Association of Task-Shared Psychological Interventions With Depression Outcomes in Low- and Middle-Income Countries

Karyotaki, Eirini; Araya, Ricardo; Kessler, Ronald C.; Ahmed, Waqas; Bhana, Arvin; Rahman, Atıf; Matsuzaka, Camila T.; Miguel, Clara; Lund, Crick; Garman, Emily; Nakimuli-Mpungu, Etheldreda; Petersen, Inge; Naslund, John A.; Schneider, Marguerite; Sikander, Siham; Jordans, Mark J. D.; Abas, Melanie; Slade, Pauline; Walters, Stephen J; Brugha, Traolach; Furukawa, Toshi A; Amanvermez, Yağmur; Wainberg, Milton L.; Cuijpers, Pim; Patel, Vikram

doi:10.1001/jamapsychiatry.2022.0301

Cited by 29 publications

(21 citation statements)

References 51 publications

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“…Implementation strategies should include competency-based training, supervision and support for maternity staff and other frontline providers to provide primary-level mental healthcare (Honikman et al ., 2012 , Lund et al ., 2014 , Howard et al ., 2014 , WHO, PEPFAR & UNAIDS, 2007 ). Linked to this, investments should be made to create remunerated staff positions for non-specialist mental health providers in maternal and child service and community-based settings (Jacobs et al ., 2021 ; Karyotaki et al ., 2022 ; Patel, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Costs of common perinatal mental health problems in South Africa

et al. 2022

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Background Perinatal mental health problems, defined as mental health problems occurring from the start of pregnancy to one year after birth, substantially affect women's and children's quality of life in low- and middle-income countries. In South Africa, despite high prevalence and documented negative impacts, most women do not receive any care. Methods A modelling study examined the costs of perinatal mental health problems, namely depression and anxiety, for a hypothetical cohort of women and their children in South Africa over part of their life course (10 years for women, 40 years for children). In sensitivity analysis, additional impacts of post-traumatic stress disorder (PTSD) and completed suicide were included. Data sources were published findings from cohort studies, as well as epidemiological and economic data from South Africa. Data from international studies were considered where no data from South Africa were available. Results Lifetime costs of perinatal depression and anxiety in South Africa amount to USD 2.8 billion per annual cohort of births. If the impacts of PTSD and suicide are included, costs increase to USD 2.9 billion. This includes costs linked to losses in quality of life (USD 1.8 billion), losses in income (USD 1.1 billion) and public sector costs (USD 3.5 million). Conclusions Whilst important progress has been made in South Africa with regards to mental health policies and interventions that include assessment and management of perinatal mental health problems, substantial underinvestment prevents progress. Findings from this study strengthen the economic case for investing in perinatal mental health care.

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Section: Discussionmentioning

confidence: 99%

Costs of common perinatal mental health problems in South Africa

et al. 2022

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“…Even after controlling for factors such as smoking status, gender, weight, activity level, blood pressure, and cholesterol levels, the findings of another study [32] showed that depression contributes to a greater chance of developing or dying of heart disease in people who are otherwise healthy. This was the case regardless of whether or not the participants smoked.…”

Section: Discussionmentioning

confidence: 96%

Self-Reported Sleep Disorder, Anxiety and Depression in Iraqi Patients Post-Myocardial Infraction

Omer

Jamal

2022

Al-Rafidain J Med Sci

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Background: Myocardial infarction (MI) is distinguished by the necrosis of myocardial cells as a result of substantial and prolonged ischemia. Anxiety, problems sleeping, and feelings of depression are some of the most common psychosocial consequences of having a myocardial infarction. Aim: The purpose of this study is to evaluate the effects of post-myocardial infarction on patients' levels of anxiety, depression, and quality of sleep. Method: The collection of data from 94 individuals with MI was carried out according to a descriptive cross-sectional design. Sleep quality, depression, and anxiety were evaluated using standard questionnaires. Results: 69.1% of the participants reported having trouble getting quality sleep. The percentage of individuals suffering from depression who have a MI According to the PHQ-9 scale, 51.1% of the participants exhibited signs of mild depression, while 40% of the participants exhibited signs of moderate anxiety. Both of these results were based on the participants' responses on the GAD-7 scale. Conclusion: Patients who had recently suffered a myocardial infarction had poor sleep quality, and a substantial percentage of them also suffered from depression and anxiety.

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“…In conclusion, the findings are consistent with other research on the global scale on the task-sharing issue. 33 Therefore, perhaps it is promising to invest more in the task-sharing approach combined with internet intervention (e.g., internet-based cognitive behavioral therapy, guided or unguided) to address the treatment gap issue faced by the country. 34 There has also been a growing discussion of using an "indirect approach" to prevent and treat depression by aiming the intervention on daily problems related to depression, such as insomnia, perfectionism, and procrastination.…”

Section: Pandemic Young People and Increasing Awareness Of Mental Healthmentioning

confidence: 99%

Changing Landscape of Mental Health from Early Career Psychiatrists’ Perspective in Indonesia

Cipta

Saputra²

2022

Journal of Global Health Neurology and Psychiatry

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This article briefly describes mental health services in Indonesia from the perspective of early-career psychiatrists practicing mainly in an urban setting. Mental health in Indonesia faces a major challenge of low availability of professionals, low funding, and a high treatment gap. In rural and suburban areas, lack of knowledge, prevailing stigma, and difficult access to mental health services lead to confinement and re-confinement. On the other hand, youth in urban settings are experiencing increased levels of common mental disorders, such as depression and anxiety, accelerated by the pandemics and are more concerned about their mental health. We provide policy, educational, and practice recommendations to address the problem.

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Association of Task-Shared Psychological Interventions With Depression Outcomes in Low- and Middle-Income Countries

Abstract: This is a repository copy of Association of task-shared psychological interventions with depression outcomes in low-and middle-income countries : a systematic review and individual patient data meta-analysis.

Cited by 29 publications

References 51 publications

Costs of common perinatal mental health problems in South Africa

Costs of common perinatal mental health problems in South Africa

Self-Reported Sleep Disorder, Anxiety and Depression in Iraqi Patients Post-Myocardial Infraction

Changing Landscape of Mental Health from Early Career Psychiatrists’ Perspective in Indonesia

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