Early intervention in pregnant women with elevated anxiety and depressive symptoms: efficacy of a cognitive-behavioral group program
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
Abstract
To examine whether a cognitive-behavioral group program among pregnant women with elevated levels of anxiety or depression may reduce anxious and depressive symptoms and has a positive impact on risk factors for anxiety disorders and depression. A total of 753 participants were recruited. After completion of the clinical standardized interview, 160 participants were randomized to an intervention group or a control condition. Psychometric assessments took place at T1 (preintervention), T2 (antenatal follow-up), and T3 (3 months postpartum). Analyses included women who took part in all 3 assessments (intervention group, N = 21; control group, N = 53). The subjective program evaluation by the participants was highly positive, but with the exception of a short-term effect on the quality of an intimate partnership (F1/67 = 4.056; P < .05], intervention effects on anxiety or depressive symptoms were not found. However, there was an intervention effect 3 months postpartum for participants with high depressive symptoms at T1 (Edinburgh Postnatal Depression Scale score of ≥10) (F1/69 = 5.410; P < .05). The results argue against a general efficacy of a cognitive-behavioral group program for pregnant women with rather low levels of anxiety and depression. For women with higher depressive symptoms during pregnancy, a cognitive-behavioral group program may have a positive impact on the course of depressive symptoms during the postpartum period.
Details
Originalsprache | Englisch |
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Seiten (von - bis) | 185-95 |
Seitenumfang | 11 |
Fachzeitschrift | The journal of perinatal & neonatal nursing |
Jahrgang | 28 |
Ausgabenummer | 3 |
Publikationsstatus | Veröffentlicht - 26 Juli 2014 |
Peer-Review-Status | Ja |
Externe IDs
PubMed | 25062520 |
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Scopus | 84905033115 |
Schlagworte
Ziele für nachhaltige Entwicklung
Schlagwörter
- Adult, Anxiety/diagnosis, Cognitive Behavioral Therapy/methods, Depression/diagnosis, Depression, Postpartum/prevention & control, Early Medical Intervention/methods, Female, Humans, Pregnancy, Pregnancy Complications/diagnosis, Pregnant Women/psychology, Prenatal Care/methods, Psychiatric Status Rating Scales, Psychotherapy, Group/methods, Risk Factors, Treatment Outcome