Improving maternal mental health in South East Asia through assets based approaches.

通过基于资产的方法改善东南亚孕产妇心理健康。

• 批准号: MR/T039345/1
• 负责人: Margaret Maxwell
• 金额: $ 11.62万
• 依托单位: University of Stirling
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FT039345%2F1
• 关键词: Improving; maternal; mental; health; South

Perinatal mental illness (mainly depression and anxiety during pregnancy and the first year after childbirth) is a major global health problem. Without the right kind of support and treatment, it can have long-term negative effects on the mother's and the child's health and wellbeing. Severe mental illness is one of the main causes of maternal deaths in the first year after childbirth and perinatal mental illness can negatively impact both the physical (low birth weight babies, reduced breast feeding, severe malnutrition and hampered growth), behavioural and social development of the infant, potentially creating a trans-generational cycle of poor mental and physical health. Perinatal mental illness disproportionately affects women who are already vulnerable, for example women exposed to violence, poor social support and low income. Although high quality information on LMICs is limited, it suggests that the occurrence of perinatal mental illness in LMIC may be three times higher than in high income countries. Therefore, effective and early treatment of perinatal mental illness is essential for the long-term welfare and wellbeing of populations in LMICs. South East Asia comprises countries that are highly diverse in terms of ethnicity, language and culture and economic status, with several countries categorised as lower-middle and lowest income categories. In this region, perinatal mental illness is poorly understood and may be considered socially and culturally unacceptable with affected women and families experiencing stigma and blame. Further, there is inequity of access to skilled mental healthcare professionals, and lack of care guidance appropriate to perinatal mental health. This means that perinatal mental ill health is largely under recognised and under treated. We have established a South East Asian Perinatal Mental Health Research Network (SEAPMHRN) (currently involving members from Malaysia, Myanmar, Indonesia and Thailand) which includes researchers, clinicians, and a health Ministry in the region to develop a long-term research programme in perinatal mental health. This network has already conducted a 2-day workshop (Kuala Lumpur July 2019) to scope and establish research priorities as defined by the LMIC country participants. We aim to further expand and develop this network, bringing together multi-disciplinary experts (including NGOs and community workers) and lay people/women, to develop a context relevant research agenda for understanding and improving perinatal mental health. The research prioritisation workshop participants identified 3 key areas to address: understanding women's experiences of perinatal mental health problems, and preferences for care; improving screening and detection; and addressing the problem of low (perinatal) mental health literacy among professionals, and the public.This proposal is for funding to cover the following related activities: 1. To support further networking meetings, encouraging expansion of the current network to include more links to policy makers, NGOs, patient and public involvement and community development organisations, and the continuing development of research priorities; setting up appropriate communication structures e.g. website and exchange visits; supporting grant writing groups which build local research capacity. 2. Conduct foundation research for each of the 3 priority areas identified: To test the methods for digitally capturing a range of women's experiences or perinatal mental illness from across participating countries; to conduct a literature review on the validity of existing translated screening tools for detecting perinatal mental health problems in SE Asian women; to assess and adapt (if possible) existing resources for future delivery of perinatal mental health awareness training in the region.

围产期精神疾病（主要是怀孕期间和产后第一年的抑郁和焦虑）是一个重大的全球健康问题。如果没有正确的支持和治疗，可能会对母亲和孩子的健康和福祉产生长期的负面影响。严重精神疾病是产后第一年孕产妇死亡的主要原因之一，围产期精神疾病会对婴儿的身体（低出生体重婴儿、母乳喂养减少、严重营养不良和生长发育障碍）、行为和社会发展产生负面影响，可能造成精神和身体健康状况不佳的跨代循环。围产期精神疾病对本已脆弱的妇女的影响尤为严重，例如遭受暴力、社会支持较差和收入低的妇女。尽管有关中低收入国家的高质量信息有限，但它表明中低收入国家围产期精神疾病的发生率可能是高收入国家的三倍。因此，围产期精神疾病的有效和早期治疗对于中低收入国家人口的长期福利和福祉至关重要。东南亚国家在种族、语言、文化和经济地位方面高度多样化，其中一些国家被归类为中低收入和最低收入类别。在该地区，人们对围产期精神疾病知之甚少，并且可能被认为在社会和文化上是不可接受的，受影响的妇女和家庭会遭受耻辱和指责。此外，获得熟练的心理保健专业人员的机会不平等，并且缺乏适合围产期心理健康的护理指导。这意味着围产期精神疾病在很大程度上没有得到充分认识和治疗。我们建立了东南亚围产期心理健康研究网络（SEAPMHRN）（目前成员来自马来西亚、缅甸、印度尼西亚和泰国），其中包括该地区的研究人员、临床医生和卫生部，以制定围产期心理健康的长期研究计划。该网络已经举办了为期 2 天的研讨会（2019 年 7 月，吉隆坡），以确定中低收入国家参与者确定的研究重点并确定研究重点。我们的目标是进一步扩大和发展这个网络，汇集多学科专家（包括非政府组织和社区工作者）和普通民众/妇女，制定与背景相关的研究议程，以了解和改善围产期心理健康。研究优先顺序研讨会参与者确定了需要解决的 3 个关键领域： 了解妇女的围产期心理健康问题经历以及护理偏好；改进筛查和检测；并解决专业人员和公众（围产期）心理健康素养低下的问题。本提案旨在为以下相关活动提供资金： 1. 支持进一步的网络会议，鼓励扩大当前网络以包括与政策制定者、非政府组织、患者和公众参与以及社区发展组织的更多联系，以及研究重点的持续发展；建立适当的沟通结构，例如网站和互访；支持建设当地研究能力的资助写作小组。 2. 针对确定的 3 个优先领域中的每一个领域开展基础研究： 测试以数字方式捕捉参与国的一系列妇女经历或围产期精神疾病的方法；对现有翻译筛查工具用于检测东南亚妇女围产期心理健康问题的有效性进行文献综述；评估和调整（如果可能）现有资源，以便将来在该地区提供围产期心理健康意识培训。

项目成果

Assessment tools to measure postnatal mental illness: A 10-year scoping review.

衡量产后精神疾病的评估工具：十年范围审查。

• DOI: 10.51866/rv1289
• 发表时间: 2022
• 期刊: the official journal of the Academy of Family Physicians of Malaysia
• 作者: Shahmi Ruslan NL

Depression, Anxiety, and Behavioural Changes during the COVID-19 Pandemic among Medical and Nursing Students

COVID-19 大流行期间医学生和护理生的抑郁、焦虑和行为变化

• DOI: 10.32604/ijmhp.2022.020972
• 发表时间: 2022
• 期刊: International Journal of Mental Health Promotion
• 影响因子: 1.3
• 作者: Roshaidai Mohd Arifin S

Depression, anxiety, and physical activity among antenatal women during COVID-19 pandemic

COVID-19 大流行期间产前妇女的抑郁、焦虑和体力活动

• DOI: 10.11591/ijphs.v11i4.21579
• 发表时间: 2022
• 期刊: International Journal of Public Health Science (IJPHS)
• 作者: Arifin S

Understanding the Healthcare Practitioners' Experience in Managing Women with Postnatal Depression: A Qualitative Study in Malaysia

了解医疗保健从业者管理女性产后抑郁症的经验：马来西亚的一项定性研究

• DOI: 10.31436/imjm.v21i2.1993
• 发表时间: 2022
• 期刊: IIUM Medical Journal Malaysia
• 影响因子: 0.4
• 作者: Mohd Arifin S