Impact of a participatory intervention with women's groups on psychological distress among mothers in rural Bangladesh: secondary analysis of a cluster-randomised controlled trial.
Impact of a participatory intervention with women's groups on psychological distress among mothers in rural Bangladesh: secondary analysis of a cluster-randomised controlled trial.
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DOI：
10.1371/journal.pone.0110697
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Fottrell E
中科院分区：
文献类型：
--
作者：
Clarke K;Azad K;Kuddus A;Shaha S;Nahar T;Aumon BH;Hossen MM;Beard J;Costello A;Houweling TA;Prost A;Fottrell E
围产期常见精神障碍是妇女残疾的一个主要原因，对低收入国家的影响不成比例。在这些环境中，迫切需要采取干预措施来解决多发性精神障碍，而基于群体和同行领导的方法是增加获得心理健康干预的潜在战略。由当地妇女领导的参与式妇女健康小组以前在印度东部减少了产后心理痛苦。我们评估了孟加拉国农村地区类似干预措施对产后心理困扰的影响。我们对来自18个簇的随机对照试验的数据进行了二次分析，估计人口为532,996人。9个专题组接受了每月会议的干预，在此期间，妇女团体通过参与性学习和行动周期开展工作，以制定改善妇女和儿童健康的战略。种群中每309只个体对应一个种群，共810个种群。在九个对照组中，母亲可以获得通常的围产期护理。在2010年和2011年1月至4月期间，在产后6周至52周期间，使用20个项目的自我报告问卷(SRQ-20)测量产后心理痛苦。我们分析了6275名母亲的结局。尽管干预组SRQ-20整群均分(平均值5.2，标准差1.8)低于对照组(5.3，1.2)，但差异无统计学意义(β1.44，95%CI 0.28，3.08)。尽管在印度取得了可喜的成果，但关注妇女和儿童健康的参与性妇女团体并没有对孟加拉国农村地区的产后心理痛苦产生重大影响。
Perinatal common mental disorders (PCMDs) are a major cause of disability among women and disproportionately affect lower income countries. Interventions to address PCMDs are urgently needed in these settings, and group-based and peer-led approaches are potential strategies to increase access to mental health interventions. Participatory women’s health groups led by local women previously reduced postpartum psychological distress in eastern India. We assessed the effect of a similar intervention on postpartum psychological distress in rural Bangladesh. We conducted a secondary analysis of data from a cluster-randomised controlled trial with 18 clusters and an estimated population of 532,996. Nine clusters received an intervention comprising monthly meetings during which women’s groups worked through a participatory learning and action cycle to develop strategies for improving women’s and children’s health. There was one group for every 309 individuals in the population, 810 groups in total. Mothers in nine control clusters had access to usual perinatal care. Postpartum psychological distress was measured with the 20-item Self Reporting Questionnaire (SRQ-20) between six and 52 weeks after delivery, during the months of January to April, in 2010 and 2011. We analysed outcomes for 6275 mothers. Although the cluster mean SRQ-20 score was lower in the intervention arm (mean 5.2, standard deviation 1.8) compared to control (5.3, 1.2), the difference was not significant (β 1.44, 95% CI 0.28, 3.08). Despite promising results in India, participatory women’s groups focused on women’s and children’s health had no significant effect on postpartum psychological distress in rural Bangladesh.
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影响因子：
120.7
作者：
Bolton, P;Bass, J;Weissman, M
通讯作者：
Weissman, M
影响因子：
3
作者：
Ahmed, M.;Begum, Anwara;Chowdhury, M. A. I.
通讯作者：
Chowdhury, M. A. I.
影响因子：
2.8
作者：
Choudhury, Waziul Alam;Quraishi, Firoz Ahmed;Haque, Ziaul
通讯作者：
Haque, Ziaul
影响因子：
8.1
作者：
Gao, Ling-ling;Chan, Sally Wai-chi;Hao, Yuantao
通讯作者：
Hao, Yuantao
影响因子：
168.9
作者：
Araya, R;Rojas, G;Peters, TJ
通讯作者：
Peters, TJ