2024
Integration 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
2022
“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 outcomes
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 outcomesAdverse 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 investigatorMaternal 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 countriesCohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan
Sikander S, Ahmad I, Bates LM, Gallis J, Hagaman A, O’Donnell K, Turner EL, Zaidi A, Rahman A, Maselko J. Cohort Profile: Perinatal depression and child socioemotional development ; the Bachpan cohort study from rural Pakistan. BMJ Open 2019, 9: e025644. PMID: 31061029, PMCID: PMC6502044, DOI: 10.1136/bmjopen-2018-025644.Peer-Reviewed Original ResearchConceptsSocioemotional developmentDetrimental developmental outcomesChildren's socioemotional developmentMother-child dyadsPerinatal depressionEffect of depressionSocioemotional measuresChild developmentDevelopmental outcomesPsychosocial measuresPoor child developmentPregnancy birth cohortChild's ageSchool environmentCohort studyInflammatory biomarkersChronic courseEligible dyadsPregnant womenRisk factorsBaseline assessmentRepeated measuresDyadsDepressionChildrenThe relationship between responsive caregiving and child outcomes: evidence from direct observations of mother-child dyads in Pakistan
Scherer E, Hagaman A, Chung E, Rahman A, O’Donnell K, Maselko J. The relationship between responsive caregiving and child outcomes: evidence from direct observations of mother-child dyads in Pakistan. BMC Public Health 2019, 19: 252. PMID: 30819173, PMCID: PMC6396475, DOI: 10.1186/s12889-019-6571-1.Peer-Reviewed Original ResearchConceptsChildren's socioemotional developmentResponsive caregivingSocioemotional developmentChild developmentCaregiving behaviorChild outcomesMother-child interaction measuresMaternal depressionChildren's socioemotional outcomesMother-child dyadsChild development outcomesHierarchical linear regressionSocioemotional outcomesChild's signalsChild behaviorHome ObservationHOME scoresPhysical outcomesCaregivingLongitudinal studyLower scoresChild's lifeBook activitiesCross-sectional associationsBaseline sociodemographic factors
2018
Suicide in Nepal: Qualitative Findings from a Modified Case-Series Psychological Autopsy Investigation of Suicide Deaths
Hagaman AK, Khadka S, Wutich A, Lohani S, Kohrt BA. Suicide in Nepal: Qualitative Findings from a Modified Case-Series Psychological Autopsy Investigation of Suicide Deaths. Culture, Medicine, And Psychiatry 2018, 42: 704-734. PMID: 29881930, PMCID: PMC6286252, DOI: 10.1007/s11013-018-9585-8.Peer-Reviewed Original ResearchConceptsPublic health gapsAnthropological scholarshipMigrant labourFamily membersCross-cultural researchAnthropological approachPower dynamicsSpousal abuseCircumstances of suicidePsychological autopsy approachLack of educationCultural narrativesFamily disputesSouth AsiaQualitative findingsSocial stigmaSuicide narrativesImmediate family membersResearch approachSuicide deathsRural NepalSurvivors of suicideNarrative reconstructionHealth gapAutopsy approach
2017
Suicide in Nepal: a modified psychological autopsy investigation from randomly selected police cases between 2013 and 2015
Hagaman AK, Khadka S, Lohani S, Kohrt B. Suicide in Nepal: a modified psychological autopsy investigation from randomly selected police cases between 2013 and 2015. Social Psychiatry And Psychiatric Epidemiology 2017, 52: 1483-1494. PMID: 28856382, PMCID: PMC5705471, DOI: 10.1007/s00127-017-1433-6.Peer-Reviewed Original Research
2016
Promotion of couples’ voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia
Kelley AL, Hagaman AK, Wall KM, Karita E, Kilembe W, Bayingana R, Tichacek A, Kautzman M, Allen SA. Promotion of couples’ voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia. BMC Public Health 2016, 16: 744. PMID: 27502690, PMCID: PMC4977827, DOI: 10.1186/s12889-016-3424-z.Peer-Reviewed Original ResearchConceptsHIV testingHIV preventionEvidence-based HIV preventionJoint HIV testingHIV test resultsVoluntary HIV counselingRwandan couplesHIV counselingVoluntary counselingAfrican adultsCVCTPast monthDemographic characteristicsFrequent sourceCounselingSub-Saharan African countriesHealth sectorPreventionTestingGroup forumCommunity leadersMonthsZambiaAn Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011
Hagaman AK, Sivilli TI, Ao T, Blanton C, Ellis H, Lopes Cardozo B, Shetty S. An Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011. Journal Of Immigrant And Minority Health 2016, 18: 819-827. PMID: 26758579, PMCID: PMC4905799, DOI: 10.1007/s10903-015-0326-6.Peer-Reviewed Original ResearchConceptsResettlement servicesRefugee communitiesRefugee servicesBhutanese refugeesRefugee populationsLack of careSelf-inflicted deathUnited StatesSocial supportFamily withdrawalPotential future avenuesPsychological autopsyFuture avenuesMigrantsRefugeesServicesMental healthSuicidal actsIntegration difficultiesSuicideMore researchCommunityDisappointmentActsExperience
2015
The physiological cost of reproduction for rich and poor across 65 countries
Hruschka DJ, Hagaman A. The physiological cost of reproduction for rich and poor across 65 countries. American Journal Of Human Biology 2015, 27: 654-659. PMID: 25809493, DOI: 10.1002/ajhb.22707.Peer-Reviewed Original Research
2014
Reflechi twòp—Thinking Too Much: Description of a Cultural Syndrome in Haiti’s Central Plateau
Kaiser BN, McLean KE, Kohrt BA, Hagaman AK, Wagenaar BH, Khoury NM, Keys HM. Reflechi twòp—Thinking Too Much: Description of a Cultural Syndrome in Haiti’s Central Plateau. Culture, Medicine, And Psychiatry 2014, 38: 448-472. PMID: 25038935, DOI: 10.1007/s11013-014-9380-0.Peer-Reviewed Original ResearchConceptsHaiti's Central PlateauMental illnessMental disordersEarly clinical recognitionCommon mental disordersSevere mental disordersTimes greater oddsBeck Depression InventoryModerate mental illnessBeck Anxiety InventoryIdioms of distressClinical recognitionGreater oddsDepression InventorySuicidal ideationSyndromePsychosocial sufferingEpidemiologic methodsIllnessAnxiety InventoryPsychosisGreater scoresDisordersDistressMild
2013
Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency
Wagenaar BH, Kohrt BA, Hagaman AK, McLean KE, Kaiser BN. Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency. Psychiatric Services 2013, 64: 366-372. PMID: 23319081, DOI: 10.1176/appi.ps.201200272.Peer-Reviewed Original ResearchConceptsMental health careMental health problemsPercent of respondentsHealth problemsMultivariable logistic regression modelRural HaitiFirst choiceMental distressHealth service useDeterminants of careHealth careHaiti's Central PlateauCommunity-based providersLogistic regression modelsLess frequent useCommunity resourcesProvider typeClinical careDepression severityService useAnticipated efficacyPsychiatric distressHospitalClinicClinical interventions
2012
Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti
Wagenaar BH, Hagaman AK, Kaiser BN, McLean KE, Kohrt BA. Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti. BMC Psychiatry 2012, 12: 149. PMID: 22992379, PMCID: PMC3515455, DOI: 10.1186/1471-244x-12-149.Peer-Reviewed Original ResearchConceptsHaiti's Central PlateauBDI scoresBeck Depression InventorySuicidal ideationCurrent suicidal ideationDepression symptomatologyRisk factorsPrior life-threatening illnessContinuous BDI scoresFirst epidemiologic studyGeneral psychiatric servicesCross-sectional studyLife-threatening illnessMental health needsLogistic regression modelsSubstance abuse interventionsFemale genderEpidemiologic studiesPsychiatric servicesParadoxical associationPsychosocial servicesDepression InventoryHealth needsHealthcare accessRural Haiti