دورية أكاديمية
أعرض في EDS

Programmatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the COVID-19 pandemic.

التفاصيل البيبلوغرافية
العنوان: Programmatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the COVID-19 pandemic.
المؤلفون: Contreras C; Socios En Salud Sucursal Peru, Lima, Peru.; Harvard Global Health Institute, Harvard University, Cambridge, MA, USA., Cruz JS; Socios En Salud Sucursal Peru, Lima, Peru., Galea JT; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; School of Social Work, University of South Florida, Tampa, FL, USA., Chu AL; Department of Medical Education, Dell Medical School, The University of Texas at Austin, Austin, TX, USA., Puma D; Socios En Salud Sucursal Peru, Lima, Peru., Ramos L; Socios En Salud Sucursal Peru, Lima, Peru.; Escuela Profesional de Tecnología Médica, Universidad Privada San Juan Bautista, Lima, Peru., Tovar M; Socios En Salud Sucursal Peru, Lima, Peru.; Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru., Peinado J; Socios En Salud Sucursal Peru, Lima, Peru.; Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru., Lecca L; Socios En Salud Sucursal Peru, Lima, Peru.; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; Partners In Health, Boston, MA, USA., Keshavjee S; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA., Yuen CM; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA., Raviola G; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.; Partners In Health, Boston, MA, USA.; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
المصدر: Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2024 Apr 04; Vol. 11, pp. e59. Date of Electronic Publication: 2024 Apr 04 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cambridge University Press Country of Publication: England NLM ID: 101659641 Publication Model: eCollection Cited Medium: Print ISSN: 2054-4251 (Print) Linking ISSN: 20544251 NLM ISO Abbreviation: Glob Ment Health (Camb) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Cambridge : Cambridge University Press, [2014]-
مستخلص: Background: Few studies have explored a stepped care model for delivering mental health care to persons with tuberculosis (TB). Here, we evaluated depression screening and remote low-intensity mental health interventions for persons initiating TB treatment in Lima, Peru during the COVID-19 pandemic.
Methods: We used the Patient Health Questionnaire 9 (PHQ-9) to screen participants for depressive symptoms (PHQ-9 ≥ 5). Participants with PHQ-9, 5-14 received remote Psychological First Aid (PFA) or Problem Management Plus (PM+). Participants were reevaluated 6 months after intervention completion. We then compared the change in median PHQ-9 scores before and after intervention completion. Those with PHQ-9 ≥ 15 were referred to higher-level care.
Findings: We found that 62 (45.9%) of the 135 participants had PHQ-9 ≥ 5 at baseline. Then, 54 individuals with PHQ-9, 5-9 received PFA, of which 44 (81.5%) were reevaluated. We observed significant reductions in median PHQ-9 scores from 6 to 2 ( r  = 0.98; p  < 0.001). Four participants with PHQ-9, 10-14 received PM+ but were unable to be reevaluated. Four participants with PHQ-9 ≥ 15 were referred to higher-level care.
Conclusions: Depressive symptoms were common among persons recently diagnosed with TB. We observed improvements in depressive symptoms 6 months later for most participants who received remote sessions of PFA.
Competing Interests: The authors have no competing interests to declare.
(© The Author(s) 2024.)
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فهرسة مساهمة: Keywords: Peru; depression; mental health; psychological first aid; tuberculosis
تواريخ الأحداث: Date Created: 20240516 Latest Revision: 20240517
رمز التحديث: 20240517
مُعرف محوري في PubMed: PMC11094547
DOI: 10.1017/gmh.2024.21
PMID: 38751725
قاعدة البيانات: MEDLINE
الوصف
تدمد:2054-4251
DOI:10.1017/gmh.2024.21