Depression in Mothers of Children with Mental Retardation Reporting at Tertiary Care Hospital

Authors

  • Washdev w Dow University of Health Sciences, Karachi
  • Ahla Malik Department of Psychiatry & Behavioral Sciences, Dow University of Health Sciences and Civil Hospital, Karachi, Pakistan.
  • Kheenpal Das Department of Psychiatry & Behavioral Sciences, Dow University of Health Sciences and Civil Hospital, Karachi, Pakistan.
  • Sameeha Aleem Consultant Psychiatrist, Karwan-e-Hayat Karachi, Pakistan.
  • Raza Ur Rehman Department of Psychiatry & Behavioral Sciences, Dow University of Health Sciences and Civil Hospital, Karachi, Pakistan.

Keywords:

Depression, mothers, children, mental retardation

Abstract

Objective:

To determine prevalence of depression in mothers of children with mental retardation using the ICD-10 criteria for depression.

Material & Method:

This cross-sectional study was conducted at Psychiatry outpatient Department, Civil Hospital Karachi. Three hundred twenty-three mothers were included in the study and interviewed between the periods of October 2014 to April 2015. Mothers of children with mental retardation were assessed for depressive disorder using ICD-10criteria for depression. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 16. P value less than 0.05 was considered significant.

Results:

Number of depressed mothers who have mentally retarded child was more as compared to non-depressed mothers. The association of depression to their marital status was found to be significant (p-value 0.009) revealing that single parenting mothers were more vulnerable to depression as compared to children living with both parents. Most of the depressed mothers were more educated (p-value 0.00) and were mostly graduates, and had their child in the older age group that is 9 to 12 years (p-value 0.03) and had a female child. (Table 2) effected (p-value 0.00). The association of maternal age and socioeconomic status with depression was found to be insignificant (p-value 0.43 and 0.37 respectively.

Conclusion:

This study reveals a high prevalence of depression in mothers of mentally retarded children and highlights the need for help. Strategy should be reinforced in the clinical settings to screen such mothers for Depression.

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Author Biography

Washdev w, Dow University of Health Sciences, Karachi

Assistant Professor, Deptt. of Psychiatry, DUHS

References

Miodrag N, Hodapp RM. Chronic stress and health among parents of children with intellectual and developmental disabilities. Curr Opin Psychiatry 2010; 23:407-11.

Parish SL, Rose RA, Weiss-Grinstein M, Richman EL, Andrews ME. Material hardship in US families raising children with disabilities.Exceptional Children. 2008; 75:71-92.

Hassall R, Rose J, McDonald J. Parenting stress in mothers of children with an intellectual disability: The effects of parent cognition in relation to child characteristics and family support. J Intellect Disabil Res 2005; 496:405-18.

Anderson LL, Larson SA, Wuorio A. 2010 FINDS national survey technical report part 1: family caregiver survey. Minneapolis, MN: University of Minnesota;2011.

Dykens EM. Psychopathology in children with intellectual disability. J Child Psychol Psychiatry 2000; 41:407-17.

Neece CL, Green SA, Baker BL. Parenting stress and child behavior problems: a transactional relationship across time. Am J Intellect DevDisabil 2012; 117:48–66.

Dykens EM. Toward a positive psychology of mental retardation.Am J Orthopsychiatry 2006; 76:185-93.

Singer GH. Meta-analysis of comparative studies of depression in mothers of children with and without children with developmental disabilities. Am J Ment Retard 2006; 111:155-69.

Taylor JL, Warren ZE. Maternal depressive symptoms following autism spectrum diagnosis. J Autism Dev Disord 2012; 42:1411-8.

Gallagher S, Phillips AC, Carroll D. Parental stress is associated with poor sleep quality in parents caring for children with developmental disabilities. J Pediatr Psychol 2010; 35:728-37.

Seltzer MM, Greenberg JS, Hong J, Smith LE, Almeida DM, Coe C, et al. Maternal cortisol levels and behavior problems in adolescents and adults with ASD. J Autism Dev Disord 2010; 40:457-69.

Dykens EM, Lambert W. Trajectories of diurnal cortisol in mothers of children with autism and other developmental disabilities: relations to health and mental health. J Autism Dev Disord 2013; 43:2426-34.

Gallagher S, Phillips AC, Drayson MT, Carroll D. Parental caregivers of children with developmental disabilities mount a poor antibody response to pneumococcal vaccination. Brain Behav Immun. 2009; 23:338-46.

Epel ES, Blackburn EH, Lin J, Dhabhar FS, Adler NE, Morrow JD, et al. Accelerated telomere shortening in response to life stress. Proc Natl Acad Sci USA 2004; 101:17312-5.

Halfon N, Houtrow A, Larson K, Newacheck PW. The changing landscape of disability in childhood.Future Child 2012; 22:13-42.

Ganz ML. The lifetime distribution of the incremental societal costs of autism. Arch Pediatr Adolesc Med 2007; 161:343-9.

Osborne LA, McHugh L, Saunders J, Reed P. Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. J Autism Dev Disord 2008; 38:1092-103.

Muhammad WA, Imtiaz AD, Snehal S, Mohsin AC, Alia A, Madeeha A, et al. Anxiety and depression among parents of children with intellectual disability in Pakistan. J Can Acad Child Adolesc Psychiatry 2013; 22:290-5.

Brian AB. Examining the relationship between stress and lack of social support in mothers of children with autism. Focus Autism Other Dev Disabl Winter 2002; 17:208-15.

Vikram P, Merlyn R, Nandita DS. Gender, poverty and postnatal depression: A study of mothers in Goa, Ind Am J Psychiatry 2002; 159:43-7.

Freidrich WN, Cohen DS, Wilturner LT. Family relations and marital quality when a mentally handicapped child is present. Psychol Reports 1987; 61:911-9

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Published

2016-12-20

How to Cite

w, W., Malik, A. ., Das, K. ., Aleem, S. ., & Ur Rehman, R. . (2016). Depression in Mothers of Children with Mental Retardation Reporting at Tertiary Care Hospital. Journal of the Dow University of Health Sciences (JDUHS), 10(3), 92–95. Retrieved from https://mail.jduhs.com/index.php/jduhs/article/view/1390

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Original Articles