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The relaxation exercise and social support trial-resst: study protocol for a randomized community based trial
Loulou Kobeissi1, Ricardo Araya, Fayssal El Kak
1UCLA, School of Public Health, Community Health Sciences Department, Los Angeles, California 90095, USA. loulou.kobeissi@gmail.com
BMC Psychiatry
|August 26, 2011
Summary
This study evaluated a psychosocial intervention for medically unexplained vaginal discharge (MUVD) in Lebanese women. The intervention aimed to reduce MUVD and associated mental distress, with results pending analysis.
Area of Science:
- Women's Health
- Mental Health Research
- Public Health Interventions
Background:
- Common mental distress is linked to medically unexplained vaginal discharge (MUVD).
- The subjective burden of disease significantly impacts mental health.
- Understanding this link is crucial for effective interventions.
Purpose of the Study:
- To evaluate a psychosocial intervention's impact on MUVD in low-income Lebanese women.
- To assess the intervention's effect on anxiety and depression symptoms.
- To explore the potential mediation of MUVD reduction by common mental distress.
Main Methods:
- Community-based intervention trial with married women (18-49) in Beirut.
- Intervention included social support, problem-solving, group discussion, and relaxation exercises.
- Randomized controlled trial with baseline and six-month follow-up assessments (HSCL-25, pelvic exams, lab tests).
Main Results:
- Primary outcome: self-reported MUVD after excluding reproductive tract infections.
- Secondary outcomes: anxiety and depression symptoms assessed via HSCL-25.
- Intent-to-treat analysis will be employed for evaluating intervention effectiveness.
Conclusions:
- Results will determine the efficacy of the psychosocial intervention in reducing MUVD.
- The study will indicate if mental distress is a mediating factor in MUVD reduction.
- Findings may inform future mental health support strategies for women with unexplained physical symptoms.

