Psychosocial and nutritional predictors of child mental health: longitudinal study of shared and distinctive risk and protective factors in UK & India
Lead Research Organisation:
University of Liverpool
Department Name: Institute of Psychology Health & Society
Abstract
Young children who frequently hit other people, who disobey rules and are disruptive in social and school settings, are much more likely than other children to show continued behaviour problems into adult life, including criminality, unstable relationships, poor work record, depression, substance use problems. They are more likely to expose their own children to maltreatment. The problems arise from a complicated mix of genetic and environmental influences, in which key factors probably include, prenatal stress, early infant emotionality, and harsh parenting as risks, and warm parenting as protective factors. There is now good evidence that individual variations and environmental exposures in early life contribute to risk for mental health problems in later childhood and beyond. However, previous research has been conducted almost exclusively in countries with Westernised standards of medical care and family arrangements, and where additional risks such as low birth weight and under-nutrition are rare. The aims of the proposed research are to study early risk and protective factors for childhood mental health problems, to identify prenatal and infancy risks that are common to Western and South Asian populations and those that are distinctive. Using a prospective longitudinal design we will recruit members of the new IMCR (Indian Council of Medical Research) funded South Indian PRAMM study (n= 650; Prospective Assessment of Maternal Mental Health study), currently being assessed at 3 timepoints during pregnancy to 8 weeks of age, into a new study of infant development with detailed assessment at 6 months, 12 months and 24 months. We will use common measurement (questionnaires, interviews, observations and developmental assessments) between an existing UK Medical Research Council funded cohort, the Wirral Child Health and Development Study (WCHADS), and the Indian cohort, to enable data analyses to be conducted of merged UK - Indian datasets. Robust methods designed to facilitate cross-cultural comparability of measurement will be employed. Aspects of the prenatal and early postnatal environment such as maternal mental health, nutrition and patterns of early caregiving likely to be distinctively relevant to the South Asian setting with be assessed, and examined alongside factors identified in previously in predominantly Western research. Evidence for gene-environment interplay will also be evaluated in the prediction of early emotional and behavioural problems in infancy. This joint Uk-Indian study, together with a planned series of training events, will contribute to capacity building in the Indian clinical research domain by facilitating the sharing of experience and expertise in conducting longitudinal cohort studies, sampling and retention, measurement issues, data management and state of the art statistical methods needed in longitudinal analysis of complex data sets. The study findings in the longer term will directly inform the refinement of existing early interventions for child mental health in both Asian and UK settings.
Technical Summary
The aims of the proposed research are to study early risk and protective factors for childhood mental health problems, to identify prenatal and infancy risks that are common to Western and South Asian populations and those that are distinctive. Using a prospective longitudinal design we will recruit members of the new ICMR funded South Indian PRAMM study (n= 650; Prospective Assessment of Maternal Mental Health study), currently being assessed at 3 time points during pregnancy to 8 weeks of age, into a study of infant development with assessment at 6 months, 12 months and 24 months. We will use common measurement between an existing MRC funded UK cohort, the Wirral Child Health and Development Study (WCHADS), and the Indian cohort, to enable data analyses to be conducted of merged UK - Indian datasets. Methods designed to facilitate cross-cultural comparability of measurement will be employed. Aspects of the prenatal and early postnatal environment such as maternal mental health, nutrition and patterns of early caregiving likely to be distinctively relevant to the South Asian setting with be assessed, and examined alongside factors identified in previously in predominantly Western research. Evidence for gene-environment interplay will also be evaluated in the prediction of early emotional and behavioural problems in infancy. We will aim to contribute to capacity building in the Indian clinical research domain sharing experience and expertise in conducting longitudinal cohort studies, sampling and retention, measurement, data management and state of the art statistical methods for analysis of longitudinal complex data sets. The study findings on psychosocial and nutritional predictors of child mental health will inform the refinement of existing early interventions for child mental health in both UK and South Asian settings in the longer term.
Planned Impact
We anticipate impact in three areas: 1) Advancement of the field of developmental psychopathology, 2) Capacity building of Indian researchers, and 3) Public health and policy. (See also Pathways to Impact statement). The findings will advance our understanding of how individual, family and environmental factors interact to effect multiple child outcomes, including physical, cognitive, socio-emotional and behavioural development. The research will lead to the development of common measures that can be used for future epidemiological and interventional studies in the South Asian and UK settings. The findings are likely to inform early interventions that can help prevent mental health problems in later childhood and adolescence, including substance misuse. The project will lead to the development of capacity in Indian researchers to conduct complex studies of this nature. Our close collaboration with a number of academic groups (see academic beneficiaries) have the potential to inform integrated interventions that holistically target physical, cognitive and socioemotional development.
We plan to achieve maximum impact by actively engaging non-academic beneficiaries (families, the wider community, the voluntary sector and the media) through our existing links with such bodies, thereby raising public awareness and understanding of the development of childhood emotional, behavioural and developmental problems and achieving clinical and policy change.
Scalable integrated interventions that address parental mental health, infant stimulation and nutrition have great potential to improve the developmental potential, physical and mental health of the children of India. Rahman, with his global expertise in early interventions, will work with Indian researchers to refine existing interventions to make them more effective and tailored to the Indian context. We plan to apply for further collaborative grants to develop, implement and evaluate interventions.
We plan to achieve maximum impact by actively engaging non-academic beneficiaries (families, the wider community, the voluntary sector and the media) through our existing links with such bodies, thereby raising public awareness and understanding of the development of childhood emotional, behavioural and developmental problems and achieving clinical and policy change.
Scalable integrated interventions that address parental mental health, infant stimulation and nutrition have great potential to improve the developmental potential, physical and mental health of the children of India. Rahman, with his global expertise in early interventions, will work with Indian researchers to refine existing interventions to make them more effective and tailored to the Indian context. We plan to apply for further collaborative grants to develop, implement and evaluate interventions.
Publications
Bluett-Duncan M
(2021)
A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries.
in PloS one
Chandra P
(2021)
Anxiety and depressive symptoms in pregnancy predict low birth weight differentially in male and female infants-findings from an urban pregnancy cohort in India
in Social Psychiatry and Psychiatric Epidemiology
Hodsoll J
(2022)
A Comparison of Non-verbal Maternal Care of Male and Female Infants in India and the United Kingdom: The Parent-Infant Caregiving Touch Scale in Two Cultures.
in Frontiers in psychology
Holla C
(2021)
The feasibility of using videos to assess maternal sensitivity in low income urban settings in India - The researcher's perspective.
in Asian journal of psychiatry
| Description | 1. We first conducted 'A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries' which revealed that more high quality large-scale studies need to be conducted in LAMIC settings. This set the context for our BCHADS empirical investigation. We have since examined the relationship between perinatal depression and child cognitive and language development in BCHADS which revealed a small association between postnatal depression and language development at age 2 in India. Further work developing a novel measurement tool, called Anchoring Vignettes, enabled us to examine differential item functioning of the Edinburgh Postnatal Depression Scale in India, compared to the UK. Results inform the more reliable interpretation of cross-cultural comparisons of levels of symptom expression in different cultures. 2. We have examined cross-cultural differences in early caregiving in UK and India, comparing levels of mind-mindedness and instruction used by mothers with their 7 month old infants. We found Indian mothers used more instruction and lower levels of mind-mindedness but showed more warmth in their interactions with their infants. We plan to examine whether these aspects of caregiving predict child mental health outcomes differentially in the two cultures, which will inform possible intervention targets to improve child mental health outcomes in both settings. We have examined the psychometric performance of a new scale The Parent-infant Caregiving Touch Scale in India and the UK and found the subscale assessing early stroking of the infant by mothers to be valid in both settings. This element of early caregiving is important since it moderates associations between prenatal stress and infant temperament and physiological development in the UK. We plan next to investigate whether it reverses prenatal stress effects on infant outcomes in India. 3. We have examined researcher's perspectives of the feasibility of using videos to assess maternal sensitivity in low income urban settings in India. Observational measures of parent-infant interaction are rarely used in India, yet are a gold standard approach in Western research and clinical practice. Mothers and researchers found the process very acceptable which should encourage the use in future research and clinical work. This paper has been reviewed favourably and we are in the process of submitting a revision. 4. Finally we have examined suicidal risk and predictors of suicidality among pregnant and postpartum women in India from pregnancy to age 2. Suicidality levels were high in urban Bangalore and previous suicidal behaviours, perinatal mental health and exposure to intimate partner violence raised the risk of suicidality. Preliminary results were reported at the Marce International conference in Iowa in 2020. All findings presented above are in submission or being prepared for publication. 5. Many research skills in cohort management, retention, multi-modal data handling and complex multivariate analysis have been developed in India during BCHADS. We have developed a number of novel tools to assess culture specific caregiving practices and examine differential item functioning in standard assessments of maternal and child mental health to facilitate cross-cultural comparison in western and South Asian settings. |
| Exploitation Route | Our findings will inform the knowledge base concerning the shared and distinctive risks for adverse child mental health and cognitive developmental outcomes in India and the UK. Findings will in time influence the development and targeting of early interventions, including identifying aspects of maternal perinatal mental health and early parenting that need to be addressed as part of the pathway to impact on children's outcomes. Our study represents the first birth cohort to investigate the earliest origins of child mental health problems ever, in India. As such, the study is groundbreaking and represents an important first step. Professor Chandra who is PI in India is one of only four mental health advisors to the Government in India and the findings from our work will be shared at every opportunity to feed into policy and practice change in healthcare in India. Our work on the development of new measurement technologies, specifically using anchoring vignettes to be able to quantify differences in response styles across cultures for the same mental health assessment tool, will benefit many cross-cultural investigations. In our follow-on grant from UK MRC GCRF we are extending this work and are developing an Anchoring Vignette toolkit which can be used by researchers of global mental health. |
| Sectors | Healthcare |
| Description | The Bangalore Child Health and Development Study has generated findings on rates of maternal suicidal behaviours and perinatal mental health during pregnancy and the postpartum period up to age 2. These have been presented at International and National conferences and her very shortly being submitted to peer reviewed journals for publication. The pregnancy phases of the study funded by have generated reported data in India on the adverse impact of prenatal stress on infant outcomes at birth. Our study is the first birth cohort in India to focus on the mental health of the mother and the child as they develop, rather than the physical health. The study has also generated important prevalence estimates of suicidality and domestic violence in the perinatal period. In her role as advisor to Government Professor Chandra has been able to alert government of the extent of the mental health need in Bangalore, an urban city in the State of Karnataka. As a result of her work as advisor The Health Department of Karnataka has decided to add three questions on screening for perinatal mental health in the Mother Baby Card. This is for the first time in India that a state has added routine mental health screening data into the mother baby card and database. This screening will improve the detection of perinatal mental health problems across the whole state of Karnataka, and represents a major change in universal health care practice and recognition that mental health is a real risk to women and their families, alongside physical health outcomes. Most recently in 2023 these three questions have now been implemented to the Mother Baby Card in another state,Telangana. |
| First Year Of Impact | 2022 |
| Sector | Healthcare |
| Impact Types | Policy & public services |
| Description | Co-I Professor Chandra appointed advisor on perinatal mental health to National Health Mission, Government of India |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Impact | Professor Chandra, PI of BCHADS in India was appointed an Expert member of Steering Committee, National Health Mission, Government of India 2018. She is one of only four advisers on mental health to the highest body for health systems planning in India. The position affords Prof Chandra a rare opportunity to Input into national strategy for mental health in India with impact on policy and practice. This role provides a key pathway to impact for the findings of the Bangalore Child Health and Development Study to influence policy and practice. A major focus of the funded project is the perinatal mental health of women and the impact this has on infant and later child mental health. Our work on assessing suicidality in women repeatedly over the course of pregnancy and the first two years of life is very rare internationally. We are preparing a publication from BCHADS data on the prediction of suicidality from maternal mental health and exposure to domestic violence during the perinatal period. This work has already been reported a international conferences. |
| Description | Co-I Professor Chandra was a consultant on perinatal mental health to the Health Department of Government of Karnataka, India |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Impact | The Health Department of Karnataka has decided to add three questions on screening for perinatal mental health in the Mother Baby Card. This is for the first time in India that a state is adding routine mental health screening data into the mother baby card and database. This screening will improve the detection of perinatal mental health problems across the whole state of Karnataka, an represents a major change in universal health care practice and recognition that mental health is a real risk to women and their families, alongside physical health outcomes. |
| Description | Co-I Professor Chandra was a consultant on perinatal mental health to the Health Department of Government of Karnataka, India |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Impact | This is for the first time in India that a state is adding routine mental health screening data into the mother baby card and database. This screening will improve the detection of perinatal mental health problems across the whole state of Karnataka and the state of Telangana, and represents a major change in universal health care practice and recognition that mental health is a real risk to women and their families, alongside physical health outcomes. |
| Description | Course on Perinatal Mental Health at the 21st WPA World Congress of Psychiatry |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Provision of Specialist training in perinatal mental health to psychiatrists around the world. |
| Description | Course on Perinatal Mental Health for obstetricians |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Chandra PS (2021). Perinatal mental health course for obstetricians in collaboration with RCOG South zone, India. 4 courses of 30 obstetricians each. Aim was to improve education levels and skills of the workforce in recognising perinatal mental health problems |
| Description | Presentation at NGO led conference entitled: Why we cannot ignore maternal suicide. at SNEHA Suicide Update. Chennai, India. |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Invited speaker: Chandra, PS. (2019, April). Why we cannot ignore maternal suicide. Presented at SNEHA Suicide Update. Chennai, India. SNEHA is an NGO set up to work in the field of suicide prevention. Dr Chandra raised the profile of maternal suicide as a threat to survival. Reports on the SNEHA Suicide Update held in 2019 were reported in the news media in India (e.g. Times of India) |
| Description | Training of 70 clinical psychologist or counselling psychologists in perinatal mental health specialism including methods of assessment and intervention |
| Geographic Reach | National |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Specialist Perinatal Mental Health care has expanded enormously with recent UK government investment. Many qualified clinical psychologists and counselling psychologists appointed to new posts are generically trained and have not had perinatal-specific experience and need to be upskilled in how to modify assessment and intervention for this client group. They rarely have previous skills in assessing early parent-infant relationship quality to determine of intervention is required in the context of moderate to severe mental health difficulties. This training course was developed by Sharp and other clinical psychology colleagues to meet this training need. Sharp acts as academic clinical advisor to the programme and leads the module on understanding how perinatal mental health problems influence the parent-infant relationship and child and adolescent mental health and development. Course content was influenced by study findings and experience of conducting hundreds of assessments of mental health and parent-infant relationship assessments in UK and India and detailed clinical academic knowledge of the field. The course has been universally very highly valued by clinicians attending and attendees have reported the course to have been highly influential to their future clinical practice. |
| Description | Training on novel anchoring vignette methodology for determining differential item functioning in cross-cultural studies |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Impact | Improved knowledge of postgraduate and research community in using a novel methodology in cross-cultural research |
| Description | Children Growing up in Liverpool (C-GULL) Birth Cohort and CityLab Linked Data |
| Amount | £5,185,260 (GBP) |
| Funding ID | 217067/Z/19/Z |
| Organisation | Wellcome Trust |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 10/2020 |
| End | 09/2025 |
| Description | Psychological, social & biological predictors of child mental health and development: shared and distinctive risk and protective factors in UK & India |
| Amount | £2,298,129 (GBP) |
| Funding ID | MR/S036466/1) |
| Organisation | Medical Research Council (MRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 07/2019 |
| End | 06/2024 |
| Title | Development of Anchoring Vignettes for Edinburgh Postnatal Depression Scale in English and Kannada languages |
| Description | Anchoring Vignettes are a method used for determining systematic differences in questionnaire item responses between populations. To our knowledge they have not yet been used in the filed of mental health, ours is the first such study. We developed anchoring vignettes that assessed participant responses to descriptions of symptoms of depression with a response scale similar to the EPDS. The anchoring vignettes were administered in India and will be administered in the UK at a later date to parents at a similar stage in the postnatal period. Comparison of response patterns across the scales will enable cross-cultural interpretation of the original EPDS questionnaire responses in the two populations and joint analysis of datasets. The vignettes will be suitable for use in future studies using this scale in India and the UK. This is a method of determining differential item functioning across cultures. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2018 |
| Provided To Others? | No |
| Impact | More work needs to be done following this first stage of Anchoring vignette development. We have plans in place to complete more work on this to build on the work completed during the period of the grant that includes a submission for further MRC funding. |
| Title | Development of Anchoring Vignettes for the preschool Child Behaviour Checklist in English and Kannada languages |
| Description | Anchoring Vignettes are a method used for determining systematic differences in questionnaire item responses between populations. To our knowledge they have not yet been used in the filed of mental health, ours is the first such study. We developed anchoring vignettes that assessed participant responses to descriptions of symptoms of child behaviour and emotional responses with a response scale similar to the preschool Child Behaviour Checklist. The anchoring vignettes were administered in India and will be administered in the UK at a later date to parents at a similar stage of infant development. Comparison of response patterns across the scales will enable cross-cultural interpretation of the original CBCL (child mental health) questionnaire responses in the two populations and joint analysis of datasets. The vignettes will be suitable for use in future studies using this scale in India and the UK. This is a method of determining differential item functioning across cultures. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2018 |
| Provided To Others? | No |
| Impact | More work needs to be done following this first stage of Anchoring vignette development. We have plans in place to complete more work on this to build on the work completed during the period of the grant that includes a submission for further MRC funding. |
| Title | Gender Preference Interview |
| Description | The Gender Preference Interview was developed by the team to enable us to assess behaviours that may indicate parent or family preference concerning the gender newborn infant. In the Indian culture, although gender preference for male infants is a widely recognised phenomenon, it is not openly endorsed, therefore attempts to assess it through direct questions typically yield responses that appear to be influenced by social desirability effects. This interview was developed by the whole research team, using the skills of the UK team in psychometric measure development and the cultural knowledge of the Indian team, to overcome these difficulties by asking direct questions about behaviours that members of the community have indicated represent early implicit signs of gender preference following the birth of the baby. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2017 |
| Provided To Others? | No |
| Impact | The development of this research tool 'The Gender Preference Interview' will allow researchers to investigate a phenomenon that is not been successfully investigated before though directly interviewing mothers. We plan to publish on the development of the measure once data collection is complete. |
| Title | Recalled Gender Discrimination Scale |
| Description | A set of questionnaire items comprising 'The Recalled Gender Discrimination Scale' were developed to be administered separately or as an extension the Parental Bonding Instrument (a well known measure used to assess adult's recollection of caregiving in childhood). These items were added to assess participants' recollection of gender discrimination during their early caregiving in childhood by their mother and their father. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2017 |
| Provided To Others? | No |
| Impact | The Recalled Gender Discrimination Scale items allow researchers to assess an adult's recollection of gender discrimination during their own childhood. This is particularly important in socio-cultural contexts, such as the Indian one, where discrimination toward females (and preference for male infants) in families during childhood might have a great impact on their mental well-being. We aim to publish on this questionnaire once the study is complete and results known. |
| Title | Shared Caregiving Checklist |
| Description | The Shared Caregiving Checklist has been developed by our research team to assess the contribution to the care of children by other members of the family during the first two years of life. In societies where the parental responsibilities are shared with the extended family, being able to assess the impact that other relatives have on the children's lives is of extreme importance. |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2017 |
| Provided To Others? | No |
| Impact | The use of the Shared Caregiving checklist allows researchers to characterise the caregiving environment of the infant more accurately. The researchers can identify key other main caregivers and the activities that they carry out in the care of the infant. The focus is on caregiving during the first two years of life. |
| Description | Dual PhD programme and Fellowship funding - partnership between University of Liverpool and NIMHANS, Bangalore |
| Organisation | National Institute of Mental Health and Neurosciences |
| Country | India |
| Sector | Hospitals |
| PI Contribution | I took over a co-Director role for this programme at University of Liverpool in May 2022. Myself and Prof Chandra at NIMHANS sit on the programme management team given our success in working collaboratively together on BCHADS I and BCHADS II. The programme funds new Dual PhD Fellowship opportunities in the field of mental health (and other domains of research including infection and global health) for students. The programme also fund fellowship opportunities for early career researchers or senior researchers from University of Liverpool or NIMHANS to build academic links and work together on securing future grant funding. Philanthropic funding has also recently been secured to foster these opportunities. |
| Collaborator Contribution | The programme is led jointly by a management team at NIMHANS and University of Liverpool. PI Chandra lead for mental health research at NIMHANS. |
| Impact | The partnership programme was originally established prior to BCHADS I and BCHADS II but did not include opportunities in relation to mental health research. Prof Chandra benefitted from it first by taking up a Senior Research Fellowship which led to meeting Prof Sharp and writing the grants for BCHADS I and then BCHADS II together. Our involvement has increased over time such that both of us support the programme in the partner organisations and now lead for mental health. To date one Dual PhD scholar has graduated on the programme in the field of mental health. Others have completed work in the area of epilepsy and infection. |
| Start Year | 2020 |
| Description | International multi-study Collaboration with leads of 13 cohorts worldwide for joint funding bid |
| Organisation | University of Calgary |
| Country | Canada |
| Sector | Academic/University |
| PI Contribution | A group of research scientists and clinicians have put together a funding proposal to examine the role of exposomic and epi/genetic mechanisms in adolescent mental health to inform intervention, using pooled data from 13 cohorts worldwide. Myself and my co-investigators (P Chandra and J Hill) from the Bangalore Child Health and Development Study have agreed to take part and we have contributed intellectual input into the scientific plans. If funded we will share data from BCHADS and a further wave of follow-up for BCHADS may be funded. A Letter of Intent was submitted in January 2022 to the New Frontiers in Research Fund, Canada - further phases of application are to follow. |
| Collaborator Contribution | Dr Nicole Letourneau leads this bid with a multi-disciplinary team of co-investigators many university departments and from all other cohorts across the world. The team brings intellectual expertise, analytic expertise and expertise in administering longitudinal cohort studies. Nominated Principal Investigator: Nicole Letourneau Co-Principal Investigators: Isabella Annesi-Maesano, Philip Antczak, Carl-Gustaf Bornehag, Prabha Chandra, Deborah Dewey, Nils Daniel Forkert, Jonathan Hill, Eveline Konje, Michael Meaney, Joseph Murray, Elias Charles Nyanza, Anne-Louise Ponsonby, Joëlle Rüegg, Helen Sharp, Patricia Silveria, Suzanne Tough, Edwin van Wijngaarden |
| Impact | Letter of Intent submitted to funding body Title: Adolescent/Child Intervention based on Exposomic Variation and Epi/genetics (ACHIEVE): Mental Health Funding Source: New Frontiers in Research Fund- Transformation Total Grant Amount: $23,695,284($3,847,440 - $3,998,684 per year for 6 years) |
| Start Year | 2021 |
| Description | Invited participation in Childhood Trauma Network - Global Challenges Research Fund application |
| Organisation | University of Bath |
| Department | Department of Psychology |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | The Bangalore Child Health and Development Study Chief Investigators (Professor Helen Sharp and Professor Prabha Chandra) were invited by Academics in University of Cape Town and University of Bath to join in a Global Challenges Research Fund bid to facilitate collaborative data sharing with an International Childhood Trauma Network. This bid was funded by the Academy of Medical Sciences and will run from march 2018 to march 2019. |
| Collaborator Contribution | Collaborators are working on childhood trauma in multiple cultural settings, including Uk and South Africa. We aim to share available data where possible to replicate findings across LMIC settings and conduct joint analyses of datasets to ask key questions about child trauma that cannot be easily addressed in one study alone. Each collaborator in the network is similarly involved. |
| Impact | No outputs yet. |
| Start Year | 2017 |
| Description | Invited participation in Childhood Trauma Network - Global Challenges Research Fund application |
| Organisation | University of Cape Town |
| Country | South Africa |
| Sector | Academic/University |
| PI Contribution | The Bangalore Child Health and Development Study Chief Investigators (Professor Helen Sharp and Professor Prabha Chandra) were invited by Academics in University of Cape Town and University of Bath to join in a Global Challenges Research Fund bid to facilitate collaborative data sharing with an International Childhood Trauma Network. This bid was funded by the Academy of Medical Sciences and will run from march 2018 to march 2019. |
| Collaborator Contribution | Collaborators are working on childhood trauma in multiple cultural settings, including Uk and South Africa. We aim to share available data where possible to replicate findings across LMIC settings and conduct joint analyses of datasets to ask key questions about child trauma that cannot be easily addressed in one study alone. Each collaborator in the network is similarly involved. |
| Impact | No outputs yet. |
| Start Year | 2017 |
| Description | Academic conference preentation: Perinatal maternal mental health and neurocognitive outcomes in children. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Academic Conference Presentation: Chandra, P., & Duncan, M. (2019). Perinatal maternal mental health and neurocognitive outcomes in children. Presentation, 62nd All India Congress of Obstetrics & Gynaecology, Bangalore, India. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Academic conference presentation at National Institute of Mental Health and Neurosciences, Bangalore, India |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation to psychiatrists, psychologists, biostatisticians and other researchers in mental health and neuroscience titled: "Using Anchoring vignettes to enhance cross-cultural validity". Overview of the anchoring vignette theory and summary of how the methodology is being used in the Bangalore Child Health and Development Study |
| Year(s) Of Engagement Activity | 2019 |
| Description | Academic conference presentation: Impact of perinatal psychosocial risk and protective factors on breastfeeding practice among low-income women from an urban community in India |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Talk given at International conference Supraja T A., Jangam, K., Desai G., Satyanarayana V., Venkatram L., & Chandra, P. (2019). Impact of perinatal psychosocial risk and protective factors on breastfeeding practice among low-income women from an urban community in India. Presentation, 23rd World Congress of Social Psychiatry, Bucharest, Romania. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Academic conference presentation: Suicidality and attempted suicide from pregnancy to one year of childbirth - findings from the Bangalore Child Health and Development Study |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Talk given at International conference Chandra, P., Supraja, T.A., Bajaj, A., Thennarasu, K., Pickles, A., Hill, J., & Sharp, H. (2019). Suicidality and attempted suicide from pregnancy to one year of childbirth - findings from the Bangalore Child Health and Development Study. Presentation, 8th World Congress of IAWMH, Paris, France. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Academic conference presentation: What is the feasibility and acceptability of recording videos of mother-infant interaction in home settings in low-and-middle-income countries? |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Talk given at International conference Holla C., Bozicevic L., Supraja T.A., Desai G., Sharp H., & Chandra, P. (2019). What is the feasibility and acceptability of recording videos of mother-infant interaction in home settings in low-and-middle-income countries? Presentation, 23rd World Congress of Social Psychiatry, Bucharest, Romania. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Capacity Building Workshop: Assessment of Early Parenting Interaction for Early Career researchers |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Postgraduate students |
| Results and Impact | A one-day workshop was organized in February, 2023. The aim of the workshop was to train professionals in understanding and assessing early mother-infant interaction, its role in the dyadic relationship, and child development. This workshop was organised as part of a series of capacity-building events planned within the scope of the present grant. A total of 32 professionals attended the workshop, and travel awards were granted to eight participants. The event was very well received and sparked discussions about future research opportunities at PhD level and possible future collaborations. The event was very well received and sparked discussions about future research opportunities at PhD level and possible future collaborations. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Chandra, PS. (2020, July). Presentation at the Obstetrics, Placenta, Epigenetics and Neurodevelopment (OPEN)" Autism special interest virtual symposium, Bangalore, India. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS. (2020, July). Challenges and confounders for setting up an antenatal-perinatal- infant/toddler population network to study Placenta and Early development - Following a perinatal cohort. Presented at the Obstetrics, Placenta, Epigenetics and Neurodevelopment (OPEN)" Autism special interest virtual symposium, Bangalore, India. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Contribution to training course: Anchoring Vignettes: Navigating the challenges of cross-cultural research in Bangalore, India. |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Postgraduate students |
| Results and Impact | Bluett-Duncan, M. (2019). Anchoring Vignettes: Navigating the challenges of cross-cultural research in Bangalore, India. Presented at the Contemporary Applied Psychometrics course at Kings College, London. |
| Year(s) Of Engagement Activity | 2019 |
| Description | H Sharp 'Scouse Science' PODCAST - informing public, academics and clinicians about child and adolescent mental health impacts during the COVID19 pandemic |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Podcast contributor - Helen Sharp was an invited speaker with Rory Bremner (public figure) and Professor Tom Solomon (host and discussant). Topics covered were the impact of the covid pandemic on child mental health and parental mental health. Discussed the longitudinal study, it's aims and the team's work during COVID on BCHADS and it's sister cohort study in the UK. Sparked Lots of questions from listeners worldwide and debate on the influence on mental health and development. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Invited Lecture on Suicidality in the perinatal period - Need for newer ways of assessment and prevention. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS. (2019, November). Suicidality in the perinatal period - Need for newer ways of assessment and prevention. Invited lecture at the Faculty of Perinatal Psychiatry Annual conference organized by the Royal college of Psychiatrists, UK. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Invited Lecture: Suicidality in the perinatal period - Need for newer ways of assessment and prevention. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited lecture: Chandra, P (2019). Suicidality in the perinatal period - Need for newer ways of assessment and prevention. Invited lecture from the Faculty of Perinatal Psychiatry, Royal College of Psychiatrists, UK to speak at their Annual conference. Prof Chandra gave a global perspective on the relative levels of suicidality in women and men across cultures and countries, highlighting that in particular LMIC settings rates are as high in women as they are in men and are the leading cause of maternal death. India is a case in point. She reported findings from BCHADS outlining preliminary results on the predictors of suicidality in the perinatal period. BCHADS is very rare, worldwide, in its systematic and repeated measurement of suicidality in the perinatal period. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Invited Lecture: Suicide and suicidality in the perinatal period. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited lecture: Chandra, P (2018). Suicide and suicidality in the perinatal period. Invited Lecture, Gold Perinatal Online Conference. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Invited Speaker for Psychometrics Course at Kings College, London. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Matthew Bluett-Duncan (PhD student) provided video recording of presentation titled: Anchoring Vignettes in India: Practical Challenges. Overview of the practical challenges faced when developing and administering anchoring vignettes in Bangalore, India to facilitate valid cross-cultural comparisons between India and UK. The audience was biostatisticians. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Invited Speaker for Psychometrics Course at Kings College, London. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Matthew Bluett-Duncan (PhD student) gave presentation titled: "Anchoring Vignettes: Navigating the challenges of cross-cultural research in Bangalore, India". Overview of the anchoring vignette theory and practical challenges faced when developing and administering tool in Bangalore, India to facilitate valid cross-cultural comparisons between India and UK. Participants gave feedback that presentation addressed many of the concerns raised earlier in the course regarding issues relating to measurement invariance. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Invited Symposium at the International Marce Biennial conference at NIMHANS, Bangalore in September 2018 |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Our team led a symposium on 'Cross cultural issues in mother infant caregiving - findings from the Indo UK collaborative Bangalore child health development study' presenting some preliminary results from the Bangalore Child Health and Development Study. Three papers were presented followed by some lively discussion with the international audience of clinicians and academics. 1. Maternal anxiety mediates the link between partner psychological abuse and infant anger prone temperament in the Bangalore Child Health and Development Study. Chandra, P., Bozicevic, L., Desai, G., Hill, J., Sharp, H. 2. Similarities and differences in early infant care in UK and India: A psychometric comparison using the Parent-Infant Caregiving touch Scale. Pickles, A., Hodsoll, J., Chandra, P., Desai, G., Hill, J., Sharp, H. 3. Conceptualising cross cultural differences in early caregiving: comparative levels of instruction and mind-mindedness in UK and Indian samples. Bozicevic L., Omirou A., Holla C., Sharp H., Chandra P., Hill, J. |
| Year(s) Of Engagement Activity | 2018 |
| URL | https://www.liverpool.ac.uk/psychology-health-and-society/departments/psychological-sciences/researc... |
| Description | Invited Talk: Chandra PS. Life needs to be understood backwards |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, April). Life needs to be understood backwards. Invited talk for the Indian Psychiatric Society, South Zone. Influenced attendees in terms of their knowledge of early influences on psychiatric outcomes. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Invited discussants for Journal Club on longitudinal studies for Junior Psychiatric Residents (medical trainees) - capacity building |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Around 40 trainees in Psychiatry attended for a journal club focussed on longitudinal studies of child mental health. Members of the BCHADS team were asked to act as discussants, and to share the details of the BCHADS study and discuss the strengths and limitations of longitudinal studies with reference to key published papers. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Invited symposium on Mental Health |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | UK PI and Indian PI led a symposium on Mental Health featuring methods developed and findings from the Bangalore Child Health and Development Study. Talks included the scale of mental health problems in India, our findings on (1) prevalence of suicidal ideation, behaviours and actions in the perinatal period in mothers (2) Conceptualising cross-cultural differences in early caregiving: comparative levels of instructions and mind-mindedness in Uk and Indian Samples, The use of Anchoring Vignette methodologies in cross-cultural comparisons of data collected, and the prediction of early breastfeeding cessation in rural Bangalore. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Invited talk: Chandra PS. Assessment of women presenting to psychiatric services |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, July). Assessment of women presenting to psychiatric services in the perinatal period. Invited talk for the Indian psychiatric society. This talk was given to 100 psychiatrists and trainee psychiatrists and informed them of the optimal assessment methods for clinical practice |
| Year(s) Of Engagement Activity | 2021 |
| Description | Invited talk: Chandra PS. Cross-Cultural Issues in Measurement in Perinatal Psychiatry |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, May). Cross-Cultural Issues in Measurement in Perinatal Psychiatry. Invited talk for the Perinatal Psychiatry Trainees Annual Conference. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Key note address: Chandra PS. Speaking THE unspoken, trauma, culture AND psychopathology |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, June). Speaking THE unspoken, trauma, culture AND psychopathology. Keynote address at the Royal College of Psychiatry annual conference. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Longitudinal Developmental Science from Birkenhead to Bangalore: sex differences and pathways from pregnancy to child and adolescent mental health problems |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | This conference was intended both as a capacity building event for our collaborators in India and as a way to share research experience with colleagues from all over the world. An open discussion was held at the end of the two day event about challenges faced when conducting longitudinal research both in Western and non-Western countries and sex differences in child and adolescent psychopathology. The content of the two days was filmed and we are planning to make this available for access in India to interested clinicians and academics. |
| Year(s) Of Engagement Activity | 2017 |
| URL | https://www.liverpool.ac.uk/psychology-health-and-society/events/longitudinal-event/ |
| Description | Longitudinal analysis of complex developmental datasets |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Andrew Pickles ran a training in the principles and approaches to longitudinal data analysis whilst the team was visiting NIMHANS, India to a mixed audience of academics and clinicians. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Moderators of the impact of the COVID-19 pandemic on emotional and behavioural problems in Indian preschool children. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Research paper given: Sharp, H., Chandra, P., Wright, N., Hill, J., Supraja, T, Bozicevic, L., & Pickles, A. (2022). Symposium: The impact of COVID-19 on child and adolescent mental health: separating pandemic from typical maturational effects. Talk title: Moderators of the impact of the COVID-19 pandemic on emotional and behavioural problems in Indian preschool children. Life History Research Society, Oxford University, Oxford, 11-13 July 2022. |
| Year(s) Of Engagement Activity | 2022 |
| Description | PS chandra gave Key note address: Alcohol and Gender Based Violence |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2022). Alcohol and gender-based violence. Key note address at Sangath, Goa. Educated 200 mental health professionals. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Patterns of domestic violence among perinatal women from the BCHADS cohort. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Supraja T A, Bozicevic, L., Sharp, H., & Chandra, P Title Patterns of domestic violence among perinatal women from the BCHADS cohort. Biennial Conference of The International Marce Society, Imperial College London, 19-23rd September, 2022. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Patterns of domestic violence among perinatal women from the BCHADS cohort. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Supraja T A, Bozicevic, L., Sharp, H., & Chandra, P Title Patterns of domestic violence among perinatal women from the BCHADS cohort. 9th Congress on Women's Mental Health November 6-9, 2022. Maastricht, Netherlands. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Perinatal and child health in India |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The purpose of the series of talks organised for this event was to present: a) aim and progress of the Bangalore Child Heath and Development Study, which is a cross-cultural longitudinal study on psycho-social risks in pregnancy and the postnatal period for child development; b) cross-cultural issues in maternal mental health research emerged from the Bangalore Prospective Assessment of Maternal Mental Health Study; c) results from a formative study conducted in India and Bangladesh aimed to reduce second-hand smoke during pregnancy. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Postnatal domestic violence and child emotional and behavioral problems in preschool Indian children: mediation by maternal depression. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Postnatal domestic violence and child emotional and behavioral problems in preschool Indian children: mediation by maternal depression. Biennial Conference of The International Marce Society, Imperial College London, 19-23rd September, 2022. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Pre-conference workshop on Longitudinal Analysis of Cohort Data: The special challenge of development from infancy |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Andrew Pickles (Co-I) ran this half-day pre conference workshop at the Marce Society International Meeting in Bangalore, India to an international audience of professionals including academics and clinicians who are research active. The conference is aimed at those who are interested in childbearing and early child development. The workshop was vibrant leading to lots of discussion on the application of statistical methods to developmental data. All available places on the course were full. Longitudinal analysis of cohort data: the special challenge of development from infancy: Development and the challenges of taking measurements on children combine to present numerous problems to someone wanting to describe, analyse and test hypotheses using longitudinal data. In the first session we consider the unexpectedly mischievous impact of measurement error and of unintended selective observation, using examples of the growth of ability, change in autism symptoms, maternal sensitivity in distress, stress response, and the development and regression of language. In the second session, we examine the complication for characterizing development of switching among age-appropriate instruments/measures as cohort members get older, using examples of autism symptoms and language development, and of the challenge of resolving causal direction. The methods illustrated include a variety of methods for multivariate analysis including growth curve, trajectory and survival analysis. Prof Andrew Pickles, statistician in BHI, with special interest in developmental studies. From an early background in natural sciences, urban planning and geography Andrew joined the MRC Child Psychiatry Unit as statistician in 1986, moved to the Dept of Biostatistics in Manchester in 1998, returning to the IoPPN in 2010. His principal interests have been in multivariate longitudinal data, with most applications being in what is now called life-course analysis. These studies have involved genomic, physiological, psychological and social measures and processes and have spanned neonates to geriatrics. A good part of this work has focussed on autism, with recent work highlighting intervention studies and longer term outcomes. Equally rewarding have been the impact on statistical modelling and software (e.g. structural equation modelling in Stata) and the clinical impact on patient care (e.g. NICE guidelines). https://kclpure.kcl.ac.uk/portal/andrew.pickles.html Venue - Department of Bio Statistics - Govinswamy Building, Ground Floor, NIMHANS, Bengaluru 560029 Time : 09:00 AM TO 01.00 PM |
| Year(s) Of Engagement Activity | 2018 |
| URL | http://www.marce2018.com/preconferenceworkshop.php |
| Description | Presentation to SNEHA Foundation India: Why we cannot ignore maternal suicide. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS. (2019, April). Why we cannot ignore maternal suicide. Presented at SNEHA Suicide Update. Chennai, India. SNEHA, is an NGO which was established in 1986 specifically to work in the field of suicide prevention. SNEHA is run by volunteers who provide emotional support to the distressed, depressed and suicidal persons 365 days a year. They have also been involved in creating awareness about suicide prevention at the local and national levels; and are engaged in community-based interventions to prevent suicides, both in urban and rural areas. |
| Year(s) Of Engagement Activity | 2019 |
| URL | https://www.youtube.com/watch?v=ytKVh3vR1Lw |
| Description | Presentation: Chandra PS. Integration of Maternal Mental Health into Routine Care. What will NOT work and why. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, April). Integration of Maternal Mental Health into Routine Care. What will NOT work and why. Influenced clinical practice and knowledge of broad range of mental health professionals in India. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Presentation: Chandra PS. Suicide and Self Harm in the Perinatal Period Evidence from Low- and Middle-Income Countries. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, November). Suicide and Self Harm in the Perinatal Period Evidence from Low- and Middle-Income Countries. Presented at the International Conference on perinatal psychology, Italy. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Presentation: Chandra PS. Trauma and Motherhood- experience from a Mother Baby Unit in India |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, November). Trauma and Motherhood- experience from a Mother Baby Unit in India. Presented at the International Conference on Perinatal Psychology, Italy. 450 health professionals attended. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Presentation: Chandra PS. Why (and what) psychiatrists should know about gender-based violence |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, June). Why (and what) psychiatrists should know about gender-based violence. Presented at the Royal College of Psychiatry, Eastern DIV Spring Conference. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Presentation: Chandra, PS., & Sharp H., et al. The Relationship of Parental Conflict to Infant Behaviour-Findings from the Bangalore Child Health and Development Study. Presentation at the International Marcé Society Biennial Scientific Meeting, Iowa City, United States. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS., Sharp H., Bozicevic, L., Kishore, T., Desai, G., Pickles, A., Hill, J. (2020, October). The Relationship of Parental Conflict to Infant Behaviour-Findings from the Bangalore Child Health and Development Study. Presented at the International Marcé Society Biennial Scientific Meeting, Iowa City, United States. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Presentation: Holla, C., et al. (2019, October). What is the Feasibility and Acceptability of Recording videos of Mother - Infant interaction in Home Settings in Low and Middle Income Countries? |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Holla, C., Bozicevic, L., Supraja, T. A., Desai, G., Sharp, H., Chandra, PS. (2019, October). What is the Feasibility and Acceptability of Recording videos of Mother - Infant interaction in Home Settings in Low and Middle Income Countries? Presented at the World Congress of Social Psychiatry, Bucharest, Romania. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Presentation: Supraja T. A., Jangam, K., Chandra, PS. (2019, October). Predictors of postpartum mother-infant bonding in a low-resource setting from urban India. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Supraja T. A., Jangam, K., Chandra, PS. (2019, October). Predictors of postpartum mother-infant bonding in a low-resource setting from urban India. Presented at the 23rd World Congress of Social Psychiatry, Bucharest, Romania. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Press release: Improving mental health outcomes for children in India |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | A press release was issued on the University of Liverpool website on the Longitudinal science conference held as a capacity building event for the study. |
| Year(s) Of Engagement Activity | 2017 |
| URL | https://news.liverpool.ac.uk/2017/10/19/improving-mental-health-outcomes-children-india/ |
| Description | Public event promoting the Bangalore Child Health and Development Study - to British Deputy High Commission and University Alumni in Bangalore |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Industry/Business |
| Results and Impact | Prof Sharp was invited to give a talk to University of Liverpool Alumni living in India including Bangalore and attended by the James Godber, Deputy Head of the India Science and Innovation Network at the British Deputy High Commission, Bengaluru. The purpose was to raise awareness of the work we are doing on mental health in our study and to engage alumni in supporting future work. The audience and James Godber were very excited about the partnership between myself at Liverpool University and Prof Chandra. The Bangalore Child Health and Development Study is the first birth cohort to focus on identifying early risk and protective factors for child mental health outcomes in India yet millions of children in India will have mental health problems. Following the meeting The University of Liverpool received an email from James Godber suggesting that he might help to build a platform to showcase the work and the partnership when I am next in India in 2020. The High Commission proposed running a science café type event, using the Deputy High Commissioner as a convener, to look at mental health / ageing and innovation and invite key people from across the city. James Godber (he/his) | Deputy Head of the India Science and Innovation Network | British Deputy High Commission, Bengaluru |
| Year(s) Of Engagement Activity | 2019 |
| Description | Seminar on measurement of mother-infant Interaction |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The aim of the seminar was to illustrate different aspects of research on the detection of early psychosocial predictors of child mental health. In particular the themes were a) the importance of early caregiving behaviour as moderators of child mental health outcomes, b) the development of a new measure to assess shared caregiving of infants in Indian families, c) the code of maternal sensitivity using mother infant interaction videos, d) the assessment of gender discrimination towards the infant.This workshop was organised as part of a series of capacity-building events planned within the scope of the present grant. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Seminar: Chandra, PS. Intimate Partner violence- the mental health impact |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, October). Seminar on Intimate Partner violence- the mental health impact. Presented at the Women and Medicine Conference, Qatar. 200 psychaitrists and psychologists attended. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Sharp H., et al. Presentation at the International Marcé Society Biennial Scientific Meeting, Iowa City, United States. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Sharp H., Bajaj, A., Thennarasu, K., Desai, G., Hill, J., Pickles, A., Chandra, PS. (2020, October). Predicting Suicidal Ideation, Planning and Attempts In The Perinatal Period In India. Presented at the International Marcé Society Biennial Scientific Meeting, Iowa City, United States. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Supraja T. A., Jangam, K., Desai, G., Satyanarayana, V., Venkatram, L., Chandra, PS. (2019, October). Impact of perinatal psychosocial risk and protective factors on breastfeeding practice among low-income women from an urban community in India. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Supraja T. A., Jangam, K., Desai, G., Satyanarayana, V., Venkatram, L., Chandra, PS. (2019, October). Impact of perinatal psychosocial risk and protective factors on breastfeeding practice among low-income women from an urban community in India. Presented at the 23rd World Congress of Social Psychiatry, Bucharest, Romania. |
| Year(s) Of Engagement Activity | 2019 |
| Description | The prospective association between maternal postnatal depression, caregiving and infant neurodevelopment in India. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Bluett-Duncan,M., Kishore, T., Satyanarayana, V., Bozicevic, L., Supraja T, Pickles, A., and Sharp, H. (2022). Symposium (Chair H Sharp: The association of Domestic Violence and Maternal Depression on Child Behavioral. Cognitive and Emotional outcomes from a longitudinal study- findings from the Bangalore Child Health and Development Study (BCHADS) in urban India. Title: The prospective association between maternal postnatal depression, caregiving and infant neurodevelopment in India. Biennial Conference of The International Marce Society, Imperial College London, 19-23rd September, 2022. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Training Indian Clinicians in the reliable rating of maternal mind-mindedness based on a Five-Minute Speech Sample |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | We conducted an online training (using video link up) with individual follow-up to establish reliability for an Indian clinician in an observational measure for assessing the components of mind-mindedness expressed in maternal speech samples about their infants. The coding scheme used was developed by the UCLA family project, widely used in high quality research and clinical practice. Practitioners are then able to use this system in their clinical practice and for research with these populations. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Training Indian Clinicians in the reliable rating of mother-infant interaction quality using NICHD coding system |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | We conducted a two day online training (using video link up) with individual follow-up to establish reliability for 12 Indian clinicians in an observational measure for assessing quality of parent infant interaction quality. The system was the NICHD system, widely used in high quality research and clinical practice. Practitioners are then able to use this system in their clinical practice. |
| Year(s) Of Engagement Activity | 2018 |
| URL | https://www.liverpool.ac.uk/psychology-health-and-society/departments/psychological-sciences/researc... |
| Description | Training Indian Clinicians in the reliable rating of mother-infant interaction using the still-face paradigm |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | A postgraduate researcher was trained under the observation of Professor Prabha S Chandra with individual follow-up in the assessment of mother-infant interaction using the still-face paradigm. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Training Psychology postgraduates in coding Mind-mindedness and parental instruction from maternal speech during mother-infant play |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Training postgraduate students to high level of inter-rater reliability in coding maternal speech samples from mother-infant play recorded in BCHADS. The students became aware of the principles involved in high quality methods for coding. |
| Year(s) Of Engagement Activity | 2020,2021 |
| Description | Two day training in "Advanced measurement and Latent Variable Models in Psychiatric Research" |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Andrew Pickles ran a two day workshop training on Advanced Statistical methods at NIMHANS, Bangalore for biostatisticians. 29 Indian biostatisticians attended. This event was set up as part of our planned capacity building activities in India. The workshop was highly rated. This was the first advanced workshop of its kind to be run in NIMHANS which runs many courses. Professor Thennarasu (Co-I) at NIMHANs arranged the event and invited delegates from India. |
| Year(s) Of Engagement Activity | 2018 |
| URL | https://drive.google.com/file/d/1QWftXW8eT76tGnh3xQy5ObfO9k83xcqJ/view |
| Description | Workshop about Bayley Developmental Scales |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | This event was held to review the administration of the Bayley scales in India where the research is conducted. A review of Indian videos and a question and answer session with Jeanette Appleton (who is a certified Bayley III trainer) was organised. A number of staff from the Indian team attended. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Workshop on Perinatal mental health |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Prabha S Chandra conducted a workshop on Perinatal mental health at the Royal College of Obstetricians and Gynaecologists, Bangalore, India. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Workshop training in administration of Bayley Developmental Scales |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | A 'Pearson Clinical Assessment Workshop' was conducted for training research staff (9 members) on the administration, scoring and interpretation of Bayley Scales of Infant and Toddler Development, Third Edition on the 5th of February, 2019 by Dr Thomas Kishore (Co-I) as part of capacity building activities locally in India. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Workshop: Chandra PS. Domestic violence and COVID-19. |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Chandra, PS (2021, April). Domestic violence and COVID-19. Workshop for the International Marce society for Perinatal Mental Health. |
| Year(s) Of Engagement Activity | 2021 |