针对英国南亚妇女产后抑郁症的基于文化调整的认知行为疗法的有效性 (ROSHNI-2):多中心随机对照试验
Nusrat Husain1, Farah Lunat2, Karina Lovell3
1Division of Psychology and Mental Health, University of Manchester, Manchester, UK; Mersey Care NHS Foundation Trust, Liverpool, UK.
Lancet (London, England)
|October 13, 2024
概括
与标准护理相比,一个文化适应的积极健康计划 (PHP) 显著提高了英国南亚妇女患产后抑郁症的康复率. 然而,该效应减少了12个月,需要进一步研究持续影响.
科学领域:
- 心理健康研究
- 临床心理学
- 公共卫生干预措施
背景情况:
- 产后抑郁症需要有效的干预措施来预防母亲和孩子的长期负面后果.
- 英国南亚妇女面临着耻辱和文化差异等障碍,
- 这项研究评估了文化适应的群体认知行为疗法 (CBT) 干预,即积极健康计划 (PHP),用于该群体的PND.
研究的目的:
- 评估PHP治疗英国南亚妇女产后抑郁症的临床疗效.
- 将PHP组与通常治疗对照组进行比较.
主要方法:
- 在五个英国中心进行了随机对照试验.
- 患有PND的参与者和0-12个月的婴儿被随机分配 (1:1) 接受PHP或通常的治疗.
- 在四个月的时间里, 进行了12次小组会议, 在4个月和12个月后使用汉密尔顿抑郁评分表 (HDRS) 测量恢复.
主要成果:
- 在4个月后,与对照组相比,PHP组的女性从抑郁症中恢复的女性 (49%) 显著多 (37%;调整后的几率比率为1. 97).
- 在随机化后4个月,PHP组中从抑郁症中恢复过来的参与者比例明显高于对照组.
- 在12个月的随访期内,没有观察到恢复率的显著差异.
结论:
- 一个文化适应的群体CBT干预 (PHP) 显示了加速英国南亚女性PND抑郁恢复的潜力.
- 需要进一步研究以确定维持PHP处理效果的方法.
- 需要制定扩大HP干预的策略,以提高可访问性和长期成果.
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