The purpose of this study was to investigate the effects of educational -cognitive-behavioral therapy for the prevention and reduction of postpartum depression. 135 at risk mothers from two hospitals in Tehran were participated in the research. Participants who meet inclusion criteria including aged 18 -32 years, had a single birth and an uncomplicated pregnancy completed the pretests comprised of Beck Depression and Anxiety Questionnaires as well as Edinburgh Postnatal Depression Scale. Those who use antidepressant/anti-anxiety medications were excluded. Following completion of the pretests participants were randomly assigned to the CBT intervention and control condition.
In this study, intervention was introduced in the third trimester of pregnancy and post test was conducted 2 weeks after delivery. The intervention group received 8 session of educational- cognitive behavioral program completed weekly, which composed of two parts including component imparting information about the realities of parenthood and normal infant development problems and cognitive behavioral therapy, focusing on improving depressing mood and negative thinking and problem solving skills.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2014040617134N1
Registration date:2014-05-20, 1393/02/30
Registration timing:retrospective
Last update:
Update count:0
Registration date
2014-05-20, 1393/02/30
Registrant information
Name
Ahmad Ahmadi
Name of organization / entity
University of Tehran
Country
Iran (Islamic Republic of)
Phone
+98 21 8209 5075
Email address
ahmady457@ut.ac.ir
Recruitment status
Recruitment complete
Funding source
Behavioral Sciences Research Center
Expected recruitment start date
2012-08-26, 1391/06/05
Expected recruitment end date
2013-03-15, 1391/12/25
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of educational -cognitive-behavioral therapy for the prevention and reduction of postpartum depression
Public title
Prevention and reduction of postpartum depression
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria: participants aged 18-32 years; had a single birth; an uncomplicated pregnancy
Exclusion criteria: using Antidepressant/Anti-anxiety medications
Age
From 18 years old to 32 years old
Gender
Female
Phase
2
Groups that have been masked
No information
Sample size
Target sample size:
135
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committeeof Baghiatallah University of Medical Sciences
Street address
Tehran,
City
Baghiatallah University of Medical Sciences, Molasadra Street, Vanak Square, Tehran, Iran
Postal code
Approval date
2012-04-24, 1391/02/05
Ethics committee reference number
س/22/340
Health conditions studied
1
Description of health condition studied
postpartum depression
ICD-10 code
F53.0
ICD-10 code description
Mild mental and behavioural disorders associated with the puerperium, not elsewhere classified
Primary outcomes
1
Description
Depression
Timepoint
pretest Before introducing the intervention and before delivery, posttest after delivery
The intervention group received 8 session of educational- cognitive behavioral program 40 to 60 minutes per sessions which composed of two parts including component a) imparting information about the realities of parenthood and normal infant development problems and b) cognitive behavioral therapy, focusing on improving depressing mood and negative thinking and problem solving skill. The intervention was designed and delivered by a multidisciplinary team. The intervention takes place in the hospital along with educational guide booklet and films.
Category
Behavior
2
Description
Participants in the control group will continue to be under the normal care of their midwife/GP and received usual antenatal education. There were no restrictions on the treatment that they can receive.