The Friendship Bench as a brief psychological intervention with peer support in rural Zimbabwean women: a mixed methods pilot evaluation.
The Friendship Bench as a brief psychological intervention with peer support in rural Zimbabwean women: a mixed methods pilot evaluation.
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DOI：
10.1017/gmh.2021.32
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Prendergast AJ
中科院分区：
文献类型：
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作者：
Fernando S;Brown T;Datta K;Chidhanguro D;Tavengwa NV;Chandna J;Munetsi E;Dzapasi L;Nyachowe C;Mutasa B;Chasekwa B;Ntozini R;Chibanda D;Prendergast AJ
低收入国家农村地区常见精神障碍的治疗存在很大差距。我们测试了友谊长凳作为津巴布韦农村地区乡村卫生工作者 (VHW) 提供的简短心理干预措施。在之前的试验中发现患有抑郁症的农村妇女每周接受 VHW 的家庭问题解决治疗，为期 6 周，并加入同伴支持小组。使用爱丁堡产后抑郁量表（EPDS）和绍纳症状问卷（SSQ）评估抑郁症。通过深入访谈和焦点小组讨论探讨了可接受性。使用麦克尼马尔检验比较干预前后患有抑郁症的女性比例。 10 名 VHW 为 27 名平均年龄 33 岁的女性提供了问题解决治疗； 25 人完成了六节课。女性重视与 VHW 建立的既定且信任的关系，这可以确保保密性并防止八卦，并报告发现个人解决问题的疗法是有益的。同事支持会议提供了分享问题、解决方案和技能的空间。 EPDS 中患有抑郁症或有自杀意念的女性比例从 68% 下降至 12% [差异 56%（95% 置信区间 (CI) 27.0–85.0）； p = 0.001]，SSQ 得分高 (>7) 的比例从 52% 下降到 4% [差异 48% (95% CI 24.4–71.6)； p < 0.001] 6 周干预后。 VHW 提供的问题解决疗法和同伴支持是可以接受的，并且在这次试点评估中显示出有希望的结果，导致津巴布韦农村妇女的心理健康在数量和质量上得到改善。扩大农村地区友谊长凳的规模将有助于缩小常见精神障碍的治疗差距。
There is a large treatment gap for common mental disorders in rural areas of low-income countries. We tested the Friendship Bench as a brief psychological intervention delivered by village health workers (VHWs) in rural Zimbabwe. Rural women identified with depression in a previous trial received weekly home-based problem-solving therapy from VHWs for 6 weeks, and joined a peer-support group. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and Shona Symptom Questionnaire (SSQ). Acceptability was explored through in-depth interviews and focus group discussions. The proportion of women with depression pre- and post-intervention was compared using McNemar's test. Ten VHWs delivered problem-solving therapy to 27 women of mean age 33 years; 25 completed six sessions. Women valued an established and trustful relationship with their VHW, which ensured confidentiality and prevented gossip, and reported finding individual problem-solving therapy beneficial. Peer-support meetings provided space to share problems, solutions and skills. The proportion of women with depression or suicidal ideation on the EPDS declined from 68% to 12% [difference 56% (95% confidence interval (CI) 27.0–85.0); p = 0.001], and the proportion scoring high (>7) on the SSQ declined from 52% to 4% [difference 48% (95% CI 24.4–71.6); p < 0.001] after the 6-week intervention. VHW-delivered problem-solving therapy and peer-support was acceptable and showed promising results in this pilot evaluation, leading to quantitative and qualitative improvements in mental health among rural Zimbabwean women. Scale-up of the Friendship Bench in rural areas would help close the treatment gap for common mental disorders.
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影响因子：
3.4
作者：
Tome J;Mbuya MNN;Makasi RR;Ntozini R;Prendergast AJ;Dickin KL;Pelto GH;Constas MA;Moulton LH;Stoltzfus RJ;Humphrey JH;Matare CR;Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
通讯作者：
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
影响因子：
--
作者：
Grote, Nancy K.;Bridge, Jeffrey A.;Gavin, Amelia R.;Melville, Jennifer L.;Iyengar, Satish;Katon, Wayne J.
通讯作者：
Katon, Wayne J.
影响因子：
2.1
作者：
Field, Tiffany
通讯作者：
Field, Tiffany
影响因子：
6.6
作者：
Matthey, S
通讯作者：
Matthey, S
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo