Effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in Karachi, Pakistan: a quasi experimental study.

BMC Psychiatry
Niloufer S AliAli K Khuwaja

Abstract

The prevalence of anxiety/depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Moreover, many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectiveness of counseling from minimally trained community health workers in reducing anxiety/depression, the rate of recurrence and the interval preceding recurrence in women during first two and a half years after childbirth. In a quasi-experimental study, community women from two under-privileged communities were trained in data gathering, teaching healthy child-rearing practices, basic counseling skills, and screening for anxiety/depression by using an indigenously developed questionnaire, the Aga Khan University Anxiety and Depression Scale (AKUADS). The diagnosis was further confirmed by a clinical psychologist using DSM IV criteria. After obtaining consent, 420 women were screened and 102 were identified as having anxiety/depression. Screening was carried out after 1, 2, 6, 12, 18, 24 and 30 months of a live birth. Only 62 out of 102 agreed to be counseled and received eight weekly sessions. AKUADS was re-administered at 4 week...Continue Reading

References

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Citations

Jun 25, 2013·Health Care for Women International·Rubeena ZakarAlexander Kraemer
Oct 16, 2013·Indian Journal of Public Health·Henry R JennensBrigitte Tenni
Apr 22, 2016·Current Opinion in Psychiatry·Stefan Weinmann, Markus Koesters
Jun 23, 2016·International Breastfeeding Journal·Indu K Sharma, Abbey Byrne
Sep 9, 2011·The Cochrane Database of Systematic Reviews·Peter BowerNancy Rowland
Jul 12, 2021·Archives of Women's Mental Health·Amritha BhatJodie Katon

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Methods Mentioned

BETA
pharmacotherapy
contraception

Software Mentioned

EpiData
AKUADS
SPSS ( Statistical Package for Social Sciences

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