A randomized controlled trial of ‘MUMentum Pregnancy’: Internet-delivered cognitive behavioral therapy program for antenatal anxiety and depression

Loughnan, Siobhan A.; Sie, Amanda; Hobbs, Megan J.; Joubert, Amy E.; Smith, Jessica; Haskelberg, Hila; Mahoney, Alison; Kladnitski, Natalie; Holt, Christopher J.; Milgrom, Jeannette; Austin, Marie-Paule; Andrews, Gavin; Newby, Jill M.

doi:10.1016/j.jad.2018.09.057

Cited by 110 publications

(180 citation statements)

References 49 publications

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“…The other findings of the present study showed that the effect of the integrated program of cognitivebehavioral therapy based on Islamic spirituality teachings and cognitive flexibility on postpartum depression was significant in the experimental group, and the difference was significant between the two groups. This finding is consistent with the results of previous studies, including the study by Loughnan et al who showed a decrease in depression due to cognitive-behavioral therapy (13). Unsal Atan et al (7) and Urech et al (21) showed depression improvement due to intervention therapy.…”

Section: Discussionsupporting

confidence: 92%

“…This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. nitive affiliation stimulus defined to adapt to changing environments, cognitive flexibility and led to a change in cognitive assessments and excitement in different situations, and if this intervention is in accordance with the religious and cultural context of the community, it will be more effective (13). Hayward et al stated that those who have strong religious beliefs always consider God to be present in their lives; therefore, they cope with problems and anticipate their occurrence.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Combination of Cognitive-Behavioral Therapy and Resilience Training Based on Islamic Spirituality and Cognitive Flexibility on Postpartum Depression, Fear of Labor Pain and Quality of Life

Zamani

Zarei

Alizadeh

et al. 2018

Hormozgan medical journal

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Background: High-risk pregnancy, as a traumatic event, could cause postpartum disorders; thus, these women need psychological therapy. Objectives: This study aimed to determine the efficacy of combination of cognitive-behavioral therapy and resiliency training based on Islamic spirituality instructions and cognitive flexibility on postpartum depression, fear of labor pain, and quality of life. Methods: This was a semi-experimental study with a pretest-posttest design and a control group. It was performed among 40 pregnant women who had visited Bandar Abbas health centers. The participants were placed in two groups of control and experimental. Data collection was carried out using quality of life: SF12, postpartum depression by Edinburg, and fear of labor pain (FPQ-111) in the three stages of before, after and two months after the intervention. Data were analyzed using descriptive statistics and analysis of variance test. Results: We found that the effect of combination of cognitive-behavioral therapy and resiliency training based on Islamic spirituality instructions and cognitive flexibility on postpartum depression (P < 0.01), fear of labor pain (P < 0.01), and the quality of life (P < 0.01) was significant, and the difference between the two groups was significant (P < 0.01). Conclusions: Trainings based on Islamic instructions were effective on reducing postpartum traumatic symptoms.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Combination of Cognitive-Behavioral Therapy and Resilience Training Based on Islamic Spirituality and Cognitive Flexibility on Postpartum Depression, Fear of Labor Pain and Quality of Life

Zamani

Zarei

Alizadeh

et al. 2018

Hormozgan medical journal

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“…Although conflicting results emerged, the negative association between prenatal attachment and perinatal depression found in most of the studies highlights the need for screening processes and preventive programs at an early stage of pregnancy. Interventions aimed at reducing depressive symptoms that can occur during the gestational period and that can impact the psychological wellbeing of expectant parents and the development of a positive prenatal attachment should be implemented [155][156][157][158][159][160]. To enhance this bond takes on a main role, considering its further influence on postnatal depression (as most of the studies included in the current systematic review reported) [74,81,99,105,110,111], and on other important factors involved in the wellbeing of the both parents and the child [28,29,[32][33][34][35]37,38,41,42].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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Pregnancy is a period of complex bio-psychological changes, during which the development of an attachment bond to the fetus takes on a central role. Depressive symptoms are common during this period. Both symptoms of depression and low levels of prenatal attachment are related to negative outcomes in caregivers and infants. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this systematic review analyzes and systematizes 41 studies concerning the association between prenatal attachment and perinatal depression. The majority of the studies reported a significant association between the two. Specifically, prenatal depressive symptoms were found to be negatively associated with prenatal attachment. Furthermore, lower levels of prenatal attachment were related to higher postnatal depressive symptoms, although fewer studies assessed this association. While these results were found across different populations, conflicting findings emerged, suggesting they should be interpreted with caution, particularly in male samples and in non-normative pregnancies (e.g., high-risk pregnancies, medically assisted pregnancies, and pregnancies with previous perinatal losses). These results are clinically important for the perinatal screening process and for implementing preventive and treatment programs. However, future studies are needed to further confirm and generalize these results.

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“…Evidence of efficacy is varied, though interventions exert greater effect if a risk stratification procedure is applied as a condition of eligibility [68]. These interventions include psychological debriefing post birth [69][70][71][72][73], interpersonal, couples-based and cognitive-behavioural therapies [74][75][76][77][78][79][80][81][82], antenatal and postnatal classes [83][84][85][86][87][88][89], professional or laybased home visiting [90][91][92][93][94], lay-based telephone support [95], continuity of care and carer [96][97][98], early and flexible postpartum care [99], web-and computer-based programs [100][101][102][103], and mindfulness-based therapies [104].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

Khanlari

Eastwood

Barnett

et al. 2019

BMC Pregnancy Childbirth

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Background and objectives: The perinatal period presents a high-risk time for development of mood disorders. Australia-wide universal perinatal care, including depression screening, make this stage amenable to populationlevel preventative approaches. In a large cohort of women receiving public perinatal care in Sydney, Australia, we examined: (1) the psychosocial and obstetric determinants of women who signal distress on EPDS screening (scoring 10-12) compared with women with probable depression (scoring 13 or more on EPDS screening); and (2) the predictive ability of identifying women experiencing distress during pregnancy in classifying women at higher risk of probable postnatal depression. Methods: We analysed routinely collected perinatal data from all live-births within public health facilities from two health districts in Sydney, Australia (N = 53,032). Perinatal distress was measured using the EPDS (scores of 10-12) and probable perinatal depression was measured using the EPDS (scores of 13 or more). Logistic regression models that adjusted for confounding variables were used to investigate a range of psychosocial and obstetric determinants and perinatal distress and depression. Results: Eight percent of this cohort experienced antenatal distress and about 5 % experienced postnatal distress. Approximately 6 % experienced probable antenatal depression and 3 % experienced probable postnatal depression. Being from a culturally and linguistically diverse background (AOR = 2.0, 95% CI 1.8-2.3, P < 0.001), a lack of partner support (AOR = 2.9, 95% CI 2.3-3.7) and a maternal history of childhood abuse (AOR = 1.9, 95% CI 1.6-2.3) were associated with antenatal distress. These associations were similar in women with probable antenatal depression. Women who scored 10 to12 on antenatal EPDS assessment had a 4.5 times higher odds (95% CI 3.4-5.9, P < 0.001) of experiencing probable postnatal depression compared with women scoring 9 or less. Conclusion: Antenatal distress is more common than antenatal depressive symptoms and postnatal distress or depression. Antenatal maternal distress was associated with probable postnatal depression. Scale properties of the EPDS allows risk-stratification of women in the antenatal period, and earlier intervention with preventively focused programs. Prevention of postnatal depression could address a growing burden of illness and long-term complications for mothers and their infants.

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A randomized controlled trial of ‘MUMentum Pregnancy’: Internet-delivered cognitive behavioral therapy program for antenatal anxiety and depression

Cited by 110 publications

References 49 publications

Effectiveness of Combination of Cognitive-Behavioral Therapy and Resilience Training Based on Islamic Spirituality and Cognitive Flexibility on Postpartum Depression, Fear of Labor Pain and Quality of Life

Effectiveness of Combination of Cognitive-Behavioral Therapy and Resilience Training Based on Islamic Spirituality and Cognitive Flexibility on Postpartum Depression, Fear of Labor Pain and Quality of Life

Prenatal Attachment and Perinatal Depression: A Systematic Review

Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

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