Psychological Treatments for the World: Lessons from Low- and Middle-Income Countries.

Journal Article (Review)

Common mental disorders, including depression, anxiety, and posttraumatic stress, are leading causes of disability worldwide. Treatment for these disorders is limited in low- and middle-income countries. This systematic review synthesizes the implementation processes and examines the effectiveness of psychological treatments for common mental disorders in adults delivered by nonspecialist providers in low- and middle-income countries. In total, 27 trials met the eligibility criteria; most treatments targeted depression or posttraumatic stress. Treatments were commonly delivered by community health workers or peers in primary care or community settings; they usually were delivered with fewer than 10 sessions over 2-3 months in an individual, face-to-face format. Treatments included common elements, such as nonspecific engagement and specific domains of behavioral, interpersonal, emotional, and cognitive elements. The pooled effect size was 0.49 (95% confidence interval = 0.36-0.62), favoring intervention conditions. Our review demonstrates that psychological treatments-comprising a parsimonious set of common elements and delivered by a low-cost, widely available human resource-have moderate to strong effects in reducing the burden of common mental disorders.

Full Text

Duke Authors

Cited Authors

  • Singla, DR; Kohrt, BA; Murray, LK; Anand, A; Chorpita, BF; Patel, V

Published Date

  • May 2017

Published In

Volume / Issue

  • 13 /

Start / End Page

  • 149 - 181

PubMed ID

  • 28482687

Electronic International Standard Serial Number (EISSN)

  • 1548-5951

International Standard Serial Number (ISSN)

  • 1548-5943

Digital Object Identifier (DOI)

  • 10.1146/annurev-clinpsy-032816-045217

Language

  • eng