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Group psychological intervention for maternal depression: A nested qualitative study from Karachi, Pakistan

World Journal of Psychiatry 2017年第2期7卷 98-105页

作者： Nusrat Husain Nasim Chaudhry christine furber Hina Fayyaz Tayyeba Kiran Farah Lunat Raza Ur Rahman Saira Farhan Batool Fatima University of Manchester Honorary Consultant Psychiatrist Lancashire Care NHS Trust Manchester Academy of Health Sciences Centre Greater Manchester West Mental Health Trust University of Manchester Pakistan Institute of Living and Learning School of Nursing Midwifery and Social Work University of Manchester Lancashire Care NHS Foundation Trust Dow University of Health Sciences United Medical and Dental College

AIM To understand the experience of maternal depression, the factors implicated in accessing health, and the acceptability of the psychosocial intervention. METHODS The participants were recruited from the paediatrics outpatient department of Civil Hospital Karachi, Pakistan. The study started in December 2009 and completed in December 2010. Women with maternal depression, aged 18-44 years with children aged 0-30 mo who had received nutritional supplements, and participated in the intervention programme [called Learning through Play(LTP) plus] were included in the study. Qualitative interviews were conducted with 8 participants before the intervention and 7 participants after the intervention. A semi structured topic guide was used to conduct the *** Framework analysis procedures were used to analyse the qualitative data. Four themes emerged:(1) the women's contextual environment: Interpersonal conflicts, lack of social support and financial issues being the major barriers in assessing healthcare;(2) women's isolation and powerlessness within the environment: Sense of loneliness was identified as a restricting factor to access healthcare;(3) the impact of the intervention(LTP-Plus): Women felt "listened to" and seemed empowered; and(4) empowered transformed women within the same contextual environment: The facilitator provided a "gardening role" in nurturing the women resulting in a positive transformation within the same environment. The women's homes seemed to be more happy homes and there was a positive change in their behaviour towards their *** Findings informed the further development and testing of culturally-appropriate psychosocial intervention(LTP^+) for addressing maternal depression.

关键词： Low income Country Thinking Healthy Program Learning through play Maternal depression Framework analysis Exploratory analysis

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