Effect of couple‐based cognitive behavioural intervention on prevention of postnatal depression: multisite randomised controlled trial

Ngai, Fei Wan; Wong, Paul; Chung, Ka Fai; Chau, Pui‐Hing; Hui, Pui Wah

doi:10.1111/1471-0528.15862

Cited by 17 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, CBT was adapted based on mode and method of delivery. For instance, six studies evaluated group-based CBT [ 54 , 63 , 69 , 72 , 73 , 76 ] while in nine, CBT was delivered individually [ 10 , 51 , 58 , 60 , 62 , 66 , 70 , 74 , 75 ]. The different methods of delivery included web- or app-based platforms by four recent studies [ 58 , 60 , 62 , 66 ], telephonic delivery [ 70 ], audio-visual methods [ 64 , 65 , 69 ] and through home visits [ 10 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

Comparing the effectiveness of mother-focused interventions to that of mother-child focused interventions in improving maternal postpartum depression outcomes: A systematic review

Kumar,

Hameed,

Avan

2023

PLoS ONE

View full text Add to dashboard Cite

Background Most empirically researched interventions for postpartum depression (PPD) tend to target mothers’ depression alone. Harmful effects of PPD on physical and mental health of both mother and child has led researchers to investigate the impact of interventions on PPD and child outcomes together. So far, the evidence is limited regarding how these interventions compare with those focusing only on mothers’ depression. This review compares the effectiveness of PPD-improving interventions focusing only on mothers with those focusing on mother and child together. Methods Nine electronic databases were searched. Thirty-seven studies evaluating mother-focused (n = 30) and mother-child focused interventions (n = 7) were included. Under each category, three theoretical approaches—psychological, psychosocial and mixed—were compared using standardized qualitative procedures. The review’s primary outcome was maternal PPD. Results A higher proportion of mother-focussed interventions [20/30 (66.7%)] brought significant reduction in PPD outcomes as compared to a lower proportion of mother-child focused interventions [4/7 (57.14%)]. Mother-focused mixed approaches [3/3 (100%)] performed better in improving PPD than psychological [16/24 (67%)] or psychosocial approaches [1/3 (33.3%)] alone. Amongst mother-child focused interventions, psychosocial approaches performed well with two-thirds demonstrating positive effects on PPD. Conclusion The evidence strongly favors mother-focused interventions for improving PPD with mixed interventions being more effective. Psychosocial approaches performed better with PPD once child-related elements were added, and also seemed best for child outcomes. Psychological approaches were most practiced and effective for PPD, irrespective of the intervention’s focus. Further trials are needed to unpack intervention components that improve PPD and increase uptake, especially in lower-and middle-income countries.

show abstract

Section: Resultsmentioning

confidence: 99%

Comparing the effectiveness of mother-focused interventions to that of mother-child focused interventions in improving maternal postpartum depression outcomes: A systematic review

Kumar,

Hameed,

Avan

2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…In comparison to the couples who received usual care, those who received the GDM education intervention experienced ~2 kg less GWG [ 43 ]. Other couples have also been included in prenatal programs aimed at smoking cessation [ 44 ], reducing adverse birth outcomes (e.g., cesarean section) [ 45 ], and postpartum depression [ 46 ]. Although these individual programs may not have tailored their approach to target individual compared to couple-based effects, this body of work underscores the unique opportunity to include the non-pregnant partners during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

Sparks,

Redman,

Drews

et al. 2024

Nutrients

View full text Add to dashboard Cite

Through longitudinal analysis from the GLOWING cohort study, we examined the independent and joint relationships between couples’ eating behaviors and gestational weight gain (GWG). Pregnant persons (n = 218) and their non-pregnant partners (n = 157) completed an Eating Inventory. GWG was calculated as gestation weight at 36 weeks minus that at 10 weeks. General linear models were used to examine the relationships between GWG and the pregnant persons, non-pregnant partners, and couples (n = 137; mean of pregnant persons and non-pregnant partners) cognitive restraint (range 0–21), dietary disinhibition (range 0–18), and perceived hunger (range 0–14), with higher scores reflecting poorer eating behaviors. The adjusted models included race/ethnicity, education, income, marital status, and age. The pregnant persons and their non-pregnant partners’ cognitive restraint, dietary disinhibition, and perceived hunger scores were 9.8 ± 4.7, 4.8 ± 3.2, and 4.4 ± 2.5 and 6.6 ± 4.6, 5.4 ± 3.4, and 4.7 ± 3.2, respectively. Higher cognitive restraint scores among the pregnant persons and couples were positively associated with GWG (p ≤ 0.04 for both). Stratified analyses revealed this was significant for the pregnant persons with overweight (p ≤ 0.04). The non-pregnant partners’ eating behaviors alone were not significantly associated with GWG (p ≥ 0.31 for all). The other explored relationships between GWG and the couples’ eating behaviors were insignificant (p ≥ 0.12 for all). Among the pregnant persons and couples, reduced GWG may be achieved with higher levels of restrained eating. Involving non-pregnant partners in programs to optimize GWG may be beneficial.

show abstract

“…A descriptive qualitative study was conducted to explore the perceived benefits of the couple‐based psychoeducation program among first‐time Hong Kong Chinese parents and the factors that affect its effectiveness. This study was part of a larger quantitative study related to the couple‐based psychoeducation program for postnatal depression and parenting skills 7 . The intervention comprised a 3‐hour antenatal session and two 30‐minute telephone follow‐up sessions 2 and 4 weeks after birth, all of which were provided by the same midwife.…”

Section: Methodsmentioning

confidence: 99%

“…After a review of the literature, there has been a paucity of interventional studies of the effects in either gender 6 or studies comparing couple‐based and mother‐alone interventions on parental mental health in local Hong Kong Chinese parents. To fill this knowledge gap, a randomized controlled trial was conducted to evaluate the effectiveness of a couple‐based psychoeducation program for first‐time fathers and mothers who were vulnerable to postnatal depression 7 . This program consisted of a 3‐hour antenatal group session and two 30‐minute follow‐up sessions on the telephone within the first month after delivery, all of which were provided by trained midwives.…”

Section: Introductionmentioning

confidence: 99%

Process evaluation of couple‐based psychoeducation program for first‐time parents

Lam

Ngai

2021

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

Rationale Postpartum depression is a worldwide public health issue that can have long‐term impact on the family. It is crucial to evaluate intervention program to help new parents cope with the stress of parenthood to reduce the risk of postpartum depression. The aim of this study was to explore the perceived benefits of the couple‐based psychoeducation to first‐time Hong Kong Chinese parents, and the crucial factors influencing the effectiveness of this program underpinned by the concept of process evaluation. Method Using an exploratory qualitative design, a purposeful sample of 27 couples who had participated in the program were interviewed at 1‐3 months postpartum. Data were collected using semi‐structured interviews and analysed by thematic analysis. Findings The findings showed that the parents perceived the program to be useful in enhancing their parenting skills and emotional control, and increasing their sense of support. The effectiveness of the program was facilitated by (a) the predisposing factors such as couple‐based approach to enhance mutual expectation and shared decision making when experiencing and managing challenges, and telephone follow‐up calls to sustain the continuity of care from hospital to the community, (b) the enabling factor for instance, the time of intervention arranged in non‐working hour, and (c) reinforcing factor namely involvement of midwives during program implementation and telephone follow‐up consultation. Conclusions The results of this study suggest the potential of the couple‐based psychoeducation to support first‐time parents in taking care of their children and controlling their emotions in this critical transition. The program could be integrated into maternal and child care services on a regular basis, and thus accessible to all first‐time parents.

show abstract

Effect of couple‐based cognitive behavioural intervention on prevention of postnatal depression: multisite randomised controlled trial

Cited by 17 publications

References 25 publications

Comparing the effectiveness of mother-focused interventions to that of mother-child focused interventions in improving maternal postpartum depression outcomes: A systematic review

Comparing the effectiveness of mother-focused interventions to that of mother-child focused interventions in improving maternal postpartum depression outcomes: A systematic review

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain

Process evaluation of couple‐based psychoeducation program for first‐time parents

Contact Info

Product

Resources

About