Cognitive Behavior Therapy-based Intervention by Community Health Workers for Mothers With Depression and Their Infants in Rural Pakistan: A Cluster-randomized Controlled Trial

Rahman, Atıf; Malik, Aiysha; Sikander, Siham; Roberts, Carl A.; Creed, FH

doi:10.1097/01.aoa.0000358417.86155.19

Cited by 25 publications

(26 citation statements)

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“…Another intervention was studied in a randomized controlled trial that documented positive outcomes resulting from a cognitive behavior therapy intervention by primary health workers, with Pakistani women having symptoms of PPD. This demonstrates that psychosocial interventions can be effectively utilized in low-resource countries (Rahman, Malik, Sikander, Roberts, & Creed, 2008).…”

Section: Exemplary Interventionsmentioning

confidence: 82%

Postpartum Depression and Culture

Callister

Beckstrand

Corbett

2010

McN: The American Journal of Maternal/Child Nursing

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The purpose of this article is to describe what the literature has shown about postpartum depression (PPD) in culturally diverse women. The majority of qualitative studies done with women identified as having PPD have been conducted with Western women, with the second largest group focusing on Chinese women. This article reviews the qualitative studies in the literature and discusses how the management of PPD in technocentric and ethnokinship cultures differs. Social support has been shown to be significantly related to fewer symptoms of PPD, and culturally prescribed practices may or may not be cultural mediators in decreasing the incidence of PPD. Nurses should be sensitive to the varied ways in which culturally diverse women perceive, explain, and report symptoms of PPD. Exemplary interventions for culturally diverse women suffering from PPD are examined in this article as well, although it is clear that additional research is needed to develop models for culturally competent interventions for PPD in culturally diverse women and to document the outcomes of such interventions.

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Section: Exemplary Interventionsmentioning

confidence: 82%

Postpartum Depression and Culture

Callister

Beckstrand

Corbett

2010

McN: The American Journal of Maternal/Child Nursing

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“…In order for mental health treatment to be provided reliably and sustainably within the primary care system-a widely regarded necessary strategy regardless of settingtreatment functions can be very effectively divided along various tiers of a stepped care pathway in ways that enable nonspecialists to do the bulk of screening and triage, engagement, follow-up, monitoring, and counseling tasks that are key to successful care. Based on this evidence for collaborative care models to treat common disorders in higher income countries, [72][73][74] Belkin et al [71] propose a five step implementation approach for large-scale mental health care scale up in lower resource settings. These steps include (1) assessing the context; (2) identifying priority care pathways that are linked with specific "skill packages"; (3) specifying decision supports, supervision, and triage rules to activate those care pathways; (4) using quality improvement practices; and (5) planning for sustainability and capacity building.…”

Section: Discussionmentioning

confidence: 99%

Measuring Depression and Anxiety in Sub-Saharan Africa

2013

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Background Despite being one of the leading causes of disability worldwide, fewer than 10% of depressed individuals in low-resource settings have access to treatment. Mounting evidence suggests that nonspecialist workers are capable of providing counseling and case management at the community level. They often use brief psychiatric screening instruments as clinical tools to identify cases and monitor symptoms over time. In order for such tools to be used in diverse settings, they must demonstrate adequate reliability and validity in addition to cross-cultural relevance. To be used to guide routine care they also need to be flexibly adapted and sensitive to change. The goal of this paper is to assess the cross-cultural validity of brief psychiatric screening instruments in sub-Saharan Africa, identify best practices, and discuss implications for clinical management and scale-up of mental health treatment in resource-poor settings. Method Systematic review of studies assessing the validity of screening instruments for depression, anxiety, and mental distress in sub-Saharan Africa using Medline and PsycINFO. Results Sixty-five studies from 16 countries assessing the validity of brief screening instruments for depression, anxiety, and/or mental distress. Conclusions Despite evidence of underlying universality in the experience of depression and anxiety in sub-Saharan Africa, differences in the salience, manifestation, and expression of symptoms suggest the need for the local adaptation of instruments. Rapid ethnographic assessment has emerged as a promising, low-cost, and efficient strategy for doing so.

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“…Effi cacy trials. 122,123 show that the benefi ts might accrue to both mothers and their newborn babies, justifying ongoing eff orts to bring these initiatives to scale.…”

Section: Early Child Developmentmentioning

confidence: 99%