Association between postnatal mental health-related hospitalisation and child development and education outcomes: a systematic review and meta-analysis
Abstract
Aim: This study consolidates existing knowledge regarding the association between postnatal mental health-related hospitalisation (MHrH) and childhood development and education outcomes.
Methods: We searched MEDLINE, PsycINFO, CINAHL, Scopus, Embase, Google Scholar, and the reference list of accessed papers. A weighted random-effects meta-analysis was conducted. A trim and fill analysis was executed following the detection of publication bias. Quality assessment of included studies was performed using the Joanna Briggs Institute (JBI) tool.
Results: Children whose mothers experienced postnatal MHrH had elevated odds of developmental vulnerability in any of five developmental domains (Pooled Odds Ratio (POR) = 1.53, 95% CI; 1.20-1.86), in the social domain (POR = 1.27, 95% CI; 1.18-1.35), emotional domain (POR = 1.34, 95% CI; 1.16-1.51), and physical domain (POR = 1.26, 95% CI; 1.14-1.38) compared to children whose mothers had no postnatal MHrH. Children whose mothers experienced postnatal MHrH had elevated odds of below-average academic performance on any of four measures (POR = 1.57, 95% CI; 1.07-2.07), spelling measure (POR = 1.48, 95% CI; 1.01-1.95), and writing measure (POR = 1.37, 95% CI; 1.04-1.70). A higher albeit statistically uncertain odds of developmental vulnerability in the cognitive domain was found to be associated with postnatal MHrH (POR = 2.41, 95% CI; 1.00-3.82). No statistically significant associations were observed between postnatal MHrH and…
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