PMID- 31759286
OWN - NLM
STAT- MEDLINE
DCOM- 20201027
LR  - 20201027
IS  - 1876-2026 (Electronic)
IS  - 1876-2018 (Linking)
VI  - 47
DP  - 2020 Jan
TI  - Effectiveness of a group intervention led by lay health workers in reducing the 
      incidence of postpartum depression in South India.
PG  - 101864
LID - S1876-2018(19)30483-6 [pii]
LID - 10.1016/j.ajp.2019.101864 [doi]
AB  - BACKGROUND: Postnatal depression is a highly prevalent disorder with serious 
      implications on maternal and child outcomes. There are few studies examining 
      feasible interventions in low-middle-income community settings. AIMS: To assess 
      the effectiveness of a low intensity group intervention led by lay workers during 
      the antenatal period in reducing postnatal depression at 6-2 weeks postpartum. 
      METHODS: A parallel group design with both positive and negative controls was 
      employed. 1 community site was allocated to each of the 3 arms. The active 
      intervention consisted of problem based sessions with cognitive behavioural 
      components. The primary outcome was the presence of depression on CIS-R and 
      secondary outcome measures where Global Assessment of Functioning (GAF) scores, 
      EPNDS scores and participant perceptions. RESULTS: 69, 75 and 70 women received 
      active, positive control and negative control interventions respectively. Post 
      partum depression diagnosed with the CIS-R was present in 14.06% (C.I.- 
      5.55%-22.57%) and 22.62% (C.I.15.62%-29.63%) in the active arm and two control 
      (combined) arms respectively. There was a 1/3 lower proportion of postpartum 
      depression and impaired functioning in the intervention group, though statistical 
      significance was not reached (p = 0.30). There were high levels of satisfaction 
      reported for the active intervention. CONCLUSION: There were trends for the 
      possible effectiveness for this low intensity intervention and conclusions 
      regarding its effectiveness can't be made as the sample size was small. There is 
      a need to explore and develop locally relevant, innovative and feasible 
      strategies for prevention of postnatal depression in resource constrained 
      enviroments.
CI  - Copyright (c) 2019. Published by Elsevier B.V.
FAU - George, Christina
AU  - George C
AD  - DR. SMCSI Medical College, Karakonam, Trivandrum, 695004, Kerala, India. 
      Electronic address: mukkath@yahoo.com.
FAU - Kumar V, Arun
AU  - Kumar V A
AD  - Department of Psychiatry, Dr. Somervell Memorial CSI Medical College, Karakonam, 
      Kerala, India.
FAU - Girish, N
AU  - Girish N
AD  - Department of Epidemiology, National Institute of Mental health and 
      Neurosciences, Bangalore, India.
LA  - eng
PT  - Controlled Clinical Trial
PT  - Journal Article
DEP - 20191105
PL  - Netherlands
TA  - Asian J Psychiatr
JT  - Asian journal of psychiatry
JID - 101517820
SB  - IM
MH  - Adult
MH  - *Community Health Workers
MH  - *Community Mental Health Services
MH  - Depression, Postpartum/*prevention & control
MH  - Female
MH  - Humans
MH  - India
MH  - *Maternal Health Services
MH  - Pregnancy
MH  - Psychotherapy, Group/*methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Brief group intervention
OT  - Community
OT  - Lay workers
OT  - Postnatal depression
COIS- Declaration of Competing Interest The authors do not have any conflict of 
      interest.
EDAT- 2019/11/24 06:00
MHDA- 2020/10/28 06:00
CRDT- 2019/11/24 06:00
PHST- 2019/06/06 00:00 [received]
PHST- 2019/10/30 00:00 [revised]
PHST- 2019/10/31 00:00 [accepted]
PHST- 2019/11/24 06:00 [pubmed]
PHST- 2020/10/28 06:00 [medline]
PHST- 2019/11/24 06:00 [entrez]
AID - S1876-2018(19)30483-6 [pii]
AID - 10.1016/j.ajp.2019.101864 [doi]
PST - ppublish
SO  - Asian J Psychiatr. 2020 Jan;47:101864. doi: 10.1016/j.ajp.2019.101864. Epub 2019 
      Nov 5.