2024
Trauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills
Frost A, Collins A, Chung E, Escobar Carias M, Hagaman A, Gupta S, Bibi A, Sikander S, Maselko J. Trauma exposure among young children in rural Pakistan: Associations with gender, mental health, and cognitive skills. BMC Psychology 2024, 12: 454. PMID: 39183356, PMCID: PMC11346172, DOI: 10.1186/s40359-024-01944-x.Peer-Reviewed Original ResearchConceptsChild mental healthMental healthLow-resource settingsAssociated with increased mental health difficultiesRural PakistanMental health difficultiesTrauma exposureMental health problemsStrength of associationSample of mother-child dyadsIncreased anxiety scoresChildren's lifetime exposureTrauma-informed interventionsMother-child dyadsCognitive healthAssociated with genderHealth difficultiesBackgroundThe burdenAnxiety scoresHealth problemsHealthLifetime exposureExperience traumaChildren's cognitive skillsCognitive skillsIntegration of passive sensing technology to enhance delivery of psychological interventions for mothers with depression: the StandStrong study
van Heerden A, Poudyal A, Hagaman A, Maharjan S, Byanjankar P, Bemme D, Thapa A, Kohrt B. Integration of passive sensing technology to enhance delivery of psychological interventions for mothers with depression: the StandStrong study. Scientific Reports 2024, 14: 13535. PMID: 38866839, PMCID: PMC11169515, DOI: 10.1038/s41598-024-63232-3.Peer-Reviewed Original ResearchConceptsPsychological interventionsDepressive symptomsDelivery of psychological interventionsNon-specialist providersTreat maternal depressionLow-resource settingsBeck Depression InventoryPersonalized psychological interventionsDepression interventionsMaternal depressionMHealth solutionsRural NepalDepression InventoryYoung mothersInterventionDepressionData collectionMothersPassive sensingIncreased movementNon-specialistsPassive sensing technologyMHealthSymptomsCareChildhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan
Frost A, Hagaman A, Bibi A, Bhalotra S, Chung E, Haight S, Sikander S, Maselko J. Childhood parental bonding and depression in adulthood: A study of mothers in rural Pakistan. Journal Of Affective Disorders 2024, 356: 715-721. PMID: 38663557, PMCID: PMC11103589, DOI: 10.1016/j.jad.2024.04.090.Peer-Reviewed Original ResearchConceptsParental Bonding InstrumentStructured Clinical Interview for DSM DisordersRisk of depressionPsychological controlParenting behaviorsMental healthAssociated with decreased risk of depressionParent-child relationship qualityMeasures of parental controlAssociated with increased risk of depressionDepression in adulthoodRural PakistanMental health of childrenBehavioral controlRetrospective self-reportsMothers' parenting behaviorImpact of parenting behaviorsChild mental healthChildhood parental bondingAssociated with decreased riskHealth of childrenCross-sectional studyAssociated with increased riskDSM disordersAdulthood depression
2023
Navigating and manipulating childbirth services in Afar, Ethiopia: A qualitative study of cultural safety in the birthing room
Hagaman A, Rodriguez H, Egger E, Bitewulign B, Case H, Alemayehu A, Rhodes E, Estifanos A, Singh K, Keraga D, Zahid M, Magge H, Barrington C. Navigating and manipulating childbirth services in Afar, Ethiopia: A qualitative study of cultural safety in the birthing room. Social Science & Medicine 2023, 331: 116073. PMID: 37481879, PMCID: PMC10410251, DOI: 10.1016/j.socscimed.2023.116073.Peer-Reviewed Original ResearchConceptsCultural safetyPower dynamicsSafety frameworkSemi-structured interviewsDistinct cultural traditionsHealth systemRich cultural diversityGovernment health facilitiesCultural diversityCultural traditionsThematic analysisQualitative studyMaternal health servicesChildbirth servicesHealth facilitiesHealth servicesAfar regionPast decadeEthiopiaFrameworkGovernmentWieldWomenServicesAfar
2022
Stressful life events, intimate partner violence, and perceived stress in the postpartum period: longitudinal findings in rural Pakistan
Haight SC, Gallis JA, Chung EO, Baranov V, Bibi A, Frost A, Hagaman A, Sikander S, Maselko J, Bates LM. Stressful life events, intimate partner violence, and perceived stress in the postpartum period: longitudinal findings in rural Pakistan. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 2193-2205. PMID: 36050505, PMCID: PMC10084399, DOI: 10.1007/s00127-022-02354-3.Peer-Reviewed Original ResearchNon-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan.
Frost A, Hagaman A, Baranov V, Chung EO, Bhalotra S, Sikander S, Maselko J. Non-linear associations between HPA axis activity during infancy and mental health difficulties during early childhood among children in rural Pakistan. Development And Psychopathology 2022, 35: 2086-2095. PMID: 35959681, PMCID: PMC9922341, DOI: 10.1017/s0954579422000773.Peer-Reviewed Original ResearchConceptsHPA axis activityMental health difficultiesAxis activityHealth difficultiesEarly childhoodHypothalamic pituitary adrenal axis activityPituitary-adrenal axis activitySDQ scoresAdrenal axis activityNon-linear associationLongitudinal cohortDepression trialsQuadratic associationHair cortisolDehydroepiandosteroneRural PakistanMental healthCortisolEarly adversitySignificant quadratic associationDifficulties QuestionnaireLow-resource contextsChildhoodChildrenAssociation“Now, I have my baby so I don’t go anywhere”: A mixed method approach to the ‘everyday’ and young motherhood integrating qualitative interviews and passive digital data from mobile devices
Hagaman A, Mercado D, Poudyal A, Bemme D, Boone C, van Heerden A, Byanjankar P, Maharjan S, Thapa A, Kohrt BA. “Now, I have my baby so I don’t go anywhere”: A mixed method approach to the ‘everyday’ and young motherhood integrating qualitative interviews and passive digital data from mobile devices. PLOS ONE 2022, 17: e0269443. PMID: 35802694, PMCID: PMC9269952, DOI: 10.1371/journal.pone.0269443.Peer-Reviewed Original ResearchAdverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study
Ikram N, Frost A, LeMasters K, Hagaman A, Baranov V, Gallis J, Sikander S, Scherer E, Maselko J. Adverse childhood experiences and implications of perceived stress, anxiety and cortisol among women in Pakistan: a cross-sectional study. BMJ Open 2022, 12: e052280. PMID: 35428618, PMCID: PMC9014037, DOI: 10.1136/bmjopen-2021-052280.Peer-Reviewed Original Research“Even though they insult us, the delivery they give us is the greatest thing”: a qualitative study contextualizing women’s experiences with facility-based maternal health care in Ethiopia
Hagaman A, Rodriguez HG, Barrington C, Singh K, Estifanos AS, Keraga DW, Alemayehu AK, Abate M, Bitewulign B, Barker P, Magge H. “Even though they insult us, the delivery they give us is the greatest thing”: a qualitative study contextualizing women’s experiences with facility-based maternal health care in Ethiopia. BMC Pregnancy And Childbirth 2022, 22: 31. PMID: 35031022, PMCID: PMC8759250, DOI: 10.1186/s12884-022-04381-z.Peer-Reviewed Original ResearchConceptsWomen's care experiencesMaternal healthcareCare experiencesDelivery experienceElicit women's experiencesMaternal care servicesMaternal health careWomen's overall satisfactionPoor-quality facilitiesOverall satisfactionWomen's experiencesSemi-structured interview guideAntenatal careCare registriesAdverse outcomesSix-month periodNewborn survivalConclusionOur findingsMaternal survivalCare servicesWomen's satisfactionPlace of birthDonabedian frameworkMHC experiencesHealthy outcomesMother-in-law childcare and perinatal depression in rural Pakistan
Chung E, Hagaman A, Bibi A, Frost A, Haight S, Sikander S, Maselko J. Mother-in-law childcare and perinatal depression in rural Pakistan. Women's Health 2022, 18: 17455057221141288. PMID: 36468464, PMCID: PMC9726850, DOI: 10.1177/17455057221141288.Peer-Reviewed Original ResearchConceptsPerinatal depressionMaternal mental healthMonths postpartumMental healthImmediate postpartum periodFirst year postpartumStructured Clinical InterviewCross-sectional associationsHigh motherMental Disorders-IVYear postpartumLife Events ChecklistPostpartum periodMajor depressionPerinatal periodMaternal depressionLow prevalenceBirth cohortClinical InterviewLow motherPostpartumRural PakistanStatistical ManualDepressionMothers
2021
Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability
Maharjan SM, Poudyal A, van Heerden A, Byanjankar P, Thapa A, Islam C, Kohrt BA, Hagaman A. Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability. BMC Medical Informatics And Decision Making 2021, 21: 117. PMID: 33827552, PMCID: PMC8025381, DOI: 10.1186/s12911-021-01473-2.Peer-Reviewed Original ResearchConceptsINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth servicesMajor modifiable factorsYoung mothersChild health servicesMental health servicesFeasibility challengesLow-resource settingsMaternal-child interactionDepression treatmentModifiable factorsVaccination clinicsPostpartum depressionFamily involvementPhysical activityEligibility criteriaMother-infant proximityMental healthcareGreater family involvementPsychological interventionsMothersDaily activitiesRural NepalInfantsImproved communicationWhat Does Social Support Sound Like? Challenges and Opportunities for Using Passive Episodic Audio Collection to Assess the Social Environment
Poudyal A, van Heerden A, Hagaman A, Islam C, Thapa A, Maharjan SM, Byanjankar P, Kohrt BA. What Does Social Support Sound Like? Challenges and Opportunities for Using Passive Episodic Audio Collection to Assess the Social Environment. Frontiers In Public Health 2021, 9: 633606. PMID: 33855008, PMCID: PMC8039317, DOI: 10.3389/fpubh.2021.633606.Peer-Reviewed Original ResearchConceptsNegative social interactionsSocial environmentSocial interactionSocial supportMental healthNegative stimuliSpeech exposureQuality of interactionPositive soundsAdult speechInfant babblingQualitative interviewsAccuracy scoresSpeechPre-trained modelCommon soundsSocial isolationYoung mothersAudio clipsAudio dataSoundAudio collectionsAudioLaughterHealth outcomesLongitudinal effects of perinatal social support on maternal depression: a marginal structural modelling approach
Hagaman A, LeMasters K, Zivich PN, Sikander S, Bates LM, Bhalotra S, Chung EO, Zaidi A, Maselko J. Longitudinal effects of perinatal social support on maternal depression: a marginal structural modelling approach. Journal Of Epidemiology & Community Health 2021, 75: 936-943. PMID: 33712512, PMCID: PMC8434957, DOI: 10.1136/jech-2020-215836.Peer-Reviewed Original ResearchConceptsMaternal Social Support IndexMonths postpartumPerinatal periodMaternal depressionProtective effectSocial supportCohort of womenMajor depressive disorderStructured Clinical InterviewYear of childbirthSubsequent maternal depressionComplex bidirectional relationshipSustained social supportFuture depressive episodesSocial Support IndexMarginal structural modelsPerinatal depressionThird trimesterDecreased riskImportant protective factorDepressive episodeDepressive disorderPostpartum depressionHigh burdenClinical InterviewAdverse childhood experiences and depression among women in rural Pakistan
LeMasters K, Bates LM, Chung EO, Gallis JA, Hagaman A, Scherer E, Sikander S, Staley BS, Zalla LC, Zivich PN, Maselko J. Adverse childhood experiences and depression among women in rural Pakistan. BMC Public Health 2021, 21: 400. PMID: 33632175, PMCID: PMC7905421, DOI: 10.1186/s12889-021-10409-4.Peer-Reviewed Original ResearchConceptsMajor depressive episodeSymptom severityPerinatal mental health interventionsWomen's depressionBackgroundAdverse childhood experiencesDepressive symptom severityMajority of womenACE-International QuestionnaireCurrent mental healthMental health interventionsAdverse childhood experiencesChildhood experiencesCohort studyDepressive episodeMonths postpartumPerinatal periodElevated riskPronounced elevationHealth interventionsMore ACEsRural PakistanMental healthFamily distressCommon pathwayDepression
2020
Effectiveness of a peer-delivered, psychosocial intervention on maternal depression and child development at 3 years postnatal: a cluster randomised trial in Pakistan
Maselko J, Sikander S, Turner EL, Bates LM, Ahmad I, Atif N, Baranov V, Bhalotra S, Bibi A, Bibi T, Bilal S, Biroli P, Chung E, Gallis JA, Hagaman A, Jamil A, LeMasters K, O'Donnell K, Scherer E, Sharif M, Waqas A, Zaidi A, Zulfiqar S, Rahman A. Effectiveness of a peer-delivered, psychosocial intervention on maternal depression and child development at 3 years postnatal: a cluster randomised trial in Pakistan. The Lancet Psychiatry 2020, 7: 775-787. PMID: 32828167, PMCID: PMC8015797, DOI: 10.1016/s2215-0366(20)30258-3.Peer-Reviewed Original ResearchConceptsMaternal depressionPsychosocial interventionsUsual careLong-term maternal outcomesMaternal depression symptomsAllocation statusScalable psychosocial interventionsMaternal outcomesRandomisation sequencePrimary outcomePregnant womenExcess riskDepression exposureRecurring courseSevere symptomsTrial participantsOffspring outcomesDepression symptomsDepressionVillage clustersInterventionTrialsOutcomesSymptomsPrincipal investigatorAssociation of maternal depression and home adversities with infant hypothalamic-pituitary-adrenal (HPA) axis biomarkers in rural Pakistan
Hagaman AK, Baranov V, Chung E, LeMasters K, Andrabi N, Bates LM, Rahman A, Sikander S, Turner E, Maselko J. Association of maternal depression and home adversities with infant hypothalamic-pituitary-adrenal (HPA) axis biomarkers in rural Pakistan. Journal Of Affective Disorders 2020, 276: 592-599. PMID: 32871690, PMCID: PMC7792907, DOI: 10.1016/j.jad.2020.07.053.Peer-Reviewed Original ResearchConceptsHPA axis activityMaternal depressionSocio-economic statusYear postpartumDHEAS levelsAxis activityIntimate partner violenceInfant stress response systemsSignificant associationLow DHEAS levelsHPA axis dysregulationHPA axis hormonesOne-year-old infantsYears of ageConsistent significant associationsChildren's HPA-axis activityHigher socio-economic statusSignificant positive associationAxis dysregulationAxis hormonesAdrenal axisStress-related diseasesDHEA activityInfant cortisolDepression severityThe impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions
Hagaman AK, Singh K, Abate M, Alemu H, Kefale AB, Bitewulign B, Estifanos AS, Kiflie A, Mulissa Z, Tiyo H, Seman Y, Tadesse MZ, Magge H. The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions. BMC Health Services Research 2020, 20: 522. PMID: 32513236, PMCID: PMC7282234, DOI: 10.1186/s12913-020-05391-3.Peer-Reviewed Original ResearchConceptsHealth system interventionsSyphilis testingLow birth weight infantsHealth worker adherenceBirth weight infantsAntenatal care visitsEarly postnatal careMaternal health servicesNeonatal health outcomesProportion of mothersSystem interventionsWeight infantsCare visitsPostnatal careSkilled deliveryWorkers' adherenceNewborn healthInterrupted time series approachChildbirth servicesQI approachSimilar settingsHealth outcomesHealth system workersImprovement interventionsHealth servicesMaternal depression in rural Pakistan: the protective associations with cultural postpartum practices
LeMasters K, Andrabi N, Zalla L, Hagaman A, Chung EO, Gallis JA, Turner EL, Bhalotra S, Sikander S, Maselko J. Maternal depression in rural Pakistan: the protective associations with cultural postpartum practices. BMC Public Health 2020, 20: 68. PMID: 31941468, PMCID: PMC6964000, DOI: 10.1186/s12889-020-8176-0.Peer-Reviewed Original ResearchConceptsMajor depressive episodePostpartum depressionTraditional postpartum practicesMonths postpartumSymptom severityLower symptom severityPostpartum practicesMaternal mental healthPatient Health QuestionnaireSocial supportStructured Clinical InterviewDepression symptom severityResultsEighty-nine percentCohort studyThird trimesterDepressive episodePrenatal depressionDepression statusHealth QuestionnaireProtective associationMaternal depressionLower oddsAdjusted modelClinical InterviewDays postpartum
2019
Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
Hagaman A, Gallis JA, Bhalotra S, Baranov V, Turner EL, Sikander S, Maselko J. Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan. PLOS ONE 2019, 14: e0225163. PMID: 31743374, PMCID: PMC6863521, DOI: 10.1371/journal.pone.0225163.Peer-Reviewed Original ResearchConceptsPoor functioningFunctional impairmentPsychosocial characteristicsPerinatal mental healthFunctional trajectoriesPublic health implicationsImportant protective roleHigh functioning groupGroup-based trajectory modeling approachCohort studyThird trimesterFunction recoveryPerinatal periodAssess predictorsChild CohortProtective rolePsychosocial determinantsOne-yearMental healthImportant markerHealth implicationsTrajectory groupsFunctioning groupPregnancyLongitudinal findingsFather involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan
Maselko J, Hagaman AK, Bates LM, Bhalotra S, Biroli P, Gallis JA, O'Donnell K, Sikander S, Turner EL, Rahman A. Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan. Social Science & Medicine 2019, 237: 112421. PMID: 31398510, PMCID: PMC6708722, DOI: 10.1016/j.socscimed.2019.112421.Peer-Reviewed Original ResearchConceptsMaternal mental healthMonths postpartumMaternal depressionMental healthPerinatal depression interventionChild growthFirst yearDepression interventionsFather involvementProtective associationHigh-income countriesMost mothersBirth cohortChild development outcomesChild developmentPostpartumEffect estimatesProtective patternTime pointsDevelopmental milestonesConfidence intervalsRural settingsLongitudinal dataDepressionIncome countries