Table 5.

Joint display of participants’ perceptions of challenges by treatment progress.

Status at posttreatmenta	Participant responses
Not depressed at follow-up (n = 10)	Barriers to engagement: Some had no challenges, depression itself was a barrier to engagement, mothers overcame challenges to attend Attrition: Mothers shared the negative impact of losing other group members Stigma: One mother mentioned stigma regarding her son’s diagnosis Termination: Two mothers stated they wished there was another group available, or a way to check-in with previous group members
Depressed at follow-up (n = 9)	Barriers to engagement: Mothers shared difficulty trusting therapists/getting along with other members, scheduling difficulties Attrition: Mothers shared the negative impact of losing other members Stigma: Several mothers reported difficulty talking about mental health due to stigma
Mothers with subclinical symptoms (n = 6)	Barriers to engagement: Challenges related to needing to transport children to school/other activities Attrition: Shared impact of cancelled groups Stigma: Mothers reported presence of stigma in the community and need to overcome it

^aMothers were split into three groups based on the change in their depressive symptoms on the CES-D over the course of treatment.