{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:25:58Z","timestamp":1765758358222},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,11,14]],"date-time":"2013-11-14T00:00:00Z","timestamp":1384387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University of Manchester, Manchester, UK"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In a previous study we found a very high prevalence of psychological distress in mothers of children admitted to a nutritional rehabilitation unit (<jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>alawi, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frica. The objective of this study was to compare the prevalence and severity of maternal distress within the <jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content> with that in other paediatric wards. Given the known association between poor maternal psychological well\u2010being and child undernutrition in low\u2010 and middle\u2010income countries, we hypothesised that distress would be higher among <jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content> mothers. Mothers of consecutive paediatric inpatients in a <jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content>, a high\u2010dependency (and research) unit and an oncology ward were assessed for psychological distress using the <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>elf\u2010<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>eporting <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">SRQ<\/jats:styled-content>). Two hundred sixty\u2010eight mothers were interviewed (90.3% of eligible). The prevalence of <jats:styled-content style=\"fixed-case\">SRQ<\/jats:styled-content> score \u22658 was 35\/150 {23.3% [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 16.8\u2013 30.9%]} on the <jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content>, 13\/84 [15.5% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 8.5\u201325.0%)] on the high\u2010dependency unit and 7\/34 [20.6% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 8.7\u201337.9%)] on the oncology ward (\u03c7<jats:sup>2<\/jats:sup>\u2009=\u20092.04, <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.36). In linear regression analysis, the correlates of higher <jats:styled-content style=\"fixed-case\">SRQ<\/jats:styled-content> score were child diarrhoea on admission, child diagnosed with tuberculosis, and maternal experience of abuse by partner; child height\u2010for\u2010age <jats:italic>z<\/jats:italic>\u2010score fell only just outside significance (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.05). In summary, we found no evidence of greater maternal distress among the mothers of severely malnourished children within the <jats:styled-content style=\"fixed-case\">NRU<\/jats:styled-content> compared with mothers of paediatric inpatients with other severe illnesses. However, in support of previous research findings, we found some evidence that poor maternal psychological well\u2010being is associated with child stunting and diarrhoea.<\/jats:p>","DOI":"10.1111\/mcn.12091","type":"journal-article","created":{"date-parts":[[2013,11,14]],"date-time":"2013-11-14T06:52:44Z","timestamp":1384411964000},"page":"915-925","source":"Crossref","is-referenced-by-count":5,"title":["Psychological distress in mothers of children admitted to a nutritional rehabilitation unit in <scp>M<\/scp>alawi \u2013 a comparison with other paediatric wards"],"prefix":"10.1111","volume":"11","author":[{"given":"Sarah","family":"Colman","sequence":"first","affiliation":[{"name":"College of Medical and Dental Sciences University of Birmingham  Birmingham West Midlands UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C","family":"Stewart","sequence":"additional","affiliation":[{"name":"Institute of Brain, Behaviour and Mental Health University of Manchester  Manchester UK"},{"name":"Department of Mental Health College of Medicine University of Malawi  Blantyre Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"MacArthur","sequence":"additional","affiliation":[{"name":"School of Health and Population Sciences University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health College of Medicine University of Malawi  Blantyre Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Tomenson","sequence":"additional","affiliation":[{"name":"Biostatistics Unit Institute of Public Health University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Creed","sequence":"additional","affiliation":[{"name":"Institute of Brain, Behaviour and Mental Health University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,11,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.09.013"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7549.1080"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.04.025"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.039180"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-8-9"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2006.00735.x"},{"key":"e_1_2_10_8_1","volume-title":"SPSS Statistics for Windows, Version 20.0","author":"IBM Corp","year":"2011"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-27"},{"key":"e_1_2_10_10_1","volume-title":"Malawi Demographic and Health Survey 2004","author":"National Statistical Office (Malawi) & ORC Macro International, Inc.","year":"2005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-11-90"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.88.1.34"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.61.9.946"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2004.00382.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086579"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61400-2"},{"key":"e_1_2_10_17_1","unstructured":"StataCorp(2011)Stata Statistical Software: Release 12. 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