Postnatal depression in British mothers of African and Caribbean origin: a randomised controlled trial of learning through play plus culturally adapted cognitive behaviour therapy compared with psychoeducation.
| Autor: | Jidong DE; Division of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom., Ike TJ; School of Social Science, Humanity and Law (SSSHL), Department of Humanities and Social Sciences, Teesside University, Middlesbrough, United Kingdom., Murshed M; Nottingham Trent University, Nottingham, United Kingdom., Francis C; Nottingham Trent University, Nottingham, United Kingdom., Mwankon SB; Nottingham Trent University, Nottingham, United Kingdom., Jidong JE; Department of Sociology, Coal City University, Enugu, Nigeria., Pwajok JY; Department of Psychology, University of Jos, Jos, Nigeria., Nyam PP; Nottingham Trent University, Nottingham, United Kingdom., Husain N; Division of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom.; Mersey Care National Health Service (NHS) Foundation Trust, Liverpool, United Kingdom. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in psychiatry [Front Psychiatry] 2024 Mar 28; Vol. 15, pp. 1383990. Date of Electronic Publication: 2024 Mar 28 (Print Publication: 2024). |
| DOI: | 10.3389/fpsyt.2024.1383990 |
| Abstrakt: | Background: One in every three women worldwide experiences postnatal depression after childbirth, with long-term negative consequences on their children. The mainstream mental healthcare provision for British mothers of African/Caribbean origin is mostly unsuccessful due to a lack of culturally appropriate care. Methods: The study adopts a mixed-methods randomised controlled trial (RCT) design. A 12-session (60 minutes each) of online Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) intervention was employed for treating postnatal depression in comparison with psychoeducation (PE). Participants aged 19-53 were screened for depression using the Patient Health Questionnaire (PHQ-9). N=130 participants who scored >5 on PHQ-9 were randomised into LTP+CaCBT (n=65) or PE (n=65) groups. N=12 focus groups (LTP+CaCBT, n=6; PE, n=6) and n=15 individual interviews (LTP+CaCBT, n=8; PE, n=7) were conducted, transcribed verbatim and analysed. Results: Satisfaction with intervention (LTP+CaCBT, 72.9%; PE, 65.2%); retention rates (LTP+CaCBT, 91%; PE, 71%); reduction in postnatal depression was higher in LTP+CaCBT on PHQ-9 Md=1.00 with z= -4.046; compared to PE, Md=1.00 with z= -1.504. Both groups showed reduced levels of anxiety on GAD-7 with no significant difference. Emerging themes from the qualitative findings showed increased positive moods, reduced worries about parenting difficulties and the facilitative role of remote intervention. Conclusions: LTP+CaCBT intervention is culturally appropriate and acceptable and reduces postnatal depression in British mothers of African/Caribbean origin. A fully powered RCT is recommended to evaluate the clinical and cost-effectiveness of LTP+CaCBT, including the child's outcomes compared with routine treatment as usual. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT04820920. Competing Interests: NH has been a past Trustee of the Pakistan Institute of Living and Learning (PILL), Abaseen Foundation UK, Lancashire Mind UK and Manchester Global Foundation (MGF). He is an executive member of the Academic Faculty at the Royal College of Psychiatrists, London. He is an NIHR Senior Investigator. He has attended educational events organized by various pharmaceutical industries. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Jidong, Ike, Murshed, Francis, Mwankon, Jidong, Pwajok, Nyam and Husain.) |
| Databáze: | MEDLINE |
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