Ali Badar Sabir, Rahbar Mohammad H, Naeem Shifa, Gul Asma, Mubeen Sanober, Iqbal Aliya
Department of Community Health Sciences, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, Pakistan.
Am J Psychother. 2003;57(3):324-36. doi: 10.1176/appi.psychotherapy.2003.57.3.324.
To assess if eight counseling sessions conducted by women minimally trained as community counselors could reduce the mean level of anxiety and/or depression in women of their own community.
A randomized controlled trial.
A lower-middle-class, semi-urban community in Karachi, Pakistan.
366 anxious and/or depressed women providing informed consent.
Through systematic sampling, 1226 women were screened using an indigenous instrument. Out of these, 366 women were found to have anxiety and/or depression and were randomized to intervention and control groups. Women from the same community were trained in 11 sessions as counselors. Subjects in the intervention group were counseled once weekly for eight weeks by the trained community counselors. After the 8th session, the screening questionnaire was re-administered to both the groups.
A significant reduction was found between the mean anxiety and depression scores of the two groups (p value = 0.000).
Counseling by minimally trained community counselors reduced levels of anxiety and/or depression in women of their own community.
评估由接受过最低限度培训的女性社区咨询师开展的八次咨询服务，是否能够降低其所在社区女性的平均焦虑和/或抑郁水平。
一项随机对照试验。
巴基斯坦卡拉奇一个中低收入的半城市社区。
366名焦虑和/或抑郁且提供知情同意书的女性。
通过系统抽样，使用一种本土工具对1226名女性进行筛查。其中，366名女性被发现患有焦虑和/或抑郁，并被随机分为干预组和对照组。来自同一社区的女性接受了11次咨询师培训。干预组的受试者由经过培训的社区咨询师每周辅导一次，为期八周。在第8次咨询服务后，对两组再次进行筛查问卷测试。
两组的平均焦虑和抑郁得分之间存在显著差异（p值 = 0.000）。
由接受过最低限度培训的社区咨询师提供的咨询服务，降低了其所在社区女性的焦虑和/或抑郁水平。
