Online peer-delivered group cognitive-behavioral therapy for postpartum depression: A randomized controlled trial

IF 5.3 2区医学 Q1 PSYCHIATRY

Acta Psychiatrica Scandinavica Pub Date : 2023-08-31 DOI:10.1111/acps.13611

Donya Merza, Bahar Amani, Calan Savoy, Zoryana Babiy, Peter J. Bieling, David L. Streiner, Mark A. Ferro, Ryan J. Van Lieshout

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引用次数: 0

Abstract

Background

Postpartum depression (PPD) affects up to one in five mothers and birthing parents, yet just 10% receive evidence-based care. This randomized controlled trial aimed to determine if a synchronous online 9-week group cognitive-behavioral therapy (CBT) intervention delivered by mothers who have recovered from postpartum depression (i.e., peers) could effectively improve PPD and its comorbidities.

Methods

Participants (n = 183) in this study lived in Ontario, Canada, were ≥18 years-old, had an infant <12 months, were fluent in English, and scored ≥10 on the Edinburgh Postnatal Depression Scale (EPDS). They were randomized to experimental (received intervention plus treatment as usual (TAU)) or waitlist control (TAU plus the intervention after a 9-week wait) groups. Depression, anxiety, social support, mother-infant bonding, and infant temperament were assessed at baseline and 9 weeks later. Outcomes were assessed in the experimental group 3 months post-intervention to assess stability.

Results

Statistically significant reductions were observed in EPDS (B = 5.99; p < 0.001; d = 1.32) and Generalized Anxiety Disorder Questionnaire-7 scores (B = 5.94; p < 0.001; d = 1.22), improvements that remained stable 3 months post-intervention in the experimental group. Maternal social support (p = 0.02; d = 0.40), infant-focused anxiety (p = 0.02; d = 0.54), and infant negative emotionality (p < 0.01; d = 0.23) also improved post-intervention and remained stable 3 months later.

Conclusion

Online peer-delivered group CBT for PPD can effectively treat PPD and anxiety, and improve social support, infant-focused anxiety, and negative emotionality in infants. This intervention could provide the means to increase access to treatment for those experiencing PPD and improve outcomes for mothers, birthing parents, and families.

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针对产后抑郁症的在线同伴小组认知行为疗法：随机对照试验

背景：产后抑郁症（PPD）影响着多达五分之一的母亲和分娩父母，但只有 10%的人得到了循证护理。这项随机对照试验旨在确定由产后抑郁症康复的母亲（即同龄人）提供的为期 9 周的同步在线团体认知行为疗法（CBT）干预能否有效改善产后抑郁症及其合并症：方法：本研究的参与者（n = 183）居住在加拿大安大略省，年龄≥18 岁，有一个婴儿：EPDS（B=5.99；p 结论：EPDS 在统计学上有明显降低：针对 PPD 的在线同伴小组 CBT 可以有效治疗 PPD 和焦虑症，并改善婴儿的社会支持、以婴儿为中心的焦虑和负面情绪。这种干预方法可以增加 PPD 患者接受治疗的机会，改善母亲、分娩父母和家庭的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Psychiatrica Scandinavica 医学-精神病学

CiteScore

11.20

自引率

3.00%

发文量

135

审稿时长

6-12 weeks

期刊介绍： Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.