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Come Together to Decrease Depression: Women's mental health, social capital, and participation in a Kenyan combined

Michael L Goodman¹, Aleisha J Elliott^1,2, Stanley Gitari^2,3

¹Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

The International Journal of Social Psychiatry

|October 16, 2020

Summary

This summary is machine-generated.

Community programs in sub-Saharan Africa show promise for reducing depression and loneliness in women. Increased participation in these initiatives, which build social capital, is linked to improved mental health outcomes.

Keywords:

Depression Kenya Women community-based intervention social capital

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Area of Science:

Global Mental Health
Community Interventions
Social Determinants of Health

Background:

Mental health interventions are understudied in low-resource settings like sub-Saharan Africa.
This study investigates depression among women in a community-based program in Kenya.
The program integrates savings/lending groups, and entrepreneurial/skills training.

Purpose of the Study:

To determine if increased program participation correlates with reduced depression.
To assess the role of social capital in mediating changes in depression.

Main Methods:

Longitudinal survey data collected from 400 women participants in 2018 and 2019.
Statistical analyses included Wilcoxon rank-sum, Chi square tests, random effects regression, and structural equation models.
Comparison of data collected within 6 months of group formation and at 1-year follow-up.

Main Results:

A significant decrease in depression and loneliness was observed after one year.
Social capital was higher within program groups compared to the wider community.
Social capital mediated the relationship between program participation and reduced depression.

Conclusions:

The community-based intervention demonstrates potential for improving mental health outcomes.
Further research, including randomized controlled trials, is needed to confirm benefits and applicability.
The findings highlight the importance of social capital in mental health interventions in resource-limited settings.