The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review.
The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review.
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DOI：
10.1016/j.bpobgyn.2013.08.013
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发表时间：
2014-01
影响因子：
5.5
通讯作者：
Patel, Vikram
中科院分区：
文献类型：
--
作者：
Chowdhary, Neerja;Sikander, Siham;Atif, Najia;Singh, Neha;Ahmad, Ikhlaq;Fuhr, Daniela C.;Rahman, Atif;Patel, Vikram
关键词：
在低收入和中等收入国家，由非专业卫生工作者提供的心理干预对治疗围产期抑郁症是有效的。在这篇系统性综述中，我们描述了这些干预措施的内容和实施。确定了9项研究。这些干预措施有一些共同的主要特点，例如从产前开始并延伸到产后，在常规妇幼保健的范围内提供分娩服务;干预措施的重点不限于母亲，包括儿童和其他家庭成员;关注社会问题并注重赋予妇女权力。所有干预措施都根据背景和文化相关性进行了调整;例如，在语言、隐喻和内容领域。虽然非专业卫生工作者提供的干预措施的能力和质量，预计将通过结构化的培训和持续的监督，这些经验的评价是稀缺的。这些干预措施的可扩展性也仍然是一个挑战，需要进一步关注。
Psychological interventions delivered by non-specialist health workers are effective for the treatment of perinatal depression in low- and middle-income countries. In this systematic review, we describe the content and delivery of such interventions. Nine studies were identified. The interventions shared a number of key features, such as delivery provided within the context of routine maternal and child health care beginning in the antenatal period and extending postnatally; focus of the intervention beyond the mother to include the child and involving other family members; and attention to social problems and a focus on empowerment of women. All the interventions were adapted for contextual and cultural relevance; for example, in domains of language, metaphors and content. Although the competence and quality of non-specialist health workers delivered interventions was expected to be achieved through structured training and ongoing supervision, empirical evaluations of these were scarce. Scalability of these interventions also remains a challenge and needs further attention.
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