Trial reportTranscultural psychiatry2016
"The sun has set even though it is morning": Experiences and explanations of perinatal depression in an urban township, Cape Town.
Trial report in Transcultural psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Perinatal mental health impacts of intimate partner violence in the African region: a systematic review and qualitative meta-synthesis.BMC pregnancy and childbirth · 2026Pooled it
- The epidemiology of maternal mental health in Africa: a systematic review.Archives of women's mental health · 2025Pooled it
- "Thinking Too Much": A Systematic Review of the Idiom of Distress in Sub-Saharan Africa.Culture, medicine and psychiatry · 2021Pooled it
- Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- Maternal depression, alcohol use, and transient effects of perinatal paraprofessional home visiting in South Africa: Eight-year follow-up of a cluster randomized controlled trial.Social science & medicine (1982) · 2023Trial
- Task-sharing of psychological treatment for antenatal depression in Khayelitsha, South Africa: Effects on antenatal and postnatal outcomes in an individual randomised controlled trial.Behaviour research and therapy · 2020Trial
- Mechanisms and perceived mental health changes after a livelihood intervention for HIV-positive Kenyans: Longitudinal, qualitative findings.Transcultural psychiatry · 2020Trial
- Identification, Prevention, and Treatment of Perinatal Depression in Low- and Middle-Income Countries: A Narrative Review.Biological psychiatry · 2026Review
- Implementation of a task-shared psychosocial intervention for perinatal depression in South Africa: A grounded theory process evaluation.SSM. Mental health · 2022Article
- Is there an optimal screening tool for identifying perinatal depression within clinical settings of sub-Saharan Africa?SSM. Mental health · 2021Article
- The development of a Community Mental Health Education and Detection (CMED) tool in South Africa.SSM. Mental health · 2021Article
- Health care providers' perceptions of barriers to perinatal mental healthcare in South Africa.BMC public health · 2021Article
- Developing a task-sharing psychological intervention to treat mild to moderate symptoms of perinatal depression and anxiety in South Africa: a mixed-method formative study.International journal of mental health systems · 2021Article
- "Cooling of the mind": Assessing the relevance of mindfulness training among people living with HIV using alcohol and other substances in South Africa.Social science & medicine (1982) · 2020Article
- Adaptation and validation of a structured version of the Hamilton Depression Rating Scale for use by non-clinicians in South Africa (AFFIRM-HDRS).Journal of evaluation in clinical practice · 2020Article
- Adolescent mothers: A qualitative study on barriers and facilitators to mental health in a low-resource setting in Cape Town, South Africa.African journal of primary health care & family medicine · 2020Article
- Perinatal mental distress in a rural Ethiopian community: a critical examination of psychiatric labels.BMC psychiatry · 2020Article
- The magnitude of postpartum depression among mothers in Africa: a literature review.The Pan African medical journal · 2020Review
- "Pain in my heart": Understanding perinatal depression among women living with HIV in Malawi.PloS one · 2020Article
- Association between perinatal depressive symptoms and suicidal risk among low-income South African women: a longitudinal study.Social psychiatry and psychiatric epidemiology · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
This study examined experiences and explanations of depression amongst Xhosa-speaking pregnant women, mothers, and health workers in an urban township in Cape Town, South Africa. The study was conducted as part of formative research for a randomised controlled trial to develop and evaluate a task-sharing counselling intervention for maternal depression in this setting. We conducted qualitative semi-structured interviews with 12 depressed and 9 nondepressed pregnant women and mothers of young babies, and 13 health care providers. We employed an in-depth framework analysis approach to explore the idioms, descriptions, and perceived causes of depression particular to these women, and compared these with the ICD-10 and DSM-5 criteria for major depression. We found that symptoms of major depression are similar in this township to those described in international criteria (withdrawal, sadness, and poor concentration), but that local descriptions of these symptoms vary. In addition, all the symptoms described by participants were directly related to stressors occurring in the women's lives. These stressors included poverty, unemployment, lack of support from partners, abuse, and death of loved ones, and were exacerbated by unwanted or unplanned pregnancies and the discovery of HIV positive status at antenatal appointments. The study calls attention to the need for specifically designed counselling interventions for perinatal depression that are responsive to the lived experiences of these women and grounded in the broader context of poor socioeconomic conditions and living environments in South Africa, all of which have a direct impact on mental health.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.