Feasibility, Acceptability, and Preliminary Effectiveness of a Culturally Adapted Non-Specialist Delivery Problem-Solving Therapy—Friendship Bench Intervention for Perinatal Psychological Distress in Sierra Leone

Cambridge Prisms Global Mental Health, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 1, 2025

Abstract In low- and middle-income countries like Sierra Leone, there is a significant gap in the treatment of perinatal mental health disorders such as anxiety, depression somatization. This study explored feasibility, acceptability preliminary effectiveness culturally adapted Problem-Solving Therapy – Friendship Bench Intervention (PST-FBI) delivered by nonspecialists, mother-to-mother support groups (MMSGs), to women experiencing psychological distress. MMSGs provide 4 weeks home-based, individual PST-FBI, followed peer-led group session called col at sacul (circle serenity). The intervention targeted peri-urban pregnant new mothers screened for was two-armed, pre–post, waitlist-controlled that employed Leone Perinatal Psychological Distress Scale (SLPPDS) screen measure their outcomes. Feasibility were examined through in-depth interviews using Consolidated Framework Implementation Research, analyzed thematically, while evaluated with chi-squared analysis categorical t -test continuous variables. Twenty 25 completed all four PST-FBI sessions five MMSGs. PST viewed beneficial problem-sharing skill building. SLPPDS scores significantly dropped 58.9% (17.1–8.4) group, control showed 31.6% (18.0–12.3) decrease. intervention’s effect size d = 0.40 ( p < 0.05). MMSG-led including session, proved feasible, acceptable improving Leone. Further randomized-controlled trials are recommended before nationwide implementation.

Language: Английский

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Psychological Distress and Quality of Life in Patients with Colon Cancer: Predictors, Moderating Effects, and Longitudinal Impact

Healthcare, Journal Year: 2025, Volume and Issue: 13(7), P. 753 - 753

Published: March 27, 2025

Background/Objectives: Psychological distress, including anxiety and depression, significantly impacts quality of life (QoL) in colorectal cancer patients. This study explores the relationship between psychological distress QoL, identifies risk factors (e.g., advanced disease stage, socioeconomic status, social support levels), evaluates influence emotional functioning on patient well-being. Additionally, this examines workplace reintegration challenges faced by survivors. Methods: A longitudinal was conducted with 50 patients diagnosed undergoing chemotherapy. QoL assessed using EORTC QLQ-C30 EQ-5D scales, while depression were measured Hospital Anxiety De-pression Scale (HADS). Assessments at baseline end a six-month treatment period. Data analyzed correlation multivariate regression analyses to explore associations adjusting for support, demographic factors. Results: Emotional showed statistically significant improvement sixth chemotherapy cycle (p < 0.05), physical role functions remained stable. However, health, as through HADS, no improvement, highlighting need targeted support. Negative correlations observed scores levels, stronger detected later stages treatment. Patients poor identified high-risk groups distress. Effect sizes (Cohen's d) confidence intervals calculated assess practical significance findings. Conclusions: highlights critical impact patients, emphasizing importance integrating systematic assessments tailored interventions oncology care. Future research should incorporate larger sample sizes, extended follow-up periods, an exploration mediating enhance understanding improve patient-centered interventions.

Language: Английский

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Serious Mental Illness and Disability: Navigating Complex Realities

Published: Nov. 23, 2024

Language: Английский

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