Treating Common Mental Disorders in Women in Mozambique by Addressing Intimate Partner Violence in Couples
通过解决夫妻中的亲密伴侣暴力来治疗莫桑比克妇女的常见精神障碍
基本信息
- 批准号:10308504
- 负责人:
- 金额:$ 18.86万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-12-01 至 2025-11-30
- 项目状态:未结题
- 来源:
- 关键词:AIDS preventionAddressAdherenceAffectAfrica South of the SaharaAftercareAnxietyAnxiety DisordersBrief PsychotherapyCaringChild WelfareClinicCompetenceConsolidated Framework for Implementation ResearchCounselingCountryCouplesDataDisputesEducational workshopEnrollmentEvidence based treatmentExposure toFemaleFocus GroupsFutureGenderGender RoleGoalsGroup InterviewsHIV antiretroviralHealthHealth BenefitHealth PersonnelHealth ProfessionalHigh PrevalenceIndividualInternationalInterventionManualsManuscriptsMeasuresMental DepressionMental HealthMental Health ServicesMental disordersMentored Patient-Oriented Research Career Development AwardMentorshipMethodsModalityMood DisordersMozambiqueOutcomePatientsPersonsPopulationPost-Traumatic Stress DisordersProceduresProtocols documentationProviderProvincePublic HealthPublicationsRandomizedRandomized Controlled TrialsReportingResearchResearch PersonnelResolutionResource-limited settingResourcesRisk FactorsSeveritiesSymptomsTrainingTraining ProgramsViolenceWomanWorkZambiaacceptability and feasibilitybasecareercommon treatmentcourtdata formatdepressive symptomsdesignefficacy testingexperiencefeasibility testingfollow-upgender-based violenceimplementation strategyimprovedintimate partner violencelow and middle-income countrieslow income countrymennovelprimary outcomepsychosocial stressorspublic health researchresearch studyretention ratesatisfactionscale upsecondary outcomeskill acquisitionskillssocial determinantssymposiumtreatment as usual
项目摘要
Intimate partner violence (IPV), a potent risk factor for depression, anxiety, and Post-traumatic Stress
Disorder (common mental disorders; CMDs), is a devastating public health problem with the highest rates
occurring in sub-Saharan Africa. Mental health interventions that aim to reduce IPV often fail to include men,
which could be addressed by treatment in a couple modality. Yet, couple-based treatments often exclude
couples who are living with IPV. The goal of this K23 Award is to expand the candidate’s skillset and prepare
her to conduct independent research on couple-based mental health interventions for CMDs that address
social determinants, such as IPV, to improve mental health outcomes and sustainability of gains. The proposed
training program involves mentorship from leading experts, coursework and workshops, attending and
presenting at scientific conferences, and developing collaborative manuscripts for publication to develop
competency in (1) engagement and mental health treatment of men; (2) adaptation of an evidence-based
treatment for CMDs to address IPV in couples; (3) methods and analyses of randomized controlled trials for
couples; and (4) skills for a successful career as an independent investigator.
These training goals and activities will align with the aims of a research study in Mozambique, one of
the poorest countries in the world with a significant mental health treatment gap. Half of women in Mozambique
endorsed being exposed to IPV in the past year, and there are high prevalence rates of CMDs. The candidate
is Project Director of PRIDE (Partnerships in Research to Implement and Disseminate Sustainable and
Scalable EBPs, U19MH113203), a collaborative project with the Mozambique Ministry of Health that is scaling-
up comprehensive mental health care across a province using Interpersonal Counseling (IPC) to treat CMDs.
Scale-up, however, has not considered the coordinated treatment of CMDs and the co-occurring problem of
IPV among couples. The overall goal of the research plan is to investigate the feasibility of reducing CMDs in
women through a couple-based treatment that addresses CMDs and situational IPV (discord between intimate
partners that escalates to physical violence). This study has three specific aims. The first aim is to identify
gender roles including local contextual influences relevant to engaging men in couple-based treatment of IPV
in public MH care. The second aim is to adapt IPC-C to reduce CMDs in female partners through resolution of
IPV and improvement of couple functioning. The third aim is to determine acceptability and feasibility of using
Interpersonal Counseling for Couples (IPC-C) to reduce CMDs in women and IPV in couples. This study has
applicability for low-resource populations internationally and the US that experience couple-based violence and
a mental health treatment gap. With its focus on intimate partners, the intervention also has the potential to
benefit health and wellbeing of children.
亲密伴侣暴力(IPV)是抑郁、焦虑和创伤后应激障碍的一个潜在危险因素
精神障碍(常见精神障碍;CMD)是一种破坏性的公共卫生问题,发病率最高
发生在撒哈拉以南非洲地区。旨在减少 IPV 的心理健康干预措施往往不包括男性、
这可以通过夫妻方式的治疗来解决。然而,基于夫妻的治疗通常排除
与 IPV 一起生活的夫妇。 K23 奖项的目标是扩展候选人的技能并做好准备
她对基于夫妇的 CMD 心理健康干预措施进行独立研究,以解决
社会决定因素,如 IPV,以改善心理健康结果和成果的可持续性。拟议的
培训计划包括顶尖专家的指导、课程作业和研讨会、参加和
在科学会议上发表演讲,并编写合作手稿以供出版,以发展
(1) 男性参与和心理健康治疗的能力; (2) 循证改编
针对夫妻间 IPV 的 CMD 治疗; (3) 随机对照试验的方法和分析
情侣; (4) 作为独立调查员取得成功职业生涯的技能。
这些培训目标和活动将与莫桑比克(莫桑比克之一)的一项研究目标相一致。
世界上最贫穷的国家,心理健康治疗方面存在巨大差距。莫桑比克一半的女性
认可在过去一年中接触过 IPV,并且 CMD 的患病率很高。候选人
是 PRIDE(实施和传播可持续发展研究伙伴关系)项目总监
可扩展的 EBP,U19MH113203)是与莫桑比克卫生部合作的一个项目,正在扩展-
利用人际咨询 (IPC) 来治疗 CMD,在全省范围内建立全面的心理保健服务。
然而,扩大规模并未考虑 CMD 的协调治疗以及同时发生的问题
夫妻之间的 IPV。该研究计划的总体目标是研究减少 CMD 的可行性
女性通过基于夫妻的治疗来解决 CMD 和情境性 IPV(亲密关系之间的不和谐)
升级为身体暴力的伴侣)。这项研究有三个具体目标。第一个目标是确定
性别角色,包括与男性参与基于夫妇的 IPV 治疗相关的当地背景影响
在公共 MH 护理中。第二个目标是调整 IPC-C,通过解决以下问题来减少女性伴侣的 CMD:
IPV 和夫妻功能的改善。第三个目标是确定使用的可接受性和可行性
夫妻人际咨询 (IPC-C) 可减少女性的 CMD 和夫妻的 IPV。这项研究有
适用于国际上和美国经历过夫妻暴力的资源匮乏人群
心理健康治疗差距。由于其重点关注亲密伴侣,干预措施还有可能
有利于儿童的健康和福祉。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jennifer J Mootz其他文献
Trauma-informed HIV prevention for forcibly displaced adolescents and young adults
针对被迫流离失所的青少年和年轻人的基于创伤知情的艾滋病预防
- DOI:
10.1016/s2352-3018(24)00313-8 - 发表时间:
2025-03-01 - 期刊:
- 影响因子:13.000
- 作者:
Catherine L Chantre;Trace Kershaw;Sarah R Lowe;J L Davis;Antonio Suleman;Sten H Vermund;Jennifer J Mootz - 通讯作者:
Jennifer J Mootz
Jennifer J Mootz的其他文献
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{{ truncateString('Jennifer J Mootz', 18)}}的其他基金
Treating Common Mental Disorders in Women in Mozambique by Addressing Intimate Partner Violence in Couples
通过解决夫妻中的亲密伴侣暴力来治疗莫桑比克妇女的常见精神障碍
- 批准号:
10515648 - 财政年份:2020
- 资助金额:
$ 18.86万 - 项目类别:
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