Mental and behavioural disorders associated with the puerperium, postnatal depression and anxiety Mental and Behavioural Disorders
Conditions
Interventions
Current interventions as of 09/09/2021:
This is a single centre trial. Clients will be recruited by professionals (care coordinators, social workers, psychiatrists, community psychiatr
Sponsors
Greater Manchester Mental Health NHS Foundation Trust
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 50 years 2. Clients of the GMMH Perinatal Service 3. Clients will have diagnoses recorded by the perinatal service in the ICD 10 categories of F32-33 (depression), F40-41 (anxiety) or F53 (Mental and Behavioural disorders associated with the puerperium, including postnatal depression) 4. All women recruited will be under the care of a Greater Manchester Mental Health NHS Foundation Trust (GMMH) Perinatal team and will be identified during by their perinatal health professionals within their clusters 5. Clients will require access to a laptop, smartphone or tablet computer to enable the video-based group therapy to take place
Exclusion criteria
Exclusion criteria: 1. Clients who are severely psychologically distressed and unable to undertake therapy 2. Clients will not be included if they have a condition which would make undertaking group CBT difficult for themselves or others. These difficulties would include pervasive psychotic experiences, severe difficulties in emotional regulation, difficulties with dissociation or difficulties in comprehension 3. Clients who are at active risk of (or carrying out) self harm to themselves. Clients who are at active risk of harm to others or their child 4. Clients who are excessively misusing or dependent on alcohol or illicit substances 5. Clients who have ongoing physical issues that would make it very difficult or uncomfortable to attend a CBT group 6. Clients who cannot commit to CBGT will not be included at the initial assessment, however once a client is involved there will be a degree of flexibility permitted considering the sometimes challenging demands of looking after a small child and the ongoing COVID-19 pandemic
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at each group session (unless otherwise noted): 1. Postnatal depression measured using the Edinburgh Postnatal Depression Scale (Cox, Holden and Sagovsky, 1987) 2. Anxiety measured using the GAD-7 anxiety scale (Spitzer, Kroenke, Williams and Löwe, 2006) 3. Psychological distress measured using the Core 10 short measure (Barkham et al., 2013) 4. Global distress measured using CORE-OM completed prior to the first session and following the final session | — |
Secondary
| Measure | Time frame |
|---|---|
| Participant feedback on sessions measured at the follow-up session. The statements will be as follows at rated on a 5-point Likert scale and each question will also have a free text box for comments: 1. The Cognitive Behavioural Therapy Group met my expectations 2. I would be willing to bring my baby to a Cognitive Behavioural Therapy Group 3. Cognitive Behavioural Group therapy is appropriate for mothers like me 4. The Cognitive Behavioural Therapy Group allowed me to build networks with other mothers 5. I would recommend Cognitive Behavioural Therapy Group to another client | — |
Countries
England, United Kingdom
Contacts
Public ContactAaron McMeekin
Outcome results
None listed