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Báo cáo y học: "Effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in Karachi, Pakistan: a quasi experimental study"

Tham khảo luận văn - đề án 'báo cáo y học: "effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in karachi, pakistan: a quasi experimental study"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Ali et al. BMC Psychiatry 2010 10 57 http www.biomedcentral.com 1471-244X 10 57 BMC Psychiatry RESEARCH ARTICLE Open Access Effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in Karachi Pakistan a quasi experimental study Niloufer S Ali1 Badar S All2 Iqbal S Azam 3 and Ali K Khuwaja4 Abstract Background The prevalence of anxiety depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Moreover many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectiveness of counseling from minimally trained community health workers in reducing anxiety depression the rate of recurrence and the interval preceding recurrence in women during first two and a half years after childbirth. Methods In a quasi-experimental study community women from two under-privileged communities were trained in data gathering teaching healthy child-rearing practices basic counseling skills and screening for anxiety depression by using an indigenously developed questionnaire the Aga Khan University Anxiety and Depression Scale AKUADS . The diagnosis was further confirmed by a clinical psychologist using DSM IV criteria. After obtaining consent 420 women were screened and 102 were identified as having anxiety depression. Screening was carried out after 1 2 6 12 18 24 and 30 months of a live birth. Only 62 out of 102 agreed to be counseled and received eight weekly sessions. AKUADS was re-administered at 4 weeks and 8 weeks after the beginning of counseling this was followed by the clinical psychologist s interview for confirmation of response. After recovery screening was continued every 3 months for detection of recurrence throughout the study period. Out of the women who had declined counseling 12 agreed to retake AKUADS after 4 and 8 weeks of diagnosis. Independent samples t-test .