Evidence map›Paper›PMID 36522716›Full record

ArticleBMC pregnancy and childbirth2022

Interpersonal Psychotherapy's problem areas as an organizing framework to understand depression and sexual and reproductive health needs of Kenyan pregnant and parenting adolescents: a qualitative study.

Manasi Kumar, Obadia Yator, Vincent Nyongesa, Martha Kagoya, Shillah Mwaniga, Joseph Kathono, Isaiah Gitonga, Nancy Grote, Helena Verdeli, Keng Yen Huang and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 4 countries.

Manasi KumarDepartment of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya. manasi.kumar@aku.edu.
Obadia YatorDepartment of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya.
Vincent NyongesaDepartment of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya.
Martha KagoyaDepartment of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya.
Shillah MwanigaNairobi Metropolitan Services, Nairobi, Kenya.
Joseph KathonoDepartment of Psychiatry, University of Nairobi, Kenya and Nairobi Metropolitan Services, Nairobi, Kenya.
Isaiah GitongaDepartment of Psychology, National University of Ireland, Maynooth, Ireland.
Nancy GroteSchool of Social Work, University of Washington, Seattle, USA.
Helena VerdeliGlobal Mental Health Lab, Columbia University, New York, USA.
Keng Yen HuangNew York University, New York, USA.
Mary McKayVice Provost of Interdisciplinary Initiatives, University of Washington, St Louis, USA.
Holly A SwartzDepartment of Psychiatry, University of Pittsburgh, Pittsburg, USA.
University of Nairobi · KEUniversity of Washington · USColumbia University · USNational University of Ireland, Maynooth · IENew York University · USPittsburg State University · USVrije Universiteit Amsterdam · NL

Funding

Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in KenyaK43TW010716 · FIC · UNIVERSITY OF NAIROBI · PI KUMAR, MANASI · 2018 to 2022
$648k
FIC NIH HHS K43 TW010716FIC NIH HHS K43TW010716
6 · The paper itself

Abstract

backgroundPeripartum adolescents experience significant interpersonal transitions in their lives. Depression and emotional distress are often exacerbated by adolescents' responses to these interpersonal changes. Improved understanding of pregnancy-related social changes and maladaptive responses to these shifts may inform novel approaches to addressing the mental health needs of adolescents during the perinatal period. The paper aims to understand the sources of psychological distress in peripartum adolescents and map these to Interpersonal Psychotherapy's (IPT) problem areas as a framework to understand depression.

methodWe conducted interviews in two Nairobi primary care clinics with peripartum adolescents ages 16-18 years (n = 23) with experiences of depression, keeping interpersonal psychotherapy framework of problem areas in mind. We explored the nature of their distress, triggers, antecedents of distress associated with an unplanned pregnancy, quality of their relationships with their partner, parents, and other family members, perceived needs, and sources of support.

resultsWe found that the interpersonal psychotherapy (IPT) framework of interpersonal problems covering grief and loss, role transitions, interpersonal disputes, and social isolation was instrumental in conceptualizing adolescent depression, anxiety, and stress in the perinatal period.

conclusionOur interviews deepened understanding of peripartum adolescent mental health focusing on four IPT problem areas. The interpersonal framework yields meaningful information about adolescent depression and could help in identifying strategies for addressing their distress.

Indexed as

Interpersonal PsychotherapyParentingAdolescentDepressionFemaleHumansInterpersonal RelationsKenyaPregnancyReproductive HealthDepressionInterpersonal problemsKenyaMental healthPoor social supportPregnant adolescentsStress

Identifiers

PMID36522716
PMCPMC9756635
OpenAlexW4311800284

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.