20.1 IMPROVING ACCESS TO PSYCHOSOCIAL INTERVENTIONS FOR PERINATAL DEPRESSION IN LOW- AND MIDDLE-INCOME COUNTRIES: LESSONS FROM THE FIELD

2021 ◽  
Vol 60 (10) ◽  
pp. S288
Author(s):  
Atif Rahman ◽  
Siham Sikander ◽  
Ahmed Waqas ◽  
Anun Nisar ◽  
Huma Sikander ◽  
...  
Keyword(s):  
Perinatal Depression ◽  
Psychosocial Interventions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals mHealth and Perinatal Depression in Low-and Middle-Income Countries: A Scoping Review of the Literature

2020 ◽  
Vol 17 (20) ◽  
pp. 7679
Author(s):  
Aliyah Dosani ◽  
Harshmeet Arora ◽  
Sahil Mazmudar
Keyword(s):  
Depressive Symptoms ◽  
Mobile Phone ◽  
Scoping Review ◽  
Perinatal Depression ◽  
Review Of The Literature ◽  
Middle Income ◽  
Middle Income Countries ◽  
Mobile Phone Applications ◽  
Perinatal Depressive Symptoms ◽  
Low And Middle Income

Women in low- and middle-income countries have high rates of perinatal depression. As smartphones become increasingly accessible around the world, there is an opportunity to explore innovative mHealth tools for the prevention, screening, and management of perinatal depression. We completed a scoping review of the literature pertaining to the use of mobile phone technologies for perinatal depression in low-and middle-income countries. PubMed CINHAL, and Google Scholar databases were searched, generating 423 results. 12 articles met our inclusion criteria. Two of the 12 articles reviewed mobile phone applications. The remaining 9 articles were study protocols or descriptive/intervention studies. Our results reveal that minimal literature is currently available on the use of mobile health for perinatal depression in low- and middle-income countries. We found four articles that present the results of an intervention that were delivered through mobile phones for the treatment of perinatal depressive symptoms and an additional qualitative study describing the perceptions of mothers receiving cognitive behavioral therapy via telephones. These studies demonstrated that depressive symptoms improved after the interventions. There is potential to improve the quality of mHealth interventions, specifically mobile phone applications for perinatal depressive symptoms and depression, through meaningful collaborative work between healthcare professionals and application developers.

scholarly journals A systematic review of the association between perinatal depression and cognitive development in infancy in low and middle-income countries

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253790
Author(s):  
Matthew Bluett-Duncan ◽  
M. Thomas Kishore ◽  
Divya M. Patil ◽  
Veena A. Satyanarayana ◽  
Helen Sharp
Keyword(s):  
Cognitive Development ◽  
Perinatal Depression ◽  
Antenatal Depression ◽  
Current Theory ◽  
Future Research ◽  
Eligibility Criteria ◽  
Middle Income ◽  
Middle Income Countries ◽  
Infant Cognitive Development ◽  
Low And Middle Income

The association between perinatal depression and infant cognitive development has been well documented in research based in high-income contexts, but the literature regarding the same relationship in low and middle-income countries (LMICs) is less developed. The aim of this study is to systematically review what is known in this area in order to inform priorities for early intervention and future research in LMICs. The review protocol was pre-registered on Prospero (CRD42018108589) and relevant electronic databases were searched using a consistent set of keywords and 1473 articles were screened against the eligibility criteria. Sixteen articles were included in the review, seven focusing on the antenatal period, eight on the postnatal period, and one which included both. Five out of eight studies found a significant association between antenatal depression (d = .21-.93) and infant cognitive development, while four out of nine studies found a significant association with postnatal depression (d = .17-.47). Although the evidence suggests that LMICs should prioritise antenatal mental health care, many of the studies did not adequately isolate the effects of depression in each period. Furthermore, very few studies explored more complex interactions that may exist between perinatal depression and other relevant factors. More high-quality studies are needed in LMIC settings, driven by current theory, that test main effects and examine moderating or mediating pathways to cognitive development.

scholarly journals PSYCHOSOCIAL INTERVENTIONS FOR PERINATAL DEPRESSION IN LOW AND MIDDLE INCOME COUNTRIES

2019 ◽  
Vol 9 (2) ◽  
pp. 51-53
Author(s):  
Ania Fida ◽  
Ahmed Waqas ◽  
Sadiq Naveed
Keyword(s):  
Perinatal Depression ◽  
Positive Impact ◽  
Cost Effective ◽  
Psychosocial Interventions ◽  
Task Shifting ◽  
Management Plan ◽  
Health Concern ◽  
Specialist Care ◽  
Middle Income ◽  
Middle Income Countries

Perinatal depression is an incapacitating condition, associated with negative outcomes for both the mother and the child. It is perceived as a significant health concern, both in the high income and low to middle income countries (LAMIC). In this commentary, we investigated the potential effectiveness of task-shifting based psychosocial interventions targeting perinatal depression, moderate its antagonistic maternal and pediatric consequences and be effectively incorporated in poorly resourced health frameworks in LAMIC. Many multiphasic and task-shifting interventions including CBT, psychoeducation, interpersonal and exercise-based therapies were reviewed and were found to have a positive impact on perinatal depression. Such interventions are also cost effective and can become part of the management plan for a mother suffering from perinatal depression and lacking access to specialist care.

scholarly journals Psychosocial interventions for reducing depression among the elderly in low and middle income countries: A Systematic Review Protocol

2021 ◽  
Author(s):  
Jordan Mutambi Amanyire ◽  
Irene Aheisibwe ◽  
Godfrey Zari Rukundo
Keyword(s):  
Systematic Review ◽  
Depressive Symptoms ◽  
Elderly People ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
Psychosocial Interventions ◽  
The Elderly ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Background: According to the World Health Organization, depression is expected to be the largest contributor to the global disease burden by 2030. Depression is the most frequent cause of emotional distress and reduced quality of life among older people affecting over 12% of the individuals aged 65 or older, . Psychosocial interventions have been proven to be effective in the management of depression. Most of the available evidence is from high income settings, with paucity of information in low and middle income countries which carry the biggest burden of depression and other health challenges. In this systematic review, we will document evidence on psychosocial interventions that have been effective in treatment of depression among elderly people in low and middle income countries. Methods: The review will be conducted and reported in accordance to the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement. We will include journal articles that have documented the psychosocial interventions in the primary prevention of depressive symptoms in elderly people aged 60 or older. We will also include accessible grey literature about the topic. We will include articles that have documented the psychosocial interventions to address depression in elderly patients in low and middle income countries. We will search different search engines and data bases including PubMed, EMBASE, Psych-INFO, Cochrane Library. We will use a meta-analysis, should we find that there is no heterogeneity between included studies.Discussion: This protocol describes a planned systematic review of observational studies reporting psychosocial interventions in the management of depressive symptoms in elderly people aged 60 or older. We anticipate that once this review is complete and published, our findings will be of interest to the elderly with depressive symptoms, their families and caregivers, students, and other healthcare professionals, scientists and policy makers. Systematic review registration: This protocol will not be registered with PROSPERO International prospective register of systematic reviews since the system is no longer accepting new protocols.

scholarly journals Community mental health teams in low- and middle-income countries

2014 ◽  
Vol 23 (2) ◽  
pp. 119-122 ◽  
Author(s):  
R. Thara ◽  
S. John ◽  
S. Chatterjee
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Psychosocial Interventions ◽  
Health Care Team ◽  
Critical Element ◽  
Middle Income ◽  
Middle Income Countries ◽  
Periodic Monitoring ◽  
Low And Middle Income

The dearth of trained mental health professionals and the huge gap in providing accessible services in many low- and middle-income countries have led to the identification of alternate providers of care in these countries. Community mental health teams seem to fill this lacuna in some of these places. This editorial addresses issues of the need for such teams, their composition, responsibilities and limitations. With adequate training, these teams are able to carry out a broad array of tasks such a case identification, referrals, elementary counselling, family support and psychosocial interventions. While these teams are generally found to be enthusiastic, they require periodic monitoring and support with which they can well be a critical element of the mental health care team.

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