Efficacy of a Program for the Management of Depression in Pregnant Women in Primary Care in São Paulo, Brazil (PROGRAVIDA)
Depression
About this trial
This is an interventional treatment trial for Depression focused on measuring depression, problem solving
Eligibility Criteria
Inclusion Criteria:
Pregnant women attending antenatal care in selected primary care clinics with Family Health Programs, who score a PHQ-9>=5 just after the first antenatal consultation or around the 20th week of pregnancy.
Exclusion Criteria:
Moderate to high suicidal risk (assessed with a standardised protocol),
- Ongoing psychiatric treatment,
- Not able to understand Portuguese.
Sites / Locations
- Faculdade de Medicina da Universidade de Sao PauloRecruiting
- Faculdade de Medicina da Universidade de Sao PauloRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
PROGRAVIDA
Treatment as usual
All women in this arm receive a stepped-care program for depression based on psycho-education and problem solving techniques.
Primary health care professionals in charge of prenatal care are notified by the research team about all women with depression receiving pre-natal care and included in the trial. Primary health care professionals decide how to treat these women without any interference from the research team.