Perception of mothers and selected informal caregivers regarding maternal depression in two communities of Ibadan in Nigeria

  • Adeyinka Olufolake Adefolarin
  • Oyedunni S Arulogun

Abstract

This article described the perception of maternal depression among young mothers and informal caregivers with no known antecedents of depression residing in two communities in Ibadan, Nigeria. This study is qualitative in design. We purposively selected fifty-one pregnant women and nursing mothers within the communities and the clinics. Thirty three maternity informal care givers were also selected. We utilized Focus Group Discussions (FGD), Key Informant Interviews (KIIs), open-ended interviews and document consultation to obtain information about maternal depression. Discussions and interviews were digitally recorded, transcribed verbatim and analyzed using thematic analysis withNvivo version 15. Common phrases used to describe maternal depression were “severe worrying” and “chronic unhappiness”. More young women opined that maternal depression was caused by lack of partner support while more of the men and elderly mothers felt spiritual causes were responsible. Symptoms of MD described by the participants were prolonged loss of interest in pleasurable activities, being moody, crying, keeping to oneself and being irritable. Common consequences of MD mentioned were hypertension, premature onset of labour and low birth weight babies. The perceived help-seeking behaviour included appeasing the offended spiritual deity; special prayers and deliverance. Community Birth Attendants mentioned referral to a psychiatrist as a last resort. Participants were aware of maternal depression and its symptoms, however, there were misconceptions about the causes which influenced the perceived help-seeking. Health education interventions to dispel these misconceptions should therefore target mothers and informal caregivers in the study area

References

A Dictionary of the Yoruba Language. 2001. Ibadan University Press.
Adeponle, Ademola, Danielle Groleau, Lola Kola, Laurence J. Kirmayer, and Oye Gureje. 2017. Perinatal Depression in Nigeria: Perspectives of Women, Family Caregivers and Health Care Providers. International Journal of Mental Health Systems 11(1): 27. http://www.ncbi.nlm.nih.gov/pubmed/28428813 (April 26, 2017).
Aderibigbe Y.A, Gureje O, Omigbodun O. 1993. Postnatal Emotional Disorders in Nigerian Women. A Study of Antecedents and Associations.Br J Psychiatry. 163: 645–50. https://www.ncbi.nlm.nih.gov/pubmed/8298834.
Adewuya, Abiodun O., Bola A. Ola, Olutayo O. Aloba, Atinuke O. Dada, and Olubunmi O. Fasoto. 2007. Prevalence and Correlates of Depression in Late Pregnancy among Nigerian Women. Depression and Anxiety 24(1): 15–21. http://doi.wiley.com/10.1002/da.20221 (May 21, 2017).
Affonso D.D, De A.K, Horowitz J.A, Mayberry L.J. 2000. An International Study Exploring Levels of Postpartum Depressive Symptomatology. J Psychosom Res. 49(3): 207–16. https://www.ncbi.nlm.nih.gov/pubmed/11110992.
American Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association. http://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596 (May 14, 2017).
Andrew T, Charlotte AL, Jonathan KB. 2015. Depressive Symptoms Prior to Pregnancy and Infant Low Birth Weight in South Africa. Maternal and Child Health Journal 19(10): 2179–86.
Ang J.W, Chia C, Koh C.J. 2017. Healthcare-Seeking Behaviour, Barriers and Mental Health of Non-Domestic Migrant Workers in Singapore. BMJ Global Health 2(2): e000213. http://gh.bmj.com/content/2/2/e000213.figures-only (May 13, 2017).
Connelly C.D, Baker-Ericzen M.J, Hazen A.L, Landsverk J, Horwitz S.M. 2010. A Model for Maternal Depression. Journal of women’s health (2002) 19(9): 1747–57. http://www.ncbi.nlm.nih.gov/pubmed/20718624%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC2965697.
Cox, J.L., Holden, J.M., and Sagovsky, R. 1987. Detection of Postnatal Depression: Development of the 10-Item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150: 782–86. http://www.fresno.ucsf.edu/pediatrics/downloads/edinburghscale.pdf.
Diego MA, Field T, Hernandez-Reif M, Schanberg S, Kuhn C, Gonzalez-Quintero VH. 2009. Prenatal Depression Restricts Fetal Growth. Early Human Development. Early Human Development 85(1): 65–70. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651570/.
Fisher, Jane Rw, Meena Cabral de Mello, Takashi Izutsu, and Tuan Tran. 2011. The Ha Noi Expert Statement: Recognition of Maternal Mental Health in Resource-Constrained Settings Is Essential for Achieving the Millennium Development Goals. International journal of mental health systems 5(1): 2. http://www.ncbi.nlm.nih.gov/pubmed/21214891 (May 13, 2017).
Fiske, Susan T.Taylor, Shelley E. 1991. Social Cognition. 2nd ed. New York. http://trove.nla.gov.au/work/18680805? accessed on May 13, 2017.
Guo N, Bindt C, Te Bonle M, Appiah-Poku J, Hinz R, Barthel D, Koffi M, Posdzich S, Deymann S, Barkmann C, Schlüter L, Jaeger A, Blay Nguah S, Eberhardt KA, N’Goran E, Tagbor H, Ehrhardt S; International CDS Study Group. 2013. Association of Antepartum and Postpartum Depression in Ghanaian and Ivorian Women with Febrile Illness in Their Offspring: A Prospective Birth Cohort Study. American Journal of Epidemiology 178(9): 1394–1402. https://www.ncbi.nlm.nih.gov/pubmed.
Gureje O, Abdulmalik J, Kola L, Musa E, Yasamy MT, Adebayo K. 2015. Integrating Mental Health into Primary Care in Nigeria: Report of a Demonstration Project Using the Mental Health Gap Action Programme Intervention Guide. BMC Health Serv Res 15: 242. http://www.ncbi.nlm.nih.gov/pubmed/26094025.
Hyman, Steven et al. 2006. Disease Control Priorities in Developing Countries Mental Disorders. The International Bank for Reconstruction and Development / The World Bank. http://www.ncbi.nlm.nih.gov/pubmed/21250341 (May 13, 2017).
Kleinman.A. 1981. Patients and Healers in the Context of Culture. An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. London: University of California Press.
Leung B.M, Kaplan B.J. 2009. Perinatal Depression: Prevalence, Risks, and the Nutrition Link--a Review of the Literature.JAM Diet Assoc 109(9): 1566–75. https://www.ncbi.nlm.nih.gov/pubmed/19699836.
Mary Hartley, Mark Tomlinson, Erin Greco, W Scott Comulada, Jacqueline Stewart, Ingrid le Roux, Nokwanele Mbewu, and Mary Jane Rotheram-Borus. 2011. Depressed Mood in Pregnancy: Prevalence and Correlates in Two Cape Town Peri-Urban Settlements. Reprod Health 8(9). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113332/.
Merriam, Sharan B. 1998. Qualitative Research and Case Study Applications in Education. Revised and Expanded from Case Study Research in Education. San Francisco: Jossey-Bass Publishers. https://eric.ed.gov/?id=ed415771.
Milgrom J.1, Gemmill A.W, Bilszta J.L, Hayes B, Barnett B, Brooks J, Ericksen J, Ellwood D, Buist A. 2008. Antenatal Risk Factors for Postnatal Depression: A Large Prospective Study.J Affect Disord. 108((1-2)): 147–57. https://www.ncbi.nlm.nih.gov/pubmed/18067974.
National Institute of Health Care Management. 2010. Brief Strategies & Considerations for Health Plans National Institute of Health Care Management Foundation. https://www.nihcm.org/pdf/FINAL_MaternalDepression6-7.pdf. accessed on May 13, 2017
Nemade, Rashmi. 2017. Historical Understandings of Depression Continued. http://www.gracepointwellness.org/5-depression/article/12996-historical-understandings-of-depression-continued (February 5, 2016).
O’Mahen, Heather a, and Heather a Flynn. 2008. Preferences and Perceived Barriers to Treatment for Depression during the Perinatal Period. Journal of Women’s Health 17(8): 1301–9.
Onayade, A A, T C Abiona, I O Abayomi, and R O A Makanjuola. 2004. The First Six Month Growth and Illness of Exclusively and Non-Exclusively Breast-Fed Infants in Nigeria. East African Medical Journal 81(3): 146–53. http://www.ncbi.nlm.nih.gov/pubmed/15293973 (May 16, 2017).
Patel. V, A Rahman, K.S. Jacob and M. Hughes. 2004. Effect of Maternal Mental Health on Infant Growth in Low Income Countries: New Evidence from South Asia. British Medical Journal clinical research 328(7443): 820–23. http://www.bmj.com/content/328/7443/820.long.
Peters, Sanne A E et al. 2016. Women’s Health: A New Global Agenda. BMJ Global Health 1(3). http://gh.bmj.com/content/1/3/e000080 (May 13, 2017).
Qiu C, Sanchez S.E, Lam N, Garcia P, Williams M.A. 2007. Associations of Depression and Depressive Symptoms with Preeclampsia: Results from a Peruvian Case-Control Study. BMC Womens Health 27(7): 15. https://www.ncbi.nlm.nih.gov/pubmed/17900360.
Rickwood, D., Deane, F. P., Wilson, C. J. & Ciarrochi, J. V. 2005. Young People’s Help-Seeking for Mental Health Problems. Australian e-Journal for the Advancement of Mental Health (AeJAMH) 4(3): 1–34.www.auseinet.com/journal.
Ruta Nonacs, Borra C, Iacovou M, Sevilla A. 2014. Breastfeeding and Psychiatric Medications, Postpartum Psychiatric Disorders.MGH Center for Women’s Mental Health. https://womensmentalhealth.org/posts/breastfeeding-postpartum-depression-insights-complicated-relationship/ (January 1, 2015).
Silverman, David. 2013. Doing Qualitative Research A Practical Handbook. Fourth Edition. Sydney: SAGE Publications Ltd. https://us.sagepub.com/en-us/nam/doing-qualitative-research/book239644.
Titaley, C.R., Dibley, M.J. and Roberts, C.L. 2010. Factors Associated with Underutilization of Antenatal Care Services in Indonesia: Results of Indonesia Demographic and Health Survey 2002/2003 and 2007. BMC Public Health 10: 485–94. http://dx.doi.org/10.1186/1471-2458-10-485.
Published
2018-05-02
Section
Section A (Public Health Research)