{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:42:49Z","timestamp":1788871369839,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,7,4]],"date-time":"2014-07-04T00:00:00Z","timestamp":1404432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004441","name":"Styrelsen f\u00f6r Internationellt Utvecklingssamarbete","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004441","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2015,5]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n Maternal depression is associated with poor child development and growth in low\u2010income countries. This paper evaluates the effect of a community\u2010based trial providing psychosocial stimulation and food supplements to severely malnourished children on maternal depressive symptoms in\n B<\/jats:styled-content>\n angladesh.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Severely underweight (weight\u2010for\u2010age\n Z<\/jats:italic>\n \u2010score < \u22123) hospitalized children aged 6\u201324 months (\n n<\/jats:italic>\n = 507), were randomly assigned to: psychosocial stimulation (\n PS<\/jats:styled-content>\n ), food supplementation (\n FS<\/jats:styled-content>\n ),\n PS<\/jats:styled-content>\n +\n FS<\/jats:styled-content>\n , clinic control (\n CC<\/jats:styled-content>\n ) and hospital control (\n CH<\/jats:styled-content>\n ) at discharge.\n PS<\/jats:styled-content>\n included play sessions with children and parental counselling to mothers during fortnightly follow\u2010up visit at community clinics, conducted by trained play leaders for 6 months.\n FS<\/jats:styled-content>\n involved cereal\u2010based supplements (150\u2013300\u2009kcal\/day) for 3 months. All groups received medical care, micronutrient supplements and growth monitoring. We used\n B<\/jats:styled-content>\n ayley scales,\n H<\/jats:styled-content>\n ome\n O<\/jats:styled-content>\n bservation for\n M<\/jats:styled-content>\n easurement of\n E<\/jats:styled-content>\n nvironment (\n HOME<\/jats:styled-content>\n ) inventory and a parenting questionnaire to assess child development, home stimulation and mothers' child\u2010rearing practices, respectively. We assessed mothers' depressive symptoms using a modified version of\n C<\/jats:styled-content>\n entre for\n E<\/jats:styled-content>\n pidemiologic\n S<\/jats:styled-content>\n tudies\n D<\/jats:styled-content>\n epression\n S<\/jats:styled-content>\n cale at baseline and at 6 months post intervention.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Maternal depressive symptoms were significantly lower in the\n CH<\/jats:styled-content>\n group at baseline (\n P<\/jats:italic>\n = 0.014). After 6 months of intervention there was no significant effect of intervention after adjusting for baseline scores and all possible confounders. Maternal depressive symptoms were higher among poorer (\n P<\/jats:italic>\n = 0.06), older (\n P<\/jats:italic>\n = 0.057) and less educated (\n P<\/jats:italic>\n = 0.019) mothers, who were housewives (\n P<\/jats:italic>\n = 0.053), and whose husbands had more unstable jobs (\n P<\/jats:italic>\n = 0.058). At 6 months post intervention, children's cognitive (\n P<\/jats:italic>\n = 0.045) and motor (\n P<\/jats:italic>\n = 0.075) development,\n HOME<\/jats:styled-content>\n (\n P<\/jats:italic>\n = 0.012) and mother's parenting score (\n P<\/jats:italic>\n = 0.057) were higher among mothers with lower depressive symptoms.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The study did not show a significant effect of the intervention on the level of maternal depressive symptoms. Interventions with higher intensity and\/or of longer duration focusing directly on maternal psychosocial functioning are probably needed to reduce maternal depressive symptoms.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/cch.12176","type":"journal-article","created":{"date-parts":[[2014,7,4]],"date-time":"2014-07-04T10:58:52Z","timestamp":1404471532000},"page":"483-493","source":"Crossref","is-referenced-by-count":25,"title":["Effect of a food supplementation and psychosocial stimulation trial for severely malnourished children on the level of maternal depressive symptoms in\n B<\/scp>\n angladesh"],"prefix":"10.1111","volume":"41","author":[{"given":"B.","family":"Nahar","sequence":"first","affiliation":[{"name":"Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b) Dhaka Bangladesh"},{"name":"International Maternal and Child Health (IMCH), Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Hossain","sequence":"additional","affiliation":[{"name":"Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b) Dhaka Bangladesh"},{"name":"James P. Grant School of Public Health BRAC University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. D.","family":"Hamadani","sequence":"additional","affiliation":[{"name":"Centre for Child and Adolescent Health (CCAH), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b) Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b) Dhaka Bangladesh"},{"name":"James P. Grant School of Public Health BRAC University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Grantham\u2010McGregor","sequence":"additional","affiliation":[{"name":"Centre for International Health and Development (CIHD), Institute of Child Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.\u2010A.","family":"Persson","sequence":"additional","affiliation":[{"name":"International Maternal and Child Health (IMCH), Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1176\/appi.psychotherapy.2003.57.3.324","article-title":"The effectiveness of counseling on anxiety and depression by minimally trained counselors: a randomized controlled trial","volume":"57","author":"Ali B. 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