Effectiveness of cognitive behavioral therapy in pregnant women at risk of postpartum depression

Subject Areas : women health

Fereshteh Azad Abgarmi ¹ , Roksana Nakhaei Moqaddam ² , Hosein Gholami Basir ³ , Mehran Rahmati ⁴ , Nastaran Khakpoor ⁵

1 - Master of Clinical Psychology, Islamic Azad University, Urmia branch, Urmia, Iran. Corresponding author, [e-mail]
2 - PhD student in clinical psychology, Islamic Azad University, Tehran branch, Tehran, Iran.
3 - Master of Personality Psychology, Islamic Azad University, South Tehran Branch, Tehran, Iran.
4 - Master of Clinical Psychology, Islamic Azad University, Islamshahr Branch, Islamshahr, Iran.
5 - Bachelor of Psychology, Islamic Azad University, Bojnord branch, Bojnord, Iran

Received: 2021-06-23 Accepted : 2021-09-05 Published : 2021-09-08

Keywords: cognitive-behavioral therapy, outcome measurement, postpartum depression, pregnancy ,

Abstract :

© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.

 

Abstract Introduction: Postpartum depression has a high prevalence of mental disorders among mothers, but regarding its treatment, few attempts have been made with cognitive-behavioral approaches, so the purpose of this study is to investigate the effectiveness of cognitive therapy. Behavior in pregnant women was at risk of postpartum depression. Research method: The research method of this study is a semi-experimental type with a control group. Pregnant women without a diagnosis of depression participated in the study, who were divided into two groups: a group at risk for depression (CBT) and a control group (no treatment). Preventive treatment consisted of six CBT sessions held weekly. Outcome measurement questionnaire (QQ-45) was used in all sessions. The short international neuropsychological interview and the Beck depression questionnaire were used based on three situations. Final statistical analyzes were performed with Poisson regression. Findings: The results showed that the prevalence of postpartum depression was 5.5% in the risk group and 2.2% in the control group without any difference between the groups (PR 1.66 95% CI 0.44-6.18). QQ-45 averages gradually decreased during treatment sessions, which indicated treatment progress. Education was a factor, both related to postpartum depression symptoms and more effective treatment. Conclusion: The use of short-term cognitive behavioral therapy by mental health professionals is effective in preventing postpartum depression symptoms.

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