National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
J Public Health (Oxf). 2021 Oct 8;43(Suppl 2):ii35-ii42. doi: 10.1093/pubmed/fdab162.
Common mental disorders (CMD) are among the largest contributors to global maternal morbidity and mortality. Although research on perinatal mental health in India has grown in recent years, important evidence gaps remain, especially regarding CMD. Our study aims to improve understanding of CMD among perinatal and non-perinatal women of reproductive age across two settings in India: Bangalore (Karnataka) and Tanda (Himachal Pradesh).
The study is embedded within the Maternal and Perinatal Health Research Collaboration India (MaatHRI). This mixed-methods observational study comprises three consecutive phases: (i) focus group discussions and individual interviews to explore women's knowledge and seek feedback on CMD screening tools; (ii) validation of CMD screening tools; and (iii) prospective cohort study to identify CMD incidence, prevalence and risk factors among perinatal and non-perinatal women. Results of the three phases will be analyzed using inductive thematic analysis, psychometric analysis and multivariable regression analysis, respectively.
Improving understanding, detection and management of CMD among women is key to improving women's health and promoting gender equality. This study will provide evidence of CMD screening tools for perinatal and non-perinatal women in two diverse Indian settings, produce data on CMD prevalence, incidence and risk factors and enhance understanding of the specific contribution of the perinatal state to CMD.
常见精神障碍（CMD）是导致全球产妇发病率和死亡率的最大因素之一。尽管近年来印度围产期心理健康方面的研究有所增加，但仍存在重要的证据差距，特别是在 CMD 方面。我们的研究旨在增进对印度两个地区（班加罗尔（卡纳塔克邦）和坦达（喜马偕尔邦））的围产期和非围产期育龄妇女的 CMD 的了解。
该研究嵌入在印度母婴健康研究合作组织（MaatHRI）中。这项混合方法观察性研究包括三个连续阶段：（i）焦点小组讨论和个人访谈，以探索妇女的知识，并就 CMD 筛查工具征求反馈意见；（ii）验证 CMD 筛查工具；（iii）前瞻性队列研究，以确定围产期和非围产期妇女的 CMD 发病率、患病率和危险因素。这三个阶段的结果将分别使用归纳主题分析、心理计量分析和多变量回归分析进行分析。
提高对妇女 CMD 的认识、检测和管理是改善妇女健康和促进性别平等的关键。这项研究将为两个不同的印度环境中的围产期和非围产期妇女提供 CMD 筛查工具的证据，产生 CMD 患病率、发病率和危险因素的数据，并增强对围产期状态对 CMD 的具体贡献的理解。
