Susan M Meffert
Biographic Data
| ID | 1739963 |
|---|---|
| NAME | Susan M Meffert |
| GIVEN NAMES | Susan M |
| FAMILY NAME | Meffert |
| SIGNATURE | MEFFERT S M |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0002-5882-7102 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Factors associated with fluoxetine adherence among outpatients with common mental disorders in Western Kenya
OBJECTIVE: Non-adherence to antidepressants has been linked to increased symptom severity, relapse and hospitalisation from common mental disorders. However, there is limited knowledge of factors associated with antidepressant adherence in low-income and middle-income countries, especially in public sector, primary care settings. METHODS: We quantified fluoxetine adherence using the medication possession ratio. A limitation of this measure is tha…
Productivity benefits of treatment of depression and post-traumatic stress disorder in Kenya
INTRODUCTION: Depression and post-traumatic stress disorder (PTSD) significantly contribute to the global disease burden, adversely affecting health, medical costs and economic productivity. The SMART-DAPPER project in western Kenya approached this challenge by deploying trained non-specialists to administer proven depression and PTSD treatments. METHODS: Participants were public sector primary care outpatients at Kiumu County Hospital with major…
Defining a screening tool for post-traumatic stress disorder in East Africa: A penalized regression approach
Background: Scalable PTSD screening strategies must be brief, accurate and capable of administration by a non-specialized workforce. Methods: We used PTSD as determined by the structured clinical interview as our gold standard and considered predictors sets of (a) Posttraumatic Stress Checklist-5 (PCL-5), (b) Primary Care PTSD Screen for the DSM-5 (PC-PTSD) and, (c) PCL-5 and PC-PTSD questions to identify the optimal items for PTSD screening for …
“The peace that I wanted, I got”: Qualitative insights from patient experiences of SMART Dapper interventions for major depression and traumatic stress disorders in Kenya
SMART DAPPER is an implementation science study responding to mental health treatment gaps for depression and trauma-related disorders in Sub-Saharan Africa (SSA). We report on patient experiences in a study using a Sequential, Multiple Assignment Randomized Trial (SMART) design to test first and second line non-specialist treatment using psychotherapy (Interpersonal Psychotherapy [IPT] or medication (fluoxetine [FLX]), integrated within public s…
Scaling up public mental health care in Sub-Saharan Africa: Insights from infectious disease
The COVID-19 pandemic is setting off a colossal escalation of global mental health care needs, well-publicized across scientific, media, policymaker, and civil society domains. The pandemic highlights disparities in healthcare access and reinvigorates the push for universal coverage. Learning from HIV strategies, we must seize this historical moment to improve the public mental health care cascade in SSA and capitalize on the powerful alliances r…
East African HIV care: Depression and HIV outcomes
PLWH had high prevalence of depression on the CESD. Diverse depression symptoms were independently associated with increases in viral load, underscoring the need for comprehensive treatment of depression
Increase of perceived frequency of neighborhood domestic violence is associated with increase of women's depression symptoms in a nationally representative longitudinal study in South Africa
Interpersonal psychotherapy versus treatment as usual for PTSD and depression among Sichuan earthquake survivors: A randomized clinical trial
ClinicalTrials.Gov number, NCT01624935
A pilot randomized controlled trial of interpersonal psychotherapy for Sudanese refugees in Cairo, Egypt
Approximately one third of a population exposed to mass violence develops posttraumatic stress disorder (PTSD) and approximately half develops depression, yet little is known about how to effectively treat these populations. This study’s objective was to examine the impact of interpersonal psychotherapy (IPT) on Sudanese refugees living in Cairo, Egypt, who had symptoms of PTSD. A randomized controlled trial (April–August 2008) with 22 Sudanese r…
Feelings of betrayal by the United Nations High Commissioner for Refugees and emotionally distressed Sudanese refugees in Cairo
Thousands of Sudanese refugees have fled to Cairo, Egypt in the wake of Sudanese civil conflicts. Sudanese refugees were evaluated with respect to symptoms of depression, post-traumatic stress disorder (PTSD) and social stress. Four respondents (22%) indicated that their interactions with the United Nations High Commissioner for Refugees (UNHCR) in Cairo, Egypt were the worst experiences since war-related atrocities. Fourteen participants (63.6%)…
Feelings of betrayal by the United Nations High Commissioner for Refugees and emotionally distressed Sudanese refugees in Cairo
Thousands of Sudanese refugees have fled to Cairo, Egypt in the wake of Sudanese civil conflicts. Sudanese refugees were evaluated with respect to symptoms of depression, post-traumatic stress disorder (PTSD) and social stress. Four respondents (22%) indicated that their interactions with the United Nations High Commissioner for Refugees (UNHCR) in Cairo, Egypt were the worst experiences since war-related atrocities. Fourteen participants (63.6%)…
A pilot randomized controlled trial of interpersonal psychotherapy for Sudanese refugees in Cairo, Egypt
Approximately one third of a population exposed to mass violence develops posttraumatic stress disorder (PTSD) and approximately half develops depression, yet little is known about how to effectively treat these populations. This study’s objective was to examine the impact of interpersonal psychotherapy (IPT) on Sudanese refugees living in Cairo, Egypt, who had symptoms of PTSD. A randomized controlled trial (April–August 2008) with 22 Sudanese r…
Interpersonal psychotherapy versus treatment as usual for PTSD and depression among Sichuan earthquake survivors: A randomized clinical trial
ClinicalTrials.Gov number, NCT01624935
Increase of perceived frequency of neighborhood domestic violence is associated with increase of women's depression symptoms in a nationally representative longitudinal study in South Africa
East African HIV care: Depression and HIV outcomes
PLWH had high prevalence of depression on the CESD. Diverse depression symptoms were independently associated with increases in viral load, underscoring the need for comprehensive treatment of depression
Scaling up public mental health care in Sub-Saharan Africa: Insights from infectious disease
The COVID-19 pandemic is setting off a colossal escalation of global mental health care needs, well-publicized across scientific, media, policymaker, and civil society domains. The pandemic highlights disparities in healthcare access and reinvigorates the push for universal coverage. Learning from HIV strategies, we must seize this historical moment to improve the public mental health care cascade in SSA and capitalize on the powerful alliances r…
Defining a screening tool for post-traumatic stress disorder in East Africa: A penalized regression approach
Background: Scalable PTSD screening strategies must be brief, accurate and capable of administration by a non-specialized workforce. Methods: We used PTSD as determined by the structured clinical interview as our gold standard and considered predictors sets of (a) Posttraumatic Stress Checklist-5 (PCL-5), (b) Primary Care PTSD Screen for the DSM-5 (PC-PTSD) and, (c) PCL-5 and PC-PTSD questions to identify the optimal items for PTSD screening for …
“The peace that I wanted, I got”: Qualitative insights from patient experiences of SMART Dapper interventions for major depression and traumatic stress disorders in Kenya
SMART DAPPER is an implementation science study responding to mental health treatment gaps for depression and trauma-related disorders in Sub-Saharan Africa (SSA). We report on patient experiences in a study using a Sequential, Multiple Assignment Randomized Trial (SMART) design to test first and second line non-specialist treatment using psychotherapy (Interpersonal Psychotherapy [IPT] or medication (fluoxetine [FLX]), integrated within public s…
Factors associated with fluoxetine adherence among outpatients with common mental disorders in Western Kenya
OBJECTIVE: Non-adherence to antidepressants has been linked to increased symptom severity, relapse and hospitalisation from common mental disorders. However, there is limited knowledge of factors associated with antidepressant adherence in low-income and middle-income countries, especially in public sector, primary care settings. METHODS: We quantified fluoxetine adherence using the medication possession ratio. A limitation of this measure is tha…
Productivity benefits of treatment of depression and post-traumatic stress disorder in Kenya
INTRODUCTION: Depression and post-traumatic stress disorder (PTSD) significantly contribute to the global disease burden, adversely affecting health, medical costs and economic productivity. The SMART-DAPPER project in western Kenya approached this challenge by deploying trained non-specialists to administer proven depression and PTSD treatments. METHODS: Participants were public sector primary care outpatients at Kiumu County Hospital with major…
Psychiatry (9 works) · Medicine (8 works) · Psychology (7 works) · Mental health (6 works) · Clinical Psychology (5 works) · Mental Health Treatment and Access (4 works) · Posttraumatic Stress Disorder Research (4 works) · Public health (4 works) · Clinical Psychology (3 works) · Depression (economics (3 works)