Depression and anxiety among transgender individuals Mental and Behavioural Disorders
Conditions
Interventions
Intervention:
The intervention comprises the integration of WHO’s mental health Gap Action Program (mhGAP) protocols into primary care practice (GP Clinics). General practitioners will be trained to i
(b) a handbook to be used by the GPs in which sessions details along with character examples to demonstrate how each intervention strategy can be implemented by clients in their life
(c) flyers to aid the intervention
Sponsors
Health Research Institute, National Institute for Health Pakistan
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Adults (aged =18 years) 2. Self-identifying as transgender 3. Residing in district Peshawar 4. Possessing a valid national identity card 5. Positive screen for both depression and anxiety, defined as scores =3 on the Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2)
Exclusion criteria
Exclusion criteria: Individuals already engaged in ongoing psychiatric or psychological treatment at study onset will be excluded to avoid confounding treatment effects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Depressive symptoms measured using the Patient Health Questionnaire-9 (PHQ-9) at baseline (pre-intervention), 2-month follow-up, and 4-month follow-up 2. Anxiety symptoms measured using the Generalized Anxiety Disorder-7 (GAD-7) at baseline (pre-intervention), 2-month follow-up, and 4-month follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility and process outcomes: 1. Recruitment rate: number and proportion of eligible participants who consent and enroll, measured at baseline. 2. Retention rate: number and proportion of participants completing both follow-up assessments at 2 and 4 months. 3. Treatment adherence: number and proportion of participants attending all three scheduled mhGAP-based CBT sessions. Participants missing no more than one session are classified as “adherent”; others as “non-adherent.” Measured at 4 months post-intervention, based on GP session logs. | — |
Countries
Pakistan
Contacts
Public ContactSaima;Abdul Jalil Aleem;Khan
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Outcome results
None listed