None listed
Conditions
Brief summary
The period of pregnancy and early motherhood is a substantial life change associated with psychological turbulence. During this period, some women experience symptoms of anxiety and depression of sufficient severity to warrant professional psychological assistance. Psychosocial and psychological interventions are key therapeutic approaches for women at this life stage. There is growing evidence of the value of the arts in prevention and treatment of mental health problems. Evidence suggests that women prefer psychological interventions that provide social support and shared space for reflection. Cognitive Behavioural and Art-based Intervention (CB-ART) is a novel therapy for prevention and treatment of perinatal mental health problems. The aim of this study was to implement and evaluate CB-ART for acceptability, feasibility, safety, and preliminary efficacy among women admitted to a residential early parenting unit. The pilot study used a single-centre, mixed-methods pre- and post- test design to evaluate CB-ART among women admitted to a 5-day residential early parenting service in Melbourne, Australia. Participants completed questionnaires before and after attendance at two, one-hour CB-ART group sessions on day 2 and day 5 of admission during which field notes were taken. Evaluation interviews were conducted by telephone one week after discharge. The Short Profile of Emotional Competence and the Edinburgh Postnatal Depression Scale were used to assess emotional insight and symptoms of depression, respectively. Feasibility, acceptability and safety were assessed using an analysis of field notes, with quantitative data collected by telephone questionnaire and qualitative data by telephone interviews.
Interventions
-CB-Art intervention was offered over two, one-hour face to face group sessions held on day 2 and day 5 of a 5-day inpatient stay, for 3 participants at a time. The intervention was implemented with three independent groups at Masada Private Hospital Early Parenting Centre. -Post enrollment in the study, attendance was checked off on a list for session 1 and session 2. -Sessions were facilitated by a clinical psychologist and an assistant. -Participants were provided with new art materials (A3 sheets of white paper, oil pastels, coloured pencils, grey lead pencils, charcoal and erasers) which were placed at the centre of a large oval table. -During session one participants were instructed to draw an image associated with a personal source stress. They were given 10 uninterrupted minutes to work on the image -Each participant was invited to talk about what had been drawn, and what they thought it meant to them, and then to respond to questions or comments from other group members. -In session two participants were instructed to draw an image associated with a personal source of strength. They were given 10 minutes to complete the drawing. In the second session, participants were invited to respond to differences they observed between their own or others’ first and second drawings. Cognitive behavioural techniques were employed to assist participants to reframe thoughts and perceptions and to facilitate solution-focussed problem solving.
Sponsors
Study design
Eligibility
Inclusion criteria
Mothers admitted to Masada Private Hospital Early Parenting Centre.
Exclusion criteria
None