Jidong Dung Ezekiel, Husain Nusrat, Francis Christopher, Murshed Maisha, Roche Ayesha, Ike Tarela J, Karick Haruna, Dagona Zubairu K, Pwajok Juliet Y, Nyam Pam P, Mwankon Shadrack B, Gumber Anil
Department of Psychology, Nottingham Trent University, Nottingham, UK.
The University of Manchester, Manchester, UK.
SAGE Open Med. 2021 Apr 9;9:2050312120970714. doi: 10.1177/2050312120970714. eCollection 2021.
There is an increasing mental health disease burden in mothers with infants and young children, especially in low- and middle-income countries such as Nigeria. Children of distressed mothers suffer early-life exposure from the effects of maternal distress which contributes to the risk of physical and mental health problems in their childhood and beyond. This study explored mental health lived experiences of mothers in Jos, Nigeria.
Purposive and Snowball sampling techniques were adopted, and a total of 40 mothers participated with 8 to 11 participants in one of the four focus group discussions. Participants were between the ages of 18 and 43 years, self-identified as mothers with each having a child between the ages of 3 and 48 months. Each focus group lasted approximately 60 minutes and was audio-recorded. Interviews were transcribed verbatim and analysed using interpretative phenomenological analysis.
Three overarching themes emerged from the data set such as (1) experience of persisting psychological distress from the time of labour/birth; (2) cultural practices that influence feelings; and (3) anxiety due to limited knowledge about childcare, access to support and healthy food.
Maternal mental health in Nigeria is under-researched and distressed mothers have limited knowledge about evidence-based early child development. The study recommends developing and testing culturally appropriate parenting interventions in Jos, Nigeria. This is likely to be beneficial for the mother and may also improve child health outcomes.
在有婴幼儿的母亲中,心理健康疾病负担日益加重,尤其是在尼日利亚等低收入和中等收入国家。处于困境的母亲的孩子在生命早期就受到母亲痛苦的影响,这增加了他们在童年及以后出现身心健康问题的风险。本研究探讨了尼日利亚乔斯市母亲们的心理健康生活经历。
采用了目的抽样和滚雪球抽样技术,共有40位母亲参与,四个焦点小组讨论中的一组有8至11名参与者。参与者年龄在18至43岁之间,自我认定为母亲,每个母亲都有一个年龄在3至48个月之间的孩子。每个焦点小组持续约60分钟,并进行了录音。访谈内容逐字转录,并采用解释现象学分析方法进行分析。
数据集中出现了三个总体主题,即:(1) 从分娩/生产时起持续存在的心理困扰经历;(2) 影响情绪的文化习俗;(3) 由于对儿童保育、获得支持和健康食品的知识有限而产生的焦虑。
尼日利亚的孕产妇心理健康研究不足,处于困境的母亲对基于证据的早期儿童发展知识有限。该研究建议在尼日利亚乔斯市开展并测试适合当地文化的育儿干预措施。这可能对母亲有益,也可能改善儿童健康状况。