Perinatal depression and implementation of the "Thinking Healthy program" support intervention in an impoverished setting of Lima, Peru: Assessment before and during the COVID-19 pandemic

被引:2
作者
Aguilar, Margot [1 ]
Contreras, Carmen [1 ,2 ]
Raviola, Giuseppe [3 ,4 ,5 ]
Sepulveda, Alejandra [1 ]
Espinoza, Maricielo [1 ]
Moran, Leydi [1 ]
Ramos, Lourdes [1 ,9 ]
Peinado, Jesus [1 ,8 ]
Lecca, Leonid [1 ,3 ,4 ]
Pedersen, Gloria A. [7 ]
Kohrt, Brandon A. [7 ]
Galea, Jerome T. [3 ,6 ]
机构
[1] Socios Salud, Lima, Peru
[2] Harvard Univ, Harvard Global Hlth Inst, Cambridge, MA USA
[3] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA USA
[4] Partners Hlth, Boston, MA USA
[5] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA USA
[6] Univ S Florida, Sch Social Work, Tampa, FL USA
[7] George Washington Univ, Dept Psychiat & Behav Sci, Washington, DC USA
[8] Peruvian Univ Appl Sci UPC, Fac Hlth Sci, Sch Med, Lima, Peru
[9] Univ Privada San Juan Bautista, Escuela Profes Tecnol Med, Lima, Peru
来源
CAMBRIDGE PRISMS-GLOBAL MENTAL HEALTH | 2023年 / 10卷
关键词
COVID-19; depression; pregnant women; Thinking Healthy program; Peru; ANTENATAL DEPRESSION; PRENATAL DEPRESSION; RISK-FACTORS; POSTNATAL DEPRESSION; PREGNANT-WOMEN; MENTAL-HEALTH; ANXIETY; PREVALENCE; SYMPTOMS; ASSOCIATION;
D O I
10.1017/gmh.2023.45
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 >= 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%), and the PHQ-9 score median decreased from 8 to 2, p < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%), and the PHQ-9 score median decreased from 7 to 2, p < 0.001. THP's modalities helped to reduce perinatal depression. Pregnant women who received a module remotely also reduced depression.
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页数:8
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