A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.

The association between perinatal depression and infant cognitive development has been well documented in research based in high-income contexts, but the literature regarding the same relationship in low and middle-income countries (LMICs) is less developed. The aim of this study is to systematicall...

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Main Authors: Matthew Bluett-Duncan, M Thomas Kishore, Divya M Patil, Veena A Satyanarayana, Helen Sharp
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0253790
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author Matthew Bluett-Duncan
M Thomas Kishore
Divya M Patil
Veena A Satyanarayana
Helen Sharp
author_facet Matthew Bluett-Duncan
M Thomas Kishore
Divya M Patil
Veena A Satyanarayana
Helen Sharp
author_sort Matthew Bluett-Duncan
collection DOAJ
description The association between perinatal depression and infant cognitive development has been well documented in research based in high-income contexts, but the literature regarding the same relationship in low and middle-income countries (LMICs) is less developed. The aim of this study is to systematically review what is known in this area in order to inform priorities for early intervention and future research in LMICs. The review protocol was pre-registered on Prospero (CRD42018108589) and relevant electronic databases were searched using a consistent set of keywords and 1473 articles were screened against the eligibility criteria. Sixteen articles were included in the review, seven focusing on the antenatal period, eight on the postnatal period, and one which included both. Five out of eight studies found a significant association between antenatal depression (d = .21-.93) and infant cognitive development, while four out of nine studies found a significant association with postnatal depression (d = .17-.47). Although the evidence suggests that LMICs should prioritise antenatal mental health care, many of the studies did not adequately isolate the effects of depression in each period. Furthermore, very few studies explored more complex interactions that may exist between perinatal depression and other relevant factors. More high-quality studies are needed in LMIC settings, driven by current theory, that test main effects and examine moderating or mediating pathways to cognitive development.
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spelling doaj.art-df0fb260ccb24c8881f18bc8c3adc1872023-04-07T05:31:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01166e025379010.1371/journal.pone.0253790A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.Matthew Bluett-DuncanM Thomas KishoreDivya M PatilVeena A SatyanarayanaHelen SharpThe association between perinatal depression and infant cognitive development has been well documented in research based in high-income contexts, but the literature regarding the same relationship in low and middle-income countries (LMICs) is less developed. The aim of this study is to systematically review what is known in this area in order to inform priorities for early intervention and future research in LMICs. The review protocol was pre-registered on Prospero (CRD42018108589) and relevant electronic databases were searched using a consistent set of keywords and 1473 articles were screened against the eligibility criteria. Sixteen articles were included in the review, seven focusing on the antenatal period, eight on the postnatal period, and one which included both. Five out of eight studies found a significant association between antenatal depression (d = .21-.93) and infant cognitive development, while four out of nine studies found a significant association with postnatal depression (d = .17-.47). Although the evidence suggests that LMICs should prioritise antenatal mental health care, many of the studies did not adequately isolate the effects of depression in each period. Furthermore, very few studies explored more complex interactions that may exist between perinatal depression and other relevant factors. More high-quality studies are needed in LMIC settings, driven by current theory, that test main effects and examine moderating or mediating pathways to cognitive development.https://doi.org/10.1371/journal.pone.0253790
spellingShingle Matthew Bluett-Duncan
M Thomas Kishore
Divya M Patil
Veena A Satyanarayana
Helen Sharp
A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
PLoS ONE
title A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
title_full A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
title_fullStr A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
title_full_unstemmed A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
title_short A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
title_sort systematic review of the association between perinatal depression and cognitive development in infancy in low and middle income countries
url https://doi.org/10.1371/journal.pone.0253790
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