パキスタンにおける紛争後の状況における女性に対する短期的な集団心理介入の有効性:単盲,クラスター,ランダム化制御試験
Atif Rahman1, Muhammad Naseem Khan2, Syed Usman Hamdani3
1Institute of Life and Human Sciences, University of Liverpool, Liverpool, UK.
Lancet (London, England)
|April 6, 2019
まとめ
紛争後のパキスタンの農村部の女性の不安や鬱の症状を 短時間の集団心理介入で 大幅に軽減しました このスケーラブルなアプローチは 紛争後の環境で 実現可能なメンタルヘルス・ソリューションを提供します
科学分野:
- 世界 的 な 精神 健康
- 心理学的介入
- 紛争後の復興
背景:
- 低所得国や中所得国の女性は 紛争後の不安やうつ病に苦しんでいます
- 限られたスケーラブルなメンタルヘルスケアの選択肢が これらの集団に存在する.
研究 の 目的:
- パキスタンの紛争地域に住む女性に対する 短期的な集団心理介入の有効性を確認する.
- 介入が不安やうつ病の症状に与える影響を評価する
主な方法:
- パキスタンのスワット地方で 単盲 ランダム化制御試験が行われました.
- 34のコミュニティクラスターは5セッションのグループ介入か,通常のケア強化のいずれかにランダムに割り当てられました.
- 主なアウトカムである不安とうつ病の症状は,病院の不安とうつ病スケール (HADS) を使用して3ヶ月で測定されました.
主要な成果:
- 介入群の女性は,対照群と比較してHADSの平均スコアが有意に低かった (10. 01対14. 75,p=0.0007).
- 不安 (5. 43 対 8. 02) とうつ病 (4. 59 対 6. 73) のサブスコアにおいて有意な減少が観察されました.
- 試験中に有害事象は報告されなかった.
結論:
- 短期間のグループ心理介入により,臨床的に有意な不安とうつ症状の減少が示されました.
- この介入は 紛争後の田舎の女性にとって 実現可能で効果的な メンタルヘルスケアの選択肢かもしれません
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