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- Title
Effects of a parenting training program on depression and anxiety symptoms in women in Uganda.
- Authors
Familiar, I.; Ruisenor-Escudero, H.; Boivin, M.; Sikorskii, A.; Banik, A.; Murray, S.; Nakasujja, N.; Opoka, R.; Bass, J.
- Abstract
Introduction Women living in HIV-affected communities in sub-Sahara Africa are at increased risk for anxiety and depression. Objective We aimed to assess the effect of a year-long parenting program in rural Eastern Uganda on caregiver's depression and anxiety symptoms and assess their functioning. Methods One hundred and twenty-two caregivers and their HIV-infected preschool children (2-5 years) were randomly assigned to biweekly Mediational Intervention for Sensitizing Caregivers (MISC) training or a health and nutrition curriculum (treatment as usual-TAU). Dyads were assessed at baseline, 6-, 12- and 24-months. Primary outcomes were caregiver's depression and anxiety symptoms (Hopkins Symptom Checklist) and functional impairment. Treatment arms were compared using mixed effects models adjusting for outcome values at baseline, age, sex, and ARV status. Results Fifty-eight child-caregiver dyads received the intervention and 60 received TAU. Most (75%) caregivers were the biological mothers of children and had a mean age of 37 years. At baseline, 63% of women had clinically relevant symptoms of depression or anxiety. Compared to TAU, caregivers in the treatment arm had a reduction in depressive symptoms at 24-months (HSCL-25 score = 0.75 vs. 0.92, P = 0.06), and functionality significantly increased at 6-months (0.32 vs 0.49; P = 0.02) and was sustained at 12-months (0.24 vs 0.39; P = 0.04). Discussion Findings show that caregiver mental health and functioning was significantly better in those who received the parenting training, compared to those who received TAU. Conclusions Parenting training interventions can be useful to promote both maternal mental health and child development in low-income countries.
- Subjects
UGANDA; DEPRESSION in women; PARENTING; ANXIETY; HIV infections; CAREGIVERS; MENTAL illness risk factors
- Publication
European Psychiatry, 2016, Vol 33, pS200
- ISSN
0924-9338
- Publication type
Article
- DOI
10.1016/j.eurpsy.2016.01.368