Feasibility of a school-based mental health program implementation to improve the status of depression and quality of life of mothers of children with autism spectrum disorders in urban Bangladesh: MENTHOL study.

Autor:	Naheed A; Initiative for Non-communicable Diseases, Health System and Population Studies Division, icddr,b 1212, Dhaka, Bangladesh., Islam MS; Initiative for Non-communicable Diseases, Health System and Population Studies Division, icddr,b 1212, Dhaka, Bangladesh., Brooks MB; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA., Fawzi MCS; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA., Ashraf MN; Initiative for Non-communicable Diseases, Health System and Population Studies Division, icddr,b 1212, Dhaka, Bangladesh., Ahmed HU; National Institute of Mental Health, Dhaka, Bangladesh., Uddin MMJ; National Institute of Neurosciences & Hospital, Dhaka, Bangladesh., Koly KN; Initiative for Non-communicable Diseases, Health System and Population Studies Division, icddr,b 1212, Dhaka, Bangladesh., Galea JT; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA.; School of Social Work, University of South Florida, FL, USA., Akhter S; Institute of Paediatric Neurodisorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 1000, Bangladesh., Nelson C; Division of Developmental Medicine, Boston Children's Hospital, Boston, USA.; Department of Pediatrics, Harvard Medical School, Boston, MA, USA., Hossain SW; Shuchona Foundation, Dhaka 1205, Bangladesh.; Adrian Dominican School of Education, Barry University, Miami, USA., Munir KM; Division of Developmental Medicine, Boston Children's Hospital, Boston, USA.; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.; Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2022 Mar 23; Vol. 9, pp. 146-156. Date of Electronic Publication: 2022 Mar 23 (Print Publication: 2022).
DOI:	10.1017/gmh.2022.16
Abstrakt:	Background: We assessed the feasibility of implementing psychological counseling services (PCS) for mothers of children with autism spectrum disorders (ASD) integrated within special education settings in urban Bangladesh. Method: In two special education schools for ASD in Dhaka City, trained female psychologists screened mothers using the Patient Health Questionnaire (PHQ-9). PCS was administered to all the mothers irrespective of a diagnosis of depression. Mothers with a PHQ-9 score >4 who met criteria for a major depressive episode (MDE) based on the DSM-IV Structured Interview Axis I Disorders (SCID-I) were also administered skill-building training through monthly home visits to support ASD care. The level of depression was assessed by the Depression Measurement Scale (DMS), and quality of life (QoL) was measured by Visual Analogue Scale (VAS) of EQ5D5L scale before and after PCS. Result: Among 188 mothers enrolled in the study, 81 (43%) received PCS, and 27.1% (22) had MDE. In the first month, 73 sessions were scheduled and 60 completed (85%). In the last month, 53 sessions were scheduled and 52 completed (98%). The mean DMS score decreased from 79.5 ± 23 to 60 ± 20 ( p = 0.004), and DMS scores were significantly higher among mothers with MDE (97.8 ± 12.1 v. 69.9 ± 22.1; p < 0.001) compared to those without MDE (72.7 ± 22.6 v. 56.1 ± 18.1; p = 0.003). The mean VAS score improved from 70.3 ± 14.1 to 80.2 ± 13.3 ( p = 0.001) between the first and the last session. Changes in DMS were negatively correlated with changes in VAS scores ( β: -0.213, 95% CI 0.370 to -0.056). Conclusion: Within special education schools for ASD in urban Bangladesh, it was feasible to administer an integrated program of PCS for mothers of children with ASD by trained psychologists who were able to screen and intervene to reduce their level of depression and improve their quality of life. (© The Author(s) 2022.)
Databáze:	MEDLINE
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