In-person 1-day cognitive behavioral therapy-based workshops for postpartum depression: a randomized controlled trial.
| Autor: | Van Lieshout, Ryan J., Layton, Haley, Savoy, Calan D., Xie, Feng, Brown, June S. L., Huh, Kathryn, Bieling, Peter J., Streiner, David L., Ferro, Mark A., Haber-Evans, Erika |
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| Předmět: |
POSTPARTUM depression
CONFIDENCE intervals BEHAVIOR therapy HEALTH status indicators TREATMENT effectiveness RANDOMIZED controlled trials T-test (Statistics) RESEARCH funding DESCRIPTIVE statistics QUALITY of life COST effectiveness QUESTIONNAIRES CHI-squared test DATA analysis software ODDS ratio COGNITIVE therapy ADULT education workshops EDINBURGH Postnatal Depression Scale |
| Zdroj: | Psychological Medicine; Oct2023, Vol. 53 Issue 14, p6888-6898, 11p |
| Abstrakt: | Background: Postpartum depression (PPD) affects up to one in five mothers and birthing parents, yet as few as 10% access evidence-based treatment. One-day cognitive behavioral therapy (CBT)-based workshops for PPD have the potential to reach large numbers of sufferers and be integrated into stepped models of care. Methods: This randomized controlled trial of 461 mothers and birthing parents in Ontario, Canada with Edinburgh Postnatal Depression Scale (EPDS) scores ⩾10, age ⩾18 years, and an infant <12 months of age compared the effects of a 1-day CBT-based workshop plus treatment as usual (TAU; i.e. care from any provider(s) they wished) to TAU alone at 12-weeks post-intervention on PPD, anxiety, the mother–infant relationship, offspring behavior, health-related quality of life, and cost-effectiveness. Data were collected via REDCap. Results: Workshops led to meaningful reductions in EPDS scores (m = 15.77 to 11.22; b = −4.6, p < 0.01) and were associated with three times higher odds of a clinically significant decrease in PPD [odds ratio (OR) 3.00, 95% confidence interval (CI) 1.93–4.67]. Anxiety also decreased and participants had three times the odds of clinically significant improvement (OR 3.20, 95% CI 2.03–5.04). Participants reported improvements in mother–infant bonding, infant-focused rejection and anger, and effortful control in their toddlers. The workshop plus TAU achieved similar quality-adjusted life-years at lower costs than TAU alone. Conclusions: One-day CBT-based workshops for PPD can lead to improvements in depression, anxiety, and the mother–infant relationship and are cost-saving. This intervention could represent a perinatal-specific option that can treat larger numbers of individuals and be integrated into stepped care approaches at reasonable cost. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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