: mild (3.6% v 31.7%), moderate (37.7% v 26.3%), severe (58.7% v 8.4%), and no malnutrition (0.0% v 33.5%) (p<0.001). At admission, 12% of mothers had anxiety, depression, or both, which decreased to 3.0% at the time of discharge. There was no difference in malnutrition scores among children of mothers with or without anxiety/depression at admission or discharge, except that children of depressed mothers continued to have significantly greater levels of malnutrition at discharge compared with the mothers without depression. Maternal anxiety or depression was not associated with the severity of malnutrition.
Conclusions: A proportion of mothers of children with malnutrition had clinical anxiety and depression; and maternal mental health concerns, especially depression may influence the nutrition of children. It is imperative to explore maternal mental health routinely for malnourished children.
背景:母亲的心理健康可能会影响其子女的营养状况。本研究旨在评估营养康复中心儿童母亲的心理健康状况。我们特别探讨了母亲心理健康与儿童营养不良之间的关系;观察入院后母亲抑郁/焦虑症状和儿童体重增加的任何变化:在一项前瞻性观察研究中,我们使用世界卫生组织人类调查分析仪(Anthro-Survey-Analyser)根据身高体重 Z 值评估了儿童的营养不良情况。我们使用广泛性焦虑症量表(GAD-7)评估焦虑症,使用患者健康问卷(PHQ-9)评估抑郁症。我们还收集了人口统计学和临床变量:入院和出院时儿童的营养不良程度分别为:轻度(3.6% v 31.7%)、中度(37.7% v 26.3%)、重度(58.7% v 8.4%)和无营养不良(0.0% v 33.5%)(p结论:有一部分营养不良儿童的母亲患有焦虑症:一部分营养不良儿童的母亲患有临床焦虑症和抑郁症;母亲的心理健康问题,尤其是抑郁症可能会影响儿童的营养。当务之急是对营养不良儿童的母亲心理健康进行常规调查。
期刊介绍:
The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.