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. 2016 May 31:10:44.
doi: 10.1186/s13033-016-0075-5. eCollection 2016.

Problem Management Plus (PM+) in the treatment of common mental disorders in women affected by gender-based violence and urban adversity in Kenya; study protocol for a randomized controlled trial

Marit Sijbrandij  1 , Richard A Bryant  2 , Alison Schafer  3 , Katie S Dawson  2 , Dorothy Anjuri  4 , Lincoln Ndogoni  4 , Jeannette Ulate  5 , Syed Usman Hamdani  6 , Mark van Ommeren  7
Affiliations

Problem Management Plus (PM+) in the treatment of common mental disorders in women affected by gender-based violence and urban adversity in Kenya; study protocol for a randomized controlled trial

Marit Sijbrandij et al. Int J Ment Health Syst. .

Erratum in

Abstract

Background: Women affected by adversity, including gender-based violence, are at increased risk for developing common mental disorders such as depression, anxiety and posttraumatic stress disorder (PTSD). The World Health Organization (WHO) has developed Problem Management Plus (PM+), a 5-session, individual psychological intervention program, that can be delivered by non-specialist counsellors that addresses common mental disorders in people affected by adversity. The objectives of this study are to evaluate effectiveness of PM+ among women who have been affected by adversity, including gender-based violence, and to perform a process evaluation.

Methods: Informed by community consultations, the PM+ manual has been translated and adapted to the local context. A randomized controlled trial will be carried out in the catchment areas of three local health care facilities in Dagoretti Sub County, Nairobi. After informed consent, females with high psychological distress (General Health Questionnaire-12 (score >2) and functional impairment (WHO Disability Assessment Schedule 2.0 score >16) will be randomised to PM+ (n = 247) or enhanced treatment as usual (n = 247). Post-treatment and 3-months post-treatment follow-up assessments include psychological distress, functional disability, PTSD symptoms, perceived problems for which the person seeks help, health care use and health costs. For evaluating the process of implementing PM+ within local communities in Nairobi 20 key informant interviews will be carried out in participants, PM+ providers, decision makers, clinical staff.

Discussion: If PM+ is proven effective, it will be rolled out to other low and middle income areas and other populations for further adaptation and testing. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12616000032459. Registered prospectively on January 18, 2016.

Keywords: Anxiety; Cognitive behavioural therapy; Common mental disorders; Depression; Gender-based violence; Intimate partner violence; Low- and middle income countries; Non-specialist counsellors; Posttraumatic stress disorder; Task-shifting; Trauma.

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Figures

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References

    1. World Health Organization . Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization and London School of Hygiene and Tropical Medicine; 2013.
    1. Rees S, et al. Lifetime prevalence of gender-based violence in women and the relationship with mental disorders and psychosocial function. JAMA. 2011;306(5):513–521. doi: 10.1001/jama.2011.1098. - DOI - PubMed
    1. Devries KM, et al. Global health. The global prevalence of intimate partner violence against women. Science. 2013;340(6140):1527–1528. doi: 10.1126/science.1240937. - DOI - PubMed
    1. Ellsberg M, et al. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet. 2008;371(9619):1165–1172. doi: 10.1016/S0140-6736(08)60522-X. - DOI - PubMed
    1. Bonomi AE, et al. Health care utilization and costs associated with physical and nonphysical-only intimate partner violence. Health Serv Res. 2009;44(3):1052–1067. doi: 10.1111/j.1475-6773.2009.00955.x. - DOI - PMC - PubMed

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