Depression Mental and Behavioural Disorders Depressive episode, unspecified
Conditions
Interventions
Intervention arm:
Patients in the intervention arm will receive a treatment package consisting of the WHO mhGAP-Intervention Guide for depression which has previously been contextualiz
Sponsors
University of Ibadan (Nigeria)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Women aged between the age of 16 and 45 years 2. Gestational age of between 16 and 26 weeks 3. Score 12 or more on the Edinburgh Postnatal Depression Scale 4. Confirmed Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnosis of major depression using the short form of the Composite International Diagnostic Interview (CIDI) 5. Provide informed consent
Exclusion criteria
Exclusion criteria: 1. Immediate need for medical attention 2. Actively suicidal 3. Presence of bipolar or psychotic disorder 4. Unlikely to be in the neighbourhood in the following 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Baseline assessments will be conducted within 72 hours of patients consenting to enter the trial. Recovery from depression at 6 months after childbirth (i.e. no longer meets the criteria for DSM-IV major depression) | — |
Secondary
| Measure | Time frame |
|---|---|
| Baseline assessments will be conducted within 72 hours of patients consenting to enter the trial. 1. Score on EPDS at 3, 9 and 12 months 2. Disability, measured with the WHO Disability Assessment Schedule, at 3, 9 and 12 months 3. Service utilization, measured with Client Service Receipt Inventory 4. Postnatal version, at 3, 9 and 12 months 5. Infant outcome at 12 months measured with the Bayley Scale | — |
Countries
Nigeria
Outcome results
None listed