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Six-month multicomponent intervention improves postnatal depression in low-income settings

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Professor Ricardo Araya

Correspondence to: Professor Ricardo Araya, Academic Unit of Psychiatry, Department of Community Based Medicine, University of Bristol, Cotham Hourse, Cotham Hill, Bristol BS6 6JL, UK;



What is the optimum way to improve treatment and recognition of postnatal depression in low-income settings?


230 women who had given birth in the previous year, and who had unrecognised and untreated postnatal depression. 922 women were initially approached while they were waiting for health-related consultations and screened for depression using the Edinburgh postnatal depression scale (EPDS; maximum score 30, higher scores indicate more severe symptoms) on two separate occasions two weeks apart. Those with persistent depression (EPDS score ⩾10 on both occasions) were formally assessed and those with a clinical diagnosis of major depression (DSM-IV criteria assessed through Mini International Neuropsychiatry Interview) were included in the study. Exclusions: receiving treatment for depression, pregnancy, psychotic symptoms, suicide risk, or history of mania, alcohol or drug abuse.


Three clinics in deprived urban areas of …

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  • Competing interests: None.

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