Title |
Problem Management Plus (PM+) for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial (RCT)
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Published in |
BMC Psychiatry, October 2015
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DOI | 10.1186/s12888-015-0602-y |
Pubmed ID | |
Authors |
Marit Sijbrandij, Saeed Farooq, Richard A. Bryant, Katie Dawson, Syed Usman Hamdani, Anna Chiumento, Fareed Minhas, Khalid Saeed, Atif Rahman, Mark van Ommeren |
Abstract |
In humanitarian settings common mental disorders (depression, anxiety disorders, posttraumatic stress disorder) are highly prevalent. The World Health Organization (WHO) has developed Problem Management Plus (PM+), a 5-session, individual psychological intervention program, delivered by paraprofessionals that addresses common mental disorders in people in communities affected by adversity. The objectives of this study are to test effectiveness and cost-effectiveness of the locally adapted PM+ compared to Treatment as usual (TAU) in Peshawar District, Pakistan. A randomised controlled trial will be conducted in 346 primary care attendees in 3 health care centres in Peshawar District, Pakistan. After informed consent, primary care attendees with high levels of psychological distress according to the General Health Questionnaire-12 (GHQ-12) and functional impairment (WHO Disability Assessment Schedule 2.0 (WHODAS)) will be assigned to PM+ (n = 173) or TAU (n = 173). At baseline, 1 week and 3 months following PM+, independent assessors will assess psychological distress with the Hospital Anxiety and Depression Scale (HADS), and functional disability with the WHODAS. Secondary outcomes are posttraumatic stress disorder (PTSD) symptoms, and client-perceived priority problems. Further, cost-effectiveness will be assessed using the Service Receipt Inventory (SRI). If proven effective, PM+ will be rolled out to other areas for further adaptation and testing in diverse humanitarian settings. ACTRN12614001235695 . Registered 26 November 2014. Australian New Zealand Clinical Trials Registry. |
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Greece | 1 | <1% |
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Demographic breakdown
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Researcher | 25 | 13% |
Student > Ph. D. Student | 20 | 10% |
Student > Bachelor | 18 | 9% |
Student > Doctoral Student | 10 | 5% |
Other | 33 | 17% |
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Social Sciences | 9 | 5% |
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Economics, Econometrics and Finance | 6 | 3% |
Other | 17 | 9% |
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