Depressive Symptoms
Conditions
Brief summary
This pilot study randomized 48 depressed rural Bangladeshi housewives to either intervention or control groups. The intervention groups received depression treatment and a financial empowerment intervention.
Detailed description
This study was conducted in the rural Sirajganj region of Bangladesh. Working with the International Centre for Diarrhoeal Disease Research, Bangladesh and a local NGO, we recruited 48 depressed rural housewives for the study. Participants were randomized into intervention in control groups. The intervention groups (n=24) received 12 sessions of evidence based depression treatment, financial literacy education, agricultural training and skill building. They opened bank accounts and saved for six months. At the end of the six month period, participants who had met savings and attendance requirements received a cash transfer of approximately $186, which was used to purchase a productive asset. 22 participants purchased an agricultural animal, usually a goat; 1 financed a small retail business, and 1 leased land to grow crops for sale. Depression scores on the PHD-9 were sharply reduced. The study had 100% retention.
Interventions
12 sessions of group based therapy that included cognitive restructuring, behavioral activation, and interpersonal therapy
Sponsors
Study design
Intervention model description
48 women randomized to either intervention or control.
Eligibility
Inclusion criteria
* Age 18-40 * PHQ greater than 10 * Able to save * Able to read and write
Exclusion criteria
* Not in age range PhQ below 10 Unable to contribute to savings account Illiterate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depressive Symptoms | 12 months post baseline | symptoms on the Patient Health Questionnaire (PHD-9), ranging from 0 to 27, with higher scores indicating worse outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Retention | Assessed at 12 Months post basline | Percentage of participants in the intervention group completing the intervention |