Effect of a Primary Care–Based Psychological Intervention on Symptoms of Common Mental Disorders in Zimbabwe A Randomized Clinical Trial (original) (raw)
Abstract
IMPORTANCE Depression and anxiety are common mental disorders globally but are rarely recognized or treated in low-income settings. Task-shifting of mental health care to lay health workers (LHWs) might decrease the treatment gap. OBJECTIVE To evaluate the effectiveness of a culturally adapted psychological intervention for common mental disorders delivered by LHWs in primary care.
Figures (4)
Table 1. Baseline Characteristics of Study Participants by Group able to isolate the mechanism of action or the relative contri- bution of each component. Of note, peer support meetings continued after study closure and were subsequently inte- grated into clinic activities. therapy is an attractive option in a low-resource context because, unlike cognitive behavior therapy, it does not require extensive training or complex skills. The trial showed benefits with peer support as a voluntary option but was not
\bbreviations: GAD-7, Generalized Anxiety Disorder 7-item Scale; ? Adjus' -HQ-9, 9- item Patient Health Questionnaire; SSQ-14, Shona Symptom baseli Juestionnaire; WHODAS 2.0, World Health Organization Disability Assessment schedule version 2.0. * Adjusted for age, sex, human immunodeficiency virus status, SSQ-14 score at baseline, and education. Table 2. Effect of the Friendship Bench Intervention on Scores for Common Mental Disorders, Depression Symptoms, Anxiety Symptoms, Disability, and Quality of Life at 6 Months
Error bars indicate 95% Cls. For interaction: Shona Symptom Questionnaire (SSQ-14), P = 19; 9-item Patient Health Questionnaire (PHQ-9), P = 10; Generalized Anxiety Disorder 7-item Scale (GAD-7), P = .02; Figure 2. Mean Scores for Common Mental Disorder Severity, Depressive Symptoms, Anxiety Symptoms, and Disability at 6 Months’ Follow-up, by Group and Baseline Severity on the SSQ-14
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