Ahmed Waqas
Dados Biográficos
| ID | 4598778 |
|---|---|
| NOME | Ahmed Waqas |
| PRENOMES | Ahmed |
| SOBRENOME | Waqas |
| ASSINATURA | WAQAS A |
| AFILIAÇÕES | University of Liverpool |
| ORCID | 0000-0002-3772-194X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 9 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2019 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Technology-assisted platform (TAP) for training and supervision of task-shared psychosocial interventions to ensure competency during scale-up in low-resource settings
Common mental disorders are a major public health concern, particularly in low-resource settings where specialist services are limited. While task-shifting to non-specialist providers (NSPs) has improved access, maintaining their competency during scale-up remains a challenge. This study evaluated a technology-assisted platform (TAP) for training and supervision of NSPs delivering the WHO Thinking Healthy Programme (THP) for perinatal depression.…
Comparing standard and technology-assisted peer-delivered CBT for perinatal depression
The ENHANCE non-inferiority trial that took place in a deprived setting in Pakistan demonstrated that a technology-assisted digital adaptation of the Technology Assisted Thinking Healthy Programme (THP-TAP) was no different than the face-to-face THP in improving symptoms of perinatal depression. The present study examines the mechanisms through which THP-TAP improved symptoms of perinatal depression (or not) compared to the face-to-face THP. We a…
Cost-effectiveness of a technology-assisted peer-delivered perinatal mental health intervention in Pakistan
INTRODUCTION: Perinatal depression in low- and middle-income countries is a global health concern. Interventions to support women suffering from perinatal depression using mental health specialists, such as the WHO Thinking Healthy Programme (WHO-THP), are established but may not be scalable in resource-constrained settings. The technology-assisted peer-delivered THP (THP-TAP) has been developed as a potential solution to deliver an intervention …
Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders
Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. Thi…
Acceptability and efficacy of the culturally adapted problem management plus intervention for people with disability in Pakistan
https://clinicaltrials.gov/ct2/show/NCT04981522, identifier NCT04981522
Exploring the delivery of empathic care in task-shared settings
Empathy plays a crucial role in psychosocial and psychological interventions, greatly impacting rapport building, patient adherence, and satisfaction with treatment. Empathetic interactions enhance patient’s self-reflection and the delivery of more personalized therapeutic interventions tailored to the unique needs of each patient, thereby improving the overall quality of care. Despite empathy being central to psychosocial interventions, there ar…
Optimizing psychotherapies for perinatal depressive symptom dimensions by strengthening social support networks
The Thinking Healthy Program (THP) is a multicomponent low-intensity cognitive behavioral therapy-based psychosocial intervention. This intervention has been shown to be clinically effective in perinatal depression (PND) and feasible for implementation in low-resourced settings. It has also been shown to work universally for different phenotypes of PND. However, the mechanism through which THP resolves different phenotypes of PND are unclear. The…
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Integration of mental health into routine primary health care (PHC) services in low-and middle-income countries is globally accepted to improve health outcomes of other conditions and narrow the mental health treatment gap. Yet implementation remains a challenge. The aim of this study was to identify implementation strategies that improve implementation outcomes of an evidence-based depression care collaborative implementation model integrated wi…
Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence
Evidence for the feasibility of brief psychological interventions for pregnant women experiencing intimate partner violence (IPV) in rural, low-income country settings is scarce. In rural Ethiopia, the prevalence of antenatal depressive symptoms and lifetime IPV are 29% and 61%, respectively. We aimed to assess the feasibility and related implementation outcomes of brief problem-solving therapy (PST) adapted for pregnant women experiencing IPV (P…
Postnatal depression and its social-cultural influences among adolescent mothers
In rural Malawi, adolescent mothers represent 31% of pregnancies. While some adolescent mothers experience motherhood as an exciting, positive, and affirming experience, for others, it may increase their risk of postnatal depression (PND). Social norms and culture contribute to adolescent mothers’ experiences and may influence their mental health. However, there is limited research around the prevalence of PND and its cultural influences among ad…
Diverse policy maker perspectives on the mental health of pregnant and parenting adolescent girls in Kenya
The pregnancy rate in Kenya among adolescent girls is among the highest in the world. Adolescent girls experience increased risk of anxiety and depression during pregnancy and postpartum which can result in poor health outcomes for both mother and baby, and negatively influence their life course. Mental health is often given low priority in health policy planning, particularly in Sub-Saharan Africa (SSA). There is an urgent need to address the tr…
Stress and resilience during pregnancy
Background Stress during pregnancy is associated with perturbances in maternal psychology and physiology, and results in adverse pregnancy and birth outcomes. However, little attention has been given to understand maternal stress and its potential negative consequences in many low- and middle-income countries. We aimed to investigate whether pregnancy is associated with greater stress and lower psychological resilience among women living in Jimma…
Depressive symptoms and violence exposure in a population-based sample of adult women in South Africa
Depressive symptoms are a major burden of disease globally and is associated with violence and poverty. However, much of the research linking these conditions is from resource-rich settings and among smaller, clinical samples. Secondary data from a household survey in Gauteng Province of South Africa examines the cross-sectional association between adult women’s elevated depressive symptoms and markers of violence. Using tablet computers, partici…
Suicide and self-harm in low- and middle- income countries during the Covid-19 pandemic
There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC. This review is nested within a living systematic review (PROSPERO ID CRD42020183326 ) that continuously iden…
Interpersonal violence and depression in Brazil
Depression and interpersonal violence are issues of increasing public health concern globally, especially in low-and-middle income countries. Despite the known relationship between interpersonal violence and an increased risk of depression, there is a need to further characterise the experience of depression in those who have experienced violence, to better develop screening and treatment interventions. A cross-sectional analysis was conducted on…
Midwifery continuity of care
Systems of care that provide midwifery care and services through a continuity of care model have positive health outcomes for women and newborns. We conducted a scoping review to understand the global implementation of these models, asking the questions: where, how, by whom and for whom are midwifery continuity of care models implemented? Using a scoping review framework, we searched electronic and grey literature databases for reports in any lan…
Evolution of Therapeutic Patient Education
Therapeutic patient education (TPE) aims to empower the patients and their caregivers to effectively care for and manage their conditions. Such educational programs have been shown to improve health behaviors, disease outcomes, and quality of life among different patient populations. The field of TPE has evolved extensively over decades, owing to interdisciplinary research. No study so far has been done to map this field, to identify the stakehol…
Prevalence of Depressive Symptoms Among University Students in Pakistan
Background: In Pakistan, almost 30% population is between 15 to 29 years of age, with university enrollment rates of 10–15%. Although there is a growing concern on mental health of university students across the globe, studies from low and middle income countries such as Pakistan are scarce. We conducted a systematic review and meta-analysis of prevalence of depressive symptoms among Pakistani university students. Methods: PubMed, Web of Science,…
Does One Treatment Fit All? Effectiveness of a Multicomponent Cognitive Behavioral Therapy Program in Data-Driven Subtypes of Perinatal Depression
Background: Current diagnostic systems of mental disorders are criticized for their poor validity and reliability, owing to the within disorder heterogeneity and between disorder homogeneity. The issue is important if treatments for mental disorders are to be tailored to individual needs. There is little information in this area on perinatal depression (PND), a highly prevalent condition globally. Aims: i) Quantify heterogeneity attributable to t…
Predictors of Prenatal Depression
Objective: To determine the prevalence and association of prenatal depression with socioeconomic, demographic and personal factors among pregnant women living in Kallar Syedan, Rawalpindi, Pakistan. Methods: Five hundred women in the second and third trimester of pregnancy, living in Kallar Syedan, a rural area of district Rawalpindi Pakistan, were included in the study. Depression was assessed using "Patient health questionnaire" (PHQ9) in Urdu,…
Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of pr…
Scalable Screening and Treatment Response Monitoring for Perinatal Depression in Low- and Middle-Income Countries
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- and middle-income countries. Several tools exist for screening and monitoring treatment responses, which have frequently been tested globally in clinical and research settings. However, these tools are relatively long and not practical for integration into routine data systems in most settings. This study aims to address this gap by considering th…
Trends in Bullying and Emotional and Behavioral Difficulties Among Pakistani Schoolchildren
Background: Bullying and peer victimization among adolescents are growing public health concerns that affect victims' emotional well-being, and their social and academic functioning. Despite concerns about this public health epidemic in low- and middle-income countries, most prevalence, policy and intervention studies have been conducted in developed countries and economies. Methods: This cross-sectional study was conducted between September 2016…
Empathy, Experience and Cultural Beliefs Determine the Attitudes Towards Depression Among Pakistani Medical Students
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Empathy, Experience and Cultural Beliefs Determine the Attitudes Towards Depression Among Pakistani Medical Students
Trends in Bullying and Emotional and Behavioral Difficulties Among Pakistani Schoolchildren
Background: Bullying and peer victimization among adolescents are growing public health concerns that affect victims' emotional well-being, and their social and academic functioning. Despite concerns about this public health epidemic in low- and middle-income countries, most prevalence, policy and intervention studies have been conducted in developed countries and economies. Methods: This cross-sectional study was conducted between September 2016…
Prevalence of Depressive Symptoms Among University Students in Pakistan
Background: In Pakistan, almost 30% population is between 15 to 29 years of age, with university enrollment rates of 10–15%. Although there is a growing concern on mental health of university students across the globe, studies from low and middle income countries such as Pakistan are scarce. We conducted a systematic review and meta-analysis of prevalence of depressive symptoms among Pakistani university students. Methods: PubMed, Web of Science,…
Does One Treatment Fit All? Effectiveness of a Multicomponent Cognitive Behavioral Therapy Program in Data-Driven Subtypes of Perinatal Depression
Background: Current diagnostic systems of mental disorders are criticized for their poor validity and reliability, owing to the within disorder heterogeneity and between disorder homogeneity. The issue is important if treatments for mental disorders are to be tailored to individual needs. There is little information in this area on perinatal depression (PND), a highly prevalent condition globally. Aims: i) Quantify heterogeneity attributable to t…
Predictors of Prenatal Depression
Objective: To determine the prevalence and association of prenatal depression with socioeconomic, demographic and personal factors among pregnant women living in Kallar Syedan, Rawalpindi, Pakistan. Methods: Five hundred women in the second and third trimester of pregnancy, living in Kallar Syedan, a rural area of district Rawalpindi Pakistan, were included in the study. Depression was assessed using "Patient health questionnaire" (PHQ9) in Urdu,…
Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of pr…
Scalable Screening and Treatment Response Monitoring for Perinatal Depression in Low- and Middle-Income Countries
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- and middle-income countries. Several tools exist for screening and monitoring treatment responses, which have frequently been tested globally in clinical and research settings. However, these tools are relatively long and not practical for integration into routine data systems in most settings. This study aims to address this gap by considering th…
Depressive symptoms and violence exposure in a population-based sample of adult women in South Africa
Depressive symptoms are a major burden of disease globally and is associated with violence and poverty. However, much of the research linking these conditions is from resource-rich settings and among smaller, clinical samples. Secondary data from a household survey in Gauteng Province of South Africa examines the cross-sectional association between adult women’s elevated depressive symptoms and markers of violence. Using tablet computers, partici…
Suicide and self-harm in low- and middle- income countries during the Covid-19 pandemic
There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC. This review is nested within a living systematic review (PROSPERO ID CRD42020183326 ) that continuously iden…
Interpersonal violence and depression in Brazil
Depression and interpersonal violence are issues of increasing public health concern globally, especially in low-and-middle income countries. Despite the known relationship between interpersonal violence and an increased risk of depression, there is a need to further characterise the experience of depression in those who have experienced violence, to better develop screening and treatment interventions. A cross-sectional analysis was conducted on…
Midwifery continuity of care
Systems of care that provide midwifery care and services through a continuity of care model have positive health outcomes for women and newborns. We conducted a scoping review to understand the global implementation of these models, asking the questions: where, how, by whom and for whom are midwifery continuity of care models implemented? Using a scoping review framework, we searched electronic and grey literature databases for reports in any lan…
Evolution of Therapeutic Patient Education
Therapeutic patient education (TPE) aims to empower the patients and their caregivers to effectively care for and manage their conditions. Such educational programs have been shown to improve health behaviors, disease outcomes, and quality of life among different patient populations. The field of TPE has evolved extensively over decades, owing to interdisciplinary research. No study so far has been done to map this field, to identify the stakehol…
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Integration of mental health into routine primary health care (PHC) services in low-and middle-income countries is globally accepted to improve health outcomes of other conditions and narrow the mental health treatment gap. Yet implementation remains a challenge. The aim of this study was to identify implementation strategies that improve implementation outcomes of an evidence-based depression care collaborative implementation model integrated wi…
Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence
Evidence for the feasibility of brief psychological interventions for pregnant women experiencing intimate partner violence (IPV) in rural, low-income country settings is scarce. In rural Ethiopia, the prevalence of antenatal depressive symptoms and lifetime IPV are 29% and 61%, respectively. We aimed to assess the feasibility and related implementation outcomes of brief problem-solving therapy (PST) adapted for pregnant women experiencing IPV (P…
Postnatal depression and its social-cultural influences among adolescent mothers
In rural Malawi, adolescent mothers represent 31% of pregnancies. While some adolescent mothers experience motherhood as an exciting, positive, and affirming experience, for others, it may increase their risk of postnatal depression (PND). Social norms and culture contribute to adolescent mothers’ experiences and may influence their mental health. However, there is limited research around the prevalence of PND and its cultural influences among ad…
Diverse policy maker perspectives on the mental health of pregnant and parenting adolescent girls in Kenya
The pregnancy rate in Kenya among adolescent girls is among the highest in the world. Adolescent girls experience increased risk of anxiety and depression during pregnancy and postpartum which can result in poor health outcomes for both mother and baby, and negatively influence their life course. Mental health is often given low priority in health policy planning, particularly in Sub-Saharan Africa (SSA). There is an urgent need to address the tr…
Stress and resilience during pregnancy
Background Stress during pregnancy is associated with perturbances in maternal psychology and physiology, and results in adverse pregnancy and birth outcomes. However, little attention has been given to understand maternal stress and its potential negative consequences in many low- and middle-income countries. We aimed to investigate whether pregnancy is associated with greater stress and lower psychological resilience among women living in Jimma…
Optimizing psychotherapies for perinatal depressive symptom dimensions by strengthening social support networks
The Thinking Healthy Program (THP) is a multicomponent low-intensity cognitive behavioral therapy-based psychosocial intervention. This intervention has been shown to be clinically effective in perinatal depression (PND) and feasible for implementation in low-resourced settings. It has also been shown to work universally for different phenotypes of PND. However, the mechanism through which THP resolves different phenotypes of PND are unclear. The…
Cost-effectiveness of a technology-assisted peer-delivered perinatal mental health intervention in Pakistan
INTRODUCTION: Perinatal depression in low- and middle-income countries is a global health concern. Interventions to support women suffering from perinatal depression using mental health specialists, such as the WHO Thinking Healthy Programme (WHO-THP), are established but may not be scalable in resource-constrained settings. The technology-assisted peer-delivered THP (THP-TAP) has been developed as a potential solution to deliver an intervention …
Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders
Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. Thi…
Acceptability and efficacy of the culturally adapted problem management plus intervention for people with disability in Pakistan
https://clinicaltrials.gov/ct2/show/NCT04981522, identifier NCT04981522
Exploring the delivery of empathic care in task-shared settings
Empathy plays a crucial role in psychosocial and psychological interventions, greatly impacting rapport building, patient adherence, and satisfaction with treatment. Empathetic interactions enhance patient’s self-reflection and the delivery of more personalized therapeutic interventions tailored to the unique needs of each patient, thereby improving the overall quality of care. Despite empathy being central to psychosocial interventions, there ar…
Technology-assisted platform (TAP) for training and supervision of task-shared psychosocial interventions to ensure competency during scale-up in low-resource settings
Common mental disorders are a major public health concern, particularly in low-resource settings where specialist services are limited. While task-shifting to non-specialist providers (NSPs) has improved access, maintaining their competency during scale-up remains a challenge. This study evaluated a technology-assisted platform (TAP) for training and supervision of NSPs delivering the WHO Thinking Healthy Programme (THP) for perinatal depression.…
Comparing standard and technology-assisted peer-delivered CBT for perinatal depression
The ENHANCE non-inferiority trial that took place in a deprived setting in Pakistan demonstrated that a technology-assisted digital adaptation of the Technology Assisted Thinking Healthy Programme (THP-TAP) was no different than the face-to-face THP in improving symptoms of perinatal depression. The present study examines the mechanisms through which THP-TAP improved symptoms of perinatal depression (or not) compared to the face-to-face THP. We a…
Medicine (16 obras) · Psychiatry (13 obras) · Psychology (12 obras) · Maternal Mental Health During Pregnancy and Postpartum (10 obras) · Clinical Psychology (9 obras) · Mental health (9 obras) · Anxiety (8 obras) · Child and Adolescent Psychosocial and Emotional Development (8 obras) · Nursing (7 obras) · Clinical Psychology (6 obras)