Un nouvel opus (research article) pour UniPsy :
"Mental health care for adolescent mothers in Cameroon: Psychoanalytically inspired tools, complementing the WHO’s IG-mhGAP protocol"
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Summary
In Cameroon, a quarter of teenage girls aged 15 to 19 are mothers, i.e., pregnant or breastfeeding. The prevalence rate of mental illness among teenage mothers is 66.4%. In this context, a mental health care program for these mothers was launched for the first time as part of a pilot project. This program was based on a guide from the World Health Organization. Psychoanalytically inspired tools not included in this guide were introduced.
After obtaining ethical approval, participants were selected through non-probabilistic sampling. Assessment and treatment tools based on the Mental Health Global Action Plan approach were used, including psychoanalytically inspired tools. Mixed methods were used for data analysis.
227 health workers were trained. 1,633 teenage mothers participated in the study. 1,069 were diagnosed and 715 were supported until term. The treatment tools used were: psychoeducation, problem-solving counseling, cognitive restructuring or thinking healthy, and relaxation. The psychoanalytically inspired tools introduced and found to be useful were: free association, analytical listening, identification of transference and countertransference, addressing or, if possible, elaborating on aspects of parenthood and perinatality, interpretation of family dynamics, and working on transgenerational transmission.
The results of this study reveal that psychoanalytically inspired tools can be integrated into a WHO program for mental health care for adolescent mothers in Cameroon.
Keywords: adolescent mothers, perinatal mental health, IG-mhGAP, psychoanalytically inspired tools, Cameroon.
Summary
In Cameroon, a quarter of teenage girls aged 15 to 19 are mothers, i.e., pregnant or breastfeeding. The prevalence rate of mental illness among teenage mothers is 66.4%. In this context, a mental health care program for these mothers was launched for the first time as part of a pilot project. This program was based on a guide from the World Health Organization. Psychoanalytically inspired tools not included in this guide were introduced.
After obtaining ethical approval, participants were selected through non-probabilistic sampling. Assessment and treatment tools based on the Mental Health Global Action Plan approach were used, including psychoanalytically inspired tools. Mixed methods were used for data analysis.
227 health workers were trained. 1,633 teenage mothers participated in the study. 1,069 were diagnosed and 715 were supported until term. The treatment tools used were: psychoeducation, problem-solving counseling, cognitive restructuring or thinking healthy, and relaxation. The psychoanalytically inspired tools introduced and found to be useful were: free association, analytical listening, identification of transference and countertransference, addressing or, if possible, elaborating on aspects of parenthood and perinatality, interpretation of family dynamics, and working on transgenerational transmission.
The results of this study reveal that psychoanalytically inspired tools can be integrated into a WHO program for mental health care for adolescent mothers in Cameroon.
Keywords: adolescent mothers, perinatal mental health, IG-mhGAP, psychoanalytically inspired tools, Cameroon.
