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Effective treatment of perinatal depression for women in debt and lacking financial empowerment in a low-income country
- Source :
- The British Journal of Psychiatry
- Publication Year :
- 2012
- Publisher :
- Royal College of Psychiatrists, 2012.
-
Abstract
- BackgroundPoverty may moderate the effect of treatment of depression in low-income countries.AimsTo assess poverty and lack of empowerment as moderators of a cognitive-behavioural therapy (CBT)-based intervention for perinatal depression in rural Pakistan.MethodUsing secondary analysis of data from a randomised controlled trial (trial registration: ISRCTN65316374) we identified predictors of depression at 1-year follow-up and moderators of the intervention (n=791).ResultsPredictors of follow-up depression included household debt, the participant not being empowered to manage household finance and the interaction terms for these variables with the trial arm. Effect sizes for women with and without household debt were 0.80 and 0.55 respectively. The effect size for women in debt and not empowered financially was 0.94 compared with 0.50 for women with neither of these factors.ConclusionsOur findings demonstrate the importance of household debt and lack of financial empowerment of women as important maintaining factors of depression in low-income countries and our locally developed intervention tackled these problems successfully.
- Subjects :
- Adult
Adolescent
media_common.quotation_subject
education
030231 tropical medicine
Rural Health
law.invention
Depression, Postpartum
Young Adult
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Depression (economics)
law
Debt
Cluster Analysis
Humans
Pakistan
030212 general & internal medicine
Empowerment
Poverty
health care economics and organizations
media_common
Finance
Analysis of Variance
Cognitive Behavioral Therapy
business.industry
Rural health
1. No poverty
Psychiatry and Mental health
Papers
Income
Female
Power, Psychological
Psychology
business
Perinatal Depression
Household debt
Follow-Up Studies
Subjects
Details
- ISSN :
- 14721465 and 00071250
- Volume :
- 201
- Database :
- OpenAIRE
- Journal :
- British Journal of Psychiatry
- Accession number :
- edsair.doi.dedup.....fc1d9cf34436215d002f0c018cf2f28d