Assessing antenatal depression in primary care with the PHQ-2 and PHQ-9: Can It Be carried Out by auxiliary nurse midwife (ANM)?

Ransing, Ramdas; Deshpande, Smita N.; Shete, Shreya R.; Patil, Ishwar; Kukreti, Prerna; Raghuveer, Pracheth; Mahadevaiah, Mahesh; Bhosale, Nandkumar; Ramesh, Vallamkonda OmSai; Puri, Manju; Bantwal, Priyanka

doi:10.1016/j.ajp.2020.102109

Cited by 12 publications

(13 citation statements)

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“…Specific and vulnerable populations, such as the rurally located, children and adolescents, perinatal, geriatric, and early psychosis, are especially affected (Dhandapani et al, 2020; Ransing, Kukreti, et al, 2020; Verma, Grover, Singh, Dahiya, & Nehra, 2020). Examples of initiatives to tackle these issues include Project BIND‐P, a perinatal mental health project (Ransing, Deshpande, et al, 2020), a healthcare worker‐based collaborative model for the National Mental Health program, as well as various community mental health programs and mHGAP specific initiatives (Ahuja et al, 2020; Pandya, Shah, Chauhan, & Saha, 2020; Parker et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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Introduction This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia‐Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. Methods Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. Results While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. Discussion Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi‐center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.

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Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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“…The BIND‐P Guidance and training model has been prepared to train the HCW in the BIND‐P intervention and stepped care model (Ransing et al, 2020). The training involves didactic lectures, video presentations, self ‐assessments, group work, suggested readings, and onsite training.…”

Section: Resultsmentioning

confidence: 99%

“…Research on screening women for PND is limited in India, although several scales are available to screen women for PND, such as the Edinburgh Postnatal Depression Scale (EPDS), PHQ‐9, and Whooley's questionnaire (Bavle et al, 2016; Dere, Varotariya, Ghildiyal, Sharma, & Kaur, 2019; Ransing, Deshpande, et al, 2020). We preferred to use the PHQ‐2 and PHQ‐9, as these scales have been translated and validated in several Indian languages and used in various contexts (Ganguly et al, 2013; Shidhaye, Gangale, & Patel, 2016) and demonstrated good psychometric properties for screening the population with different disorders (Ambaw, Mayston, Hanlon, & Alem, 2017; Reddy, Philpot, Ford, & Dunbar, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…In India, anemia and other medical disorders (eg, hypothyroidism) during pregnancy are highly prevalent and often remain undetected or un‐treated leading to pregnancy‐related complications (Dhanwal et al, 2016; Tandon et al, 2018). There is a significant overlap in the clinical presentation of depression and these medical conditions leading to high false‐positive in the PHQ‐9 (Marcus & Heringhausen, 2009; Ransing, Deshpande, et al, 2020; Tudosa et al, 2010). In India, the ANM's are adequately trained in the detection of these CMD.…”

Section: Discussionmentioning

confidence: 99%

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Development of a brief psychological intervention for perinatal depression (BIND‐P)

Ransing¹,

Kukreti

Raghuveer

et al. 2020

Asia-Pacific Psychiatry

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Background Lack of recognition in national programs, poor referral system, and non‐availability of trained human resources are the important barriers for the delivery of perinatal depression (PND) services in low‐ and middle‐income countries (LAMICs). To address this there is an urgent need to develop an integrative and non‐specialist‐based stepped care model. As part of its research thrust on target areas of India's National Mental Health Programme (NMHP), the Indian Council of Medical Research funded a research project on the outcome of PND at four sites. In this article, we describe the development of the primary health care worker‐based stepped care model and brief psychological intervention for PND. Methods A literature review focused on various aspects of PND was conducted to develop a model of care and intervention under NMHP. A panel of national and international experts and stakeholders reviewed the literature, opinions, perspectives, and proposal for different models and interventions, using a consensus method and WHO implementation toolkit. Results A consensus was reached to develop an ANM (Auxillary nurse midwife)‐based stepped‐care model consisting of the components of care, training, and referral services for PND. Furthermore, a brief psychological intervention (BIND‐P) was developed, which includes the components of the low‐intensity intervention (eg, exercise, sleep hygiene). Conclusion The BIND‐P model and intervention provide a practical approach that may facilitate effective identification, treatment, and support women with PND. We are currently evaluating this model across four study sites in India, which may help in the early detection and provision of appropriate and integrative care for PND.

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“…It has been shown that with as little as 3 hours of training on the use of psychometric tools, inter-rater reliability of up to 81% can be achieved. 13 These trainings can be reinforced periodically using pre-recorded training videos. All psychometric tools used in this toolkit have been validated in different countries and in different settings including primary care settings.…”

Section: Training Of Healthcare Workersmentioning

confidence: 99%

COVID-19 mental health care toolkit: an international collaborative effort by Early Career Psychiatrists section

et al. 2020

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The collaborative effort of an international research team from the Early Career Psychiatrists section of the World Psychiatry Association has brought about an easy-to-use, quick and stepwise mental health care toolkit for the identification and appropriate referral of those in need of mental health care during the pandemic. This simple guide can be applied in the general outpatient setting and is catered for all healthcare professionals, regardless of their expertise within the mental health field with minimal training. It is our hope that by incorporating this toolkit into our daily clinical care during the pandemic for high-risk patients and patients with non-specific complaints, we will be able to bridge the mental health gap present in our society.

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Assessing antenatal depression in primary care with the PHQ-2 and PHQ-9: Can It Be carried Out by auxiliary nurse midwife (ANM)?

Cited by 12 publications

References 45 publications

The state of psychiatric research in the Asia Pacific region

The state of psychiatric research in the Asia Pacific region

Development of a brief psychological intervention for perinatal depression (BIND‐P)

COVID-19 mental health care toolkit: an international collaborative effort by Early Career Psychiatrists section

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