Effectiveness of community-based depression intervention programme (ComDIP) to manage women with depression in primary care- randomised control trial
| Autor: | Pillaveetil Sathyadas Indu, P. Sankara Sarma, Vijayakumar K, K.A. Kumar, Chittaranjan Andrade, Saradamma Remadevi, Thekkethayyil Viswanathan Anilkumar |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty India law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Rating scale law Intervention (counseling) Sertraline medicine Humans 030212 general & internal medicine Community Health Services General Psychology Depression (differential diagnoses) Depressive Disorder Primary Health Care business.industry Public health General Medicine Middle Aged Mental health Antidepressive Agents 030227 psychiatry Test (assessment) Clinical trial Psychotherapy Psychiatry and Mental health Outcome and Process Assessment Health Care Family medicine Female business |
| Zdroj: | Asian journal of psychiatry. 34 |
| ISSN: | 1876-2026 |
| Popis: | Background In low and middle income countries where mental health resources are limited, community based depression intervention models, which can be implemented through the existing health system, are extremely relevant. Objective To test the effectiveness of Community based Depression Intervention Programme (ComDIP), newly developed by us, to reduce severity of depression in women, compared to the treatment as usual (TAU). Methods An RCT (Trial registration Number: CTRI/2011/08/001978, Clinical Trials Registry -India) was conducted in a primary care setting in Trivandrum, Kerala, South India. Health workers screened 422 women, aged 18–60 years, using PHQ-9. Sixty women with HAM-D (Hamilton Depression Rating scale) score above 19 were randomized to receive either ComDIP or TAU. Primary care physicians and health workers together implemented ComDIP which had psycho-social intervention and drug treatment. Those in TAU arm were referred to available mental health services. Primary outcome was measured at 8 weeks, by HAM-D. Results At baseline and 8 weeks, mean (SD) HAM-D scores were 29.2 (5.8) and 12.2 (9.3) respectively among women in ComDIP; and 28.6 (5.1) and 21.7 (12.4) respectively among those in TAU (p = 0.02, effect size = 0.82). Conclusions ComDIP, implemented through existing health system is an effective public health programme to manage women with depression in primary care. |
| Databáze: | OpenAIRE |
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