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首页> 外文期刊>The British journal of psychiatry : >Effective treatment of perinatal depression for women in debt and lacking financial empowerment in a low-income country
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Effective treatment of perinatal depression for women in debt and lacking financial empowerment in a low-income country

机译：在低收入国家为患有债务和缺乏经济能力的妇女提供围产期抑郁症的有效治疗

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Background: Poverty may moderate the effect of treatment of depression in low-income countries. Aims: To assess poverty and lack of empowerment as moderators of a cognitive-behavioural therapy (CBT)-based intervention for perinatal depression in rural Pakistan. Method: Using 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). Results: Predictors 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. Conclusions: Our 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.
机译：背景：在低收入国家，贫困可能会减轻抑郁症的治疗效果。目的：评估贫困和缺乏赋权作为巴基斯坦农村地区围产期抑郁症基于认知行为疗法（CBT）的干预措施的主持人。方法：使用来自随机对照试验（试验注册：ISRCTN65316374）的数据的二次分析，我们确定了1年随访时抑郁症的预测因素和干预措施的主持人（n = 791）。结果：随访抑郁的预测因素包括家庭债务，参与者无权管理家庭财务以及这些变量与试验机构的相互作用条件。有和没有家庭债务的妇女的影响量分别为0.80和0.55。处于债务状态且无经济能力的妇女的影响大小为0.94，而没有这两个因素的妇女的影响大小为0.50。结论：我们的研究结果表明，家庭债务和缺乏妇女的财政赋权作为低收入国家抑郁症的重要维持因素的重要性，我们在当地制定的干预措施成功地解决了这些问题。

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