已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

A Group Parenting Intervention for Male Postpartum Depression

社会心理的 随机对照试验 心理干预 爱丁堡产后忧郁量表 产后抑郁症 干预(咨询) 焦虑 萧条(经济学) 生活质量(医疗保健) 医学 临床心理学 心理学 精神科 怀孕 抑郁症状 遗传学 生物 宏观经济学 外科 护理部 经济
作者
M. Ishrat Husain,Tayyeba Kiran,Rabia Sattar,Ameer B. Khoso,Ming Wai Wan,Daisy R. Singla,Madeha Umer,Rabdino Mangrio,Paul Bassett,Imran B. Chaudhry,Shehla Naeem Zafar,Farhat Jafri,Nasim Chaudhry,Nusrat Husain
出处
期刊:JAMA Psychiatry [American Medical Association]
标识
DOI:10.1001/jamapsychiatry.2024.2752
摘要

Importance Male postpartum depression is prevalent across populations; however, there is limited evidence on strategies to address it, particularly in low-income settings. Objective To evaluate the effectiveness of Learning Through Play Plus Dads (LTP + Dads), a nonspecialist–delivered psychosocial intervention, in improving symptoms of male postpartum depression compared to treatment as usual. Design, Setting, and Participants This cluster randomized clinical trial was conducted in Karachi, Pakistan, between June 2018 and November 2019. Assessors were blind to treatment allocation. Participants were recruited from 2 large towns in the city of Karachi via basic health units. Fathers aged 18 years and older with a DSM-5 diagnosis of major depressive episode and a child younger than 30 months were recruited. Of 1582 fathers approached, 1527 were screened and 357 were randomized in a 1:1 ratio to either the intervention or treatment as usual; 328 were included in the final analysis. Data were analyzed from April to June 2022. Interventions LTP + Dads is a manualized intervention combining parenting skills training, play therapy, and cognitive behavior therapy. The intervention was delivered by community health workers via 12 group sessions over 4 months. Main Outcomes and Measures The primary outcome was change in 17-item Hamilton Depression Rating Scale score at 4 months. Secondary outcomes included anxiety symptoms; parenting stress; intimate partner violence; functioning; quality of life; and child social, emotional, and physical health outcomes. Assessments were completed at baseline and 4 and 6 months postrandomization. Results Of the 357 fathers included (mean [SD] age, 31.44 [7.24] years), 171 were randomized to the intervention and 186 to treatment as usual. Participants randomized to the intervention demonstrated significantly greater improvements in depression (group difference ratio [GDR], 0.66; 95% CI, 0.47 to 0.91; P < .001), anxiety (GDR, 0.62; 95% CI, 0.48 to 0.81; P < .001), parenting stress (GDR, −12.5; 95% CI, −19.1 to −6.0; P < .001), intimate partner violence (GDR, 0.89; 95% CI, 0.80 to 1.00; P = .05), disability (GDR, 0.77; 95% CI, 0.61 to 0.97; P = .03), and health-related quality of life (GDR, 12.7; 95% CI, 0.17 to 0.34; P < .001) at 4 months. The difference in depression and parenting stress was sustained at 6 months. Children of fathers randomized to the parenting intervention had significantly greater improvements in social-emotional development scores (mean difference, −20.8; 95% CI, −28.8 to −12.9; P < .001) at 6 months. Conclusions and Relevance The psychosocial parenting intervention in this study has the potential to improve paternal mental health and child development in Pakistan. Further studies in other populations and with longer follow-up are warranted. Trial Registration ClinicalTrials.gov Identifier: NCT03564847

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
略略略发布了新的文献求助10
1秒前
2秒前
啥也不会完成签到,获得积分10
2秒前
民大胡完成签到,获得积分10
2秒前
oooo发布了新的文献求助10
2秒前
爱吃酥饼完成签到,获得积分10
3秒前
科研通AI2S应助上官雨时采纳,获得10
4秒前
4秒前
迷途发布了新的文献求助10
6秒前
大个应助eve2021采纳,获得10
7秒前
8秒前
Hosea发布了新的文献求助10
9秒前
科研通AI2S应助oooo采纳,获得10
10秒前
天南发布了新的文献求助10
10秒前
长情的涔完成签到 ,获得积分10
11秒前
13秒前
15秒前
卡恩完成签到 ,获得积分10
15秒前
英俊的铭应助莫言采纳,获得10
16秒前
19秒前
科目三应助科研通管家采纳,获得10
20秒前
8R60d8应助科研通管家采纳,获得10
21秒前
852应助科研通管家采纳,获得10
21秒前
orixero应助科研通管家采纳,获得10
21秒前
搜集达人应助科研通管家采纳,获得10
21秒前
8R60d8应助科研通管家采纳,获得10
21秒前
21秒前
Akim应助科研通管家采纳,获得10
21秒前
8R60d8应助科研通管家采纳,获得10
21秒前
无花果应助科研通管家采纳,获得10
21秒前
21秒前
希望天下0贩的0应助迷途采纳,获得10
22秒前
打打应助董竹君采纳,获得10
23秒前
hh完成签到 ,获得积分10
24秒前
25秒前
25秒前
CodeCraft应助荞麦面采纳,获得10
25秒前
27秒前
千柳发布了新的文献求助20
27秒前
28秒前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Foreign Policy of the French Second Empire: A Bibliography 500
Chen Hansheng: China’s Last Romantic Revolutionary 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3146409
求助须知:如何正确求助?哪些是违规求助? 2797811
关于积分的说明 7825638
捐赠科研通 2454147
什么是DOI,文献DOI怎么找? 1306157
科研通“疑难数据库(出版商)”最低求助积分说明 627642
版权声明 601503