在南亚裔英国母亲的产后抑郁症群体心理干预 - - ROSHNI-2 RCT
Nusrat Husain1,2, Karina Lovell3,4, Carolyn A Chew-Graham5
1Division of Psychology and Mental Health, University of Manchester, Manchester, UK.
Health technology assessment (Winchester, England)
|March 31, 2025
概括
一个文化适应的群体心理干预显著改善了英国南亚妇女的康复率,在4个月后患有产后抑郁症. 然而,长期康复率与标准护理相似,表明需要持续支持.
科学领域:
- 心理健康研究 心理健康研究
- 心理干预 心理干预
- 少数民族健康 少数民族健康
背景情况:
- 产后抑郁症 (PND) 在英国的南亚女性中比英国的白人女性更为普遍.
- 认知行为疗法 (CBT) 对PND有效,但对其适应少数民族群体的证据有限.
研究的目的:
- 确定适应文化群体心理干预 (积极健康计划) 的临床和成本效益,用于患有PND的英国南亚女性.
- 为了比较积极的健康计划与通常的治疗 (TAU) 在初级保健机构.
主要方法:
- 一个多中心随机对照试验 (RCT) 涉及英国南亚妇女被诊断患有PND.
- 参与者接受了TAU或TAU以及基于CBT原则的12次积极健康计划.
- 主要结局:在4~6个月后恢复抑郁症 (汉密尔顿抑郁症评分表≤7);在12个月后获得次要结局. 定性研究评估了可接受性和可行性.
主要成果:
- 在4个月后,积极健康计划组中的49%的女性康复了,而TAU组的这一比例为37% (OR 1.97;95% CI 1.263.10).
- 在12个月后,康复率在两组之间相似 (54%).
- 干预是可行的和可以接受的,改善了社会支持和福祉.
结论:
- 文化适应的积极健康计划在干预结束时对南亚妇女的PND恢复有效.
- 干预对参与者,促进者和全科医生来说是可以接受和可行的.
- 可能需要更长期的支持或更密集的疗法来维持超过4-6个月的恢复.
关键词:
焦虑是一种焦虑.孟加拉国 孟加拉国孩子是一个孩子.抑郁症是一种抑郁症.少数民族和种族少数群体.民族性 种族性一个女人,一个女人.印度的印度.语言学 语言学少数群体的少数群体.巴基斯坦的巴基斯坦.作为一个家长的父母.政策 政策 政策邮政协议 邮政协议心理社会干预 心理社会干预随机对照试验 随机对照试验南亚亚洲人的民族.斯里兰卡斯里兰卡斯里兰卡斯里兰卡调查和问卷调查 调查和问卷调查更多相关视频
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