{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:12:20Z","timestamp":1784308340069,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,1,29]],"date-time":"2014-01-29T00:00:00Z","timestamp":1390953600000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of the New York Academy of Sciences"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>Maternal psychosocial well\u2010being (MPW) is a wide\u2010ranging concept that encompasses the psychological (e.g., mental health, distress, anxiety, depression, coping, problem solving) and social (e.g., family and community support, empowerment, culture) aspects of motherhood. Evidence\u2010based MPW interventions that can be integrated into large\u2010scale maternal and child health programs have not been developed. Building on several years of research in Pakistan, we developed and integrated a cognitive behavioral therapy\u2013based MPW intervention (the five\u2010pillars approach) into a child nutrition and development program. Following formative research with community health workers (CHWs; <jats:italic>n<\/jats:italic> = 40) and families (<jats:italic>n<\/jats:italic> = 37), CHWs were trained in (1) empathic listening, (2) family engagement, (3) guided discovery using pictures, (4) behavioral activation, and (5) problem solving. A qualitative feasibility study in one area demonstrated that CHWs were able to apply these skills effectively to their work, and the approach was found to be useful by CHWs, mothers, and their families. The success of the approach can be attributed to (1) mothers being the central focus of the intervention, (2) using local CHWs whom the mothers trust, (3) simplified training and regular supervision, and (4) an approach that facilitates, not adds, to the CHWs\u2019 work.<\/jats:p>","DOI":"10.1111\/nyas.12339","type":"journal-article","created":{"date-parts":[[2014,1,29]],"date-time":"2014-01-29T14:09:00Z","timestamp":1391004540000},"page":"107-117","source":"Crossref","is-referenced-by-count":39,"title":["Integrating maternal psychosocial well\u2010being into a child\u2010development intervention: the five\u2010pillars approach"],"prefix":"10.1111","volume":"1308","author":[{"given":"Shamsa","family":"Zafar","sequence":"first","affiliation":[{"name":"Human Development Research Foundation  Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siham","family":"Sikander","sequence":"additional","affiliation":[{"name":"Human Development Research Foundation  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