Perinatal depression and implementation of the "Thinking Healthy program" support intervention in an impoverished setting of Lima, Peru: Assessment before and during the COVID-19 pandemic.

IF 3.3 2区 医学 Q2 PSYCHIATRY
Global Mental Health Pub Date : 2023-09-08 eCollection Date: 2023-01-01 DOI:10.1017/gmh.2023.45
Margot Aguilar, Carmen Contreras, Giuseppe Raviola, Alejandra Sepúlveda, Maricielo Espinoza, Leydi Moran, Lourdes Ramos, Jesús Peinado, Leonid Lecca, Gloria A Pedersen, Brandon A Kohrt, Jerome T Galea
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引用次数: 0

Abstract

Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%), and the PHQ-9 score median decreased from 8 to 2, p < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%), and the PHQ-9 score median decreased from 7 to 2, p < 0.001. THP's modalities helped to reduce perinatal depression. Pregnant women who received a module remotely also reduced depression.

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秘鲁利马贫困地区的围产期抑郁症和“思考健康计划”的实施支持干预:新冠肺炎大流行前和期间的评估。
Socios En Salud(SES)在新冠肺炎大流行之前和期间在北利马实施了思考健康计划(THP),以支持患有围产期抑郁症的妇女。我们对亲自(5个模块)和远程(1个模块)THP干预进行了分析。使用PHQ-9检测抑郁症,并对得分(PHQ-9≥5)的女性进行THP治疗。对抑郁症进行了重新评估,并对前后评分进行了比较。在大流行前的队列中,围产期抑郁症为25.4%(47/185),47名妇女接受了THP治疗,27名妇女重新评估(57.4%),PHQ-9评分中位数从8降至2,p
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来源期刊
Global Mental Health
Global Mental Health PSYCHIATRY-
自引率
5.10%
发文量
58
审稿时长
25 weeks
期刊介绍: lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.
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