孕妇患有抑郁症状和亲密伴侣暴力的解决问题的治疗:埃塞俄比亚农村的一个随机对照可行性试验
Roxanne C Keynejad1, Tesera Bitew2,3, Katherine Sorsdahl4
1Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, Section of Women's Mental Health, King's College London, Denmark Hill, London, United Kingdom.
PLOS global public health
|October 27, 2023
概括
一个简短的心理干预适用于怀孕妇女经历亲密伴侣暴力 (IPV) 在埃塞俄比亚农村是可行的和可以接受的. 建议为未来的随机对照试验进行进一步的培训和调整.
科学领域:
- 全球健康 全球健康
- 心理干预 心理干预
- 孕产妇健康 孕产妇健康
背景情况:
- 亲密伴侣暴力 (IPV) 和产前抑郁症状在埃塞俄比亚农村普遍存在.
- 在低收入环境中对孕妇经历IPV进行简短心理干预的证据有限.
研究的目的:
- 评估针对埃塞俄比亚农村地区IPV (PST-IPV) 适应的简短问题解决疗法的可行性和实施结果.
- 评估此干预的随机控制可行性研究设计.
主要方法:
- 一项随机的可行性研究,涉及52名患有抑郁症状和过去一年IPV的孕妇.
- 参与者被随机分配到PST-IPV,标准PST或增强的常规护理.
- 报名后9周,蒙面数据收集者进行了评估.
主要成果:
- 招募是可行的 (1.5名女性/天),有37%的接受查的女性有资格.
- 干预和试验对女性 (76%参加了所有会议) 和ANC提供者来说都是可以接受的.
- 由于文化规范,忠实于随机化是具有挑战性的;PST-IPV会话很长 (平均52分钟).
结论:
- 简短的PST-IPV在埃塞俄比亚农村地区是可行的和可以接受的,但需要适应以实现最佳实施.
- 建议包括加强IPV培训,改善随机化,以及为未来试验调整评估时间.
- 这项研究为更大规模,更强大的随机对照试验提供了基础.
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