Blended CBT Intervention vs. a Guided Web-Based Intervention for Postpartum Depression: Results From a Pilot Randomized Controlled Trial

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-11-05 DOI:10.1002/cpp.70007

Mariana Branquinho, Maria Cristina Canavarro, Ana Fonseca

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Abstract

Objectives

This pilot randomized controlled trial evaluated the acceptability and preliminary effectiveness of a blended cognitive behavioural intervention—combination of a web-based program and sessions with a psychologist (intervention group)—compared to a guided web-based intervention (active control group) for the treatment of postpartum depression.

Methods

Adult Portuguese women in the postpartum period (up to 12 months) presenting clinically relevant depressive symptoms were considered eligible. Participants were randomly assigned to the intervention group (n = 17) or the control group (n = 17) and completed self-report questionnaires at baseline, post-intervention and at 3-month follow-up.

Results

In both arms, dropout rates were low, and participants considered the treatment acceptable and useful. Mixed ANOVAs revealed a significant reduction in depressive symptoms and improvements in secondary outcomes (anxiety, negative thoughts, emotion regulation, self-compassion and psychological flexibility) from baseline to post-intervention in both groups. No time × group interactions were found. A significant clinical change in depressive symptoms was observed in more than 80% of the participants in both groups. Significant associations were observed among therapeutic alliance and depressive symptoms.

Conclusions

The results of our study support the acceptability, usability and preliminary effects on postpartum depression of both interventions and highlight the important role of therapist support in blended and guided web-based interventions.

Trial Registration: ClinicalTrials.gov identifier: NCT04441879

查看原文本刊更多论文

混合 CBT 干预与基于指导的产后抑郁网络干预：试点随机对照试验的结果。

试验目的这项试验性随机对照试验评估了混合认知行为干预的可接受性和初步有效性--该干预结合了基于网络的程序和心理学家的治疗（干预组）--与基于网络的指导性干预（积极对照组）相比，该干预用于治疗产后抑郁症：方法：产后（12 个月以内）出现临床相关抑郁症状的葡萄牙成年妇女均符合条件。参与者被随机分配到干预组（17 人）或对照组（17 人），并在基线、干预后和 3 个月随访时填写自我报告问卷：结果：干预组和对照组的辍学率都很低，参与者都认为治疗是可接受的、有用的。混合方差分析显示，从基线到干预后，两组的抑郁症状都有显著减少，次要结果（焦虑、消极想法、情绪调节、自我同情和心理灵活性）也有改善。没有发现时间×组别的交互作用。两组中均有超过 80% 的参与者的抑郁症状发生了明显的临床变化。治疗联盟与抑郁症状之间存在显著关联：我们的研究结果证明了这两种干预方法的可接受性、可用性和对产后抑郁症的初步效果，并强调了治疗师的支持在混合式和引导式网络干预中的重要作用：试验注册：ClinicalTrials.gov identifier：NCT04441879.

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.