One-Day Online CBT Intervention for Postpartum Depression: Subjective Experiences and Pre-Post Symptom Severity

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2025-01-15 DOI:10.1002/capr.12878

Nadja Urban, Franziska Kühne, Ryan J. Van Lieshout, Malek Bajbouj, Sabine Aust

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Abstract

Purpose

Postpartum depression (PPD) affects about 17% of parents after childbirth and can have adverse effects on individuals, families and offspring. Parents with PPD frequently encounter significant barriers to tailored health care that make timely access to treatment difficult.

Methods

Twenty-nine help-seeking German parents of at least one child (< 1 year old) and with symptoms of depression participated in a synchronous 1-day online cognitive behavioural therapy (CBT) group intervention. Following a mixed-methods approach, intervention acceptance and preferences were evaluated using semi-structured interviews conducted 2 weeks post-intervention. Analyses were performed via qualitative content analysis. Severity of depressive symptoms were assessed via the Edinburgh Postnatal Depression Scale (EPDS) 1 week before and 4 weeks after the intervention.

Results

Twenty-one interviews were conducted. Most participants rated the workshop as overall helpful (n = 164, 72.57%), with workshop characteristics, such as the online format (n = 112; 68.29%) and structure (n = 15; 20.55%) being most helpful. Expectations were mostly content-related (n = 25; 52.08%), and 80% (n = 20) of expectations were met (e.g. regarding self-help strategies being taught or deepening of existing knowledge). Two weeks after participation, the majority of parents were still applying intervention techniques in their daily lives (n = 42; 77.78%). Depressive symptoms were also significantly reduced at post-measurement (t = 3159; p = 0.004; d = 0.608).

Conclusions

The 1-day online CBT group intervention is easily accessible and could support parents after birth by teaching cognitive behavioural strategies to cope with symptoms of PPD.

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产后抑郁症的一天在线CBT干预：主观体验和症状前后严重程度

产后抑郁症（PPD）影响了约17%的分娩后父母，并可能对个人、家庭和后代产生不良影响。患有产后抑郁症的父母在获得量身定制的医疗保健方面经常遇到重大障碍，这使得及时获得治疗变得困难。方法29名至少有1个孩子（1岁）且有抑郁症状的德国求助父母参加了为期1天的同步在线认知行为治疗（CBT）小组干预。采用混合方法，在干预后2周进行半结构化访谈，评估干预的接受程度和偏好。通过定性含量分析进行分析。通过干预前1周和干预后4周的爱丁堡产后抑郁量表（EPDS）评估抑郁症状的严重程度。结果共进行了21次访谈。大多数参与者认为研讨会总体上是有帮助的（n = 164, 72.57%），具有研讨会的特点，如在线形式(n = 112；68.29%)和结构(n = 15；20.55%)是最有帮助的。预期主要与内容相关(n = 25；52.08%)，达到80% （n = 20）的期望（例如，关于教授自助策略或加深现有知识）。参与两周后，大多数家长仍在日常生活中应用干预技术(n = 42；77.78%)。测量后抑郁症状也显著减轻(t = 3159；p = 0.004；d = 0.608)。结论为期1天的在线CBT组干预易于获得，可以通过教授认知行为策略来支持出生后父母应对PPD症状。

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

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.