the relaxation exercise and social support trial-resst study protocol for a randomized community based trial放松练习和社会支持trial-resst随机基于社区的试验研究方案.pdfVIP

Kobeissi et al. BMC Psychiatry 2011, 11:142 /1471-244X/11/142 STUDY PROTOCOL Open Access The relaxation exercise and social support trial- resst: study protocol for a randomized community based trial 1,2* 3 4 2 2 5 Loulou Kobeissi , Ricardo Araya , Fayssal El Kak , Zeina Ghantous , Marwan Khawaja , Brigitte Khoury , 6 7 8 9 2 Ziyad Mahfoud , Rima Nakkash , Tim J Peters , Sami Ramia and Huda Zurayk Abstract Background: Studies suggests a possible link between vaginal discharge and common mental distress, as well as highlight the implications of the subjective burden of disease and its link with mental health. Methods/Design: This is a community-based intervention trial that aims to evaluate the impact of a psycho-social intervention on medically unexplained vaginal discharge (MUVD) in a group of married, low-income Lebanese women, aged 18-49, and suffering from low to moderate levels of anxiety and/or depression. The intervention consisted of 12 sessions of structured social support, problem solving techniques, group discussions and trainer- supervised relaxation exercises (twice per week over six weeks). Women were recruited from Hey el Selloum, a southern disadvantaged suburb of Beirut, Lebanon, during an open recruitment campaign. The primary outcome was self-reported MUVD, upon ruling out reproductive tract infections (RTIs), through lab analysis. Anxiety and/or depression symptoms were the secondary outcomes for this trial. These were assessed using an Arabic validated version of the Hopkins Symptoms Checklist-25 (HSCL-25). Assessments were done at baseline and six months using face-to face i