Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis

Keynejad, Roxanne; Hanlon, Charlotte; Howard, Louise M.

doi:10.1016/s2215-0366(19)30510-3

Cited by 76 publications

(67 citation statements)

References 37 publications

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“…Moreover, gender-based violence is highly prevalent in South Asian countries [ 94 , 95 ]. Previous research has shown tremendous impacts of oppression and violence on women's psychosocial health [ 93 , 95 , 96 ]. Recent reports suggest a growing burden of domestic violence, which is likely to affect the mental health and wellbeing among South Asian women [ 97 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain

Rahman

Trisha

et al. 2021

Heliyon

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Introduction The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7–48.1, I 2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9–39.4, I 2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity, high publication bias confirmed by Egger's test, and varying prevalence rates across sub-groups. Conclusion South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain

Rahman

Trisha

et al. 2021

Heliyon

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“…Psychological interventions in women disclosing partner violence (improved anxiety but not depression) 153 ***…”

Section: Evidence Supporting Primary Prevention and Mental Health Promentioning

confidence: 99%

Preventive psychiatry: a blueprint for improving the mental health of young people

et al. 2021

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Preventive approaches have latterly gained traction for improving mental health in young people. In this paper, we first appraise the conceptual foundations of preventive psychiatry, encompassing the public health, Gordon's, US Institute of Medicine, World Health Organization, and good mental health frameworks, and neurodevelopmentally‐sensitive clinical staging models. We then review the evidence supporting primary prevention of psychotic, bipolar and common mental disorders and promotion of good mental health as potential transformative strategies to reduce the incidence of these disorders in young people. Within indicated approaches, the clinical high‐risk for psychosis paradigm has received the most empirical validation, while clinical high‐risk states for bipolar and common mental disorders are increasingly becoming a focus of attention. Selective approaches have mostly targeted familial vulnerability and non‐genetic risk exposures. Selective screening and psychological/psychoeducational interventions in vulnerable subgroups may improve anxiety/depressive symptoms, but their efficacy in reducing the incidence of psychotic/bipolar/common mental disorders is unproven. Selective physical exercise may reduce the incidence of anxiety disorders. Universal psychological/psychoeducational interventions may improve anxiety symptoms but not prevent depressive/anxiety disorders, while universal physical exercise may reduce the incidence of anxiety disorders. Universal public health approaches targeting school climate or social determinants (demographic, economic, neighbourhood, environmental, social/cultural) of mental disorders hold the greatest potential for reducing the risk profile of the population as a whole. The approach to promotion of good mental health is currently fragmented. We leverage the knowledge gained from the review to develop a blueprint for future research and practice of preventive psychiatry in young people: integrating universal and targeted frameworks; advancing multivariable, transdiagnostic, multi‐endpoint epidemiological knowledge; synergically preventing common and infrequent mental disorders; preventing physical and mental health burden together; implementing stratified/personalized prognosis; establishing evidence‐based preventive interventions; developing an ethical framework, improving prevention through education/training; consolidating the cost‐effectiveness of preventive psychiatry; and decreasing inequalities. These goals can only be achieved through an urgent individual, societal, and global level response, which promotes a vigorous collaboration across scientific, health care, societal and governmental sectors for implementing preventive psychiatry, as much is at stake for young people with or at risk for emerging mental disorders.

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“…Funding: UK National Institute for Health Research ASSET and King's IoPPN Clinician Investigator Scholarship.”168…”

Section: Introductionmentioning

confidence: 99%

“…Future research should investigate whether adapting evidence-based psychological interventions for CMDs to address intimate partner violence enhances their acceptability, feasibility, and effectiveness in LMICs.Funding: UK National Institute for Health Research ASSET and King's IoPPN Clinician Investigator Scholarship. "168 amid personal protective equipment (PPE) shortages. Any recommendations about social or physical distancing, and the use of face masks, should be based on the best available evidence.…”

mentioning

confidence: 99%

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Page

Moher

Bossuyt

et al. 2021

BMJ

5,359

2,786

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The PRISMA 2020 statement includes a checklist of 27 items to guide reporting of systematic reviews In this article we explain why reporting of each item is recommended, present bullet points that detail the reporting recommendations, and present examples from published reviews We hope that uptake of the PRISMA 2020 statement will lead to more transparent, complete, and accurate reporting of systematic reviews, thus facilitating evidence based decision making on 15 April 2021 by guest. Protected by copyright.

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Psychological interventions for common mental disorders in women experiencing intimate partner violence in low-income and middle-income countries: a systematic review and meta-analysis

Cited by 76 publications

References 37 publications

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Preventive psychiatry: a blueprint for improving the mental health of young people

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

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