Postnatal Depression
Conditions
Keywords
postnatal depression, Cognitive behaviour Therapy, Traditional Birth Attendants, low income country
Brief summary
The aim of this study is to deliver CBT based intervention called Change your life with 7 Sheets of paper to women with mild to moderate postnatal depression (PND) through trained traditional birth attendants (TBAs). Participants will be recruited from low income area in Karachi Pakistan. Edinburg Postnatal Depression scale (EPDS) will be used to screen mothers having children between birth till 12 months. Group intervention will be delivered through trained TBAs.
Detailed description
The prevalence rate of PND in Pakistani women and its effect on the growth and development of young children and child mortality is very high. Despite availability of interventions to improve maternal health, the major issue in implementation of those interventions is because of limited availability of trained health professionals . Therefore the aim of this study is to train TBAs in delivering Cognitive Behaviour Therapy (CBT) based intervention called Changing your life with seven sheets of paper. Participants will be recruited from low income area in Karachi. Total 36 participants will be recruited and randomized into 2 groups; intervention and Treatment As Usual (TAU) group. Total 8 sessions will be delivered by trained TBAs over the period of 3 months.
Interventions
OTHERCBT
8 sessions of CBT based intervention called change your life with seven sheets of paper by Prof. Chris Williams. These sheets cover key skills of CBT that are; 1. Five Areas vicious circle 2. Bad thought spotter 3. Amazing Bad thought Busting Programme (ABTPB) 4. Easy 4 Step plan 5. Things you do that mess you up/Confidence sheet 6. Happy List/ Things you do that boost how you feel sheet 7. Planner and Review sheets
Sponsors
Pakistan Institute of Living and Learning
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Mothers with a child between 0-12 months * Women who score 14 or above on Edinburgh Postnatal Depression scale (EPDS) * Age range between 18 to 45 years * Women able to provide written informed consent.
Exclusion criteria
* Severe depression or any other major psychiatric disorder * Severe suicidal ideation * Currently receiving any psychiatric or psychological treatment * Intellectual disability in mother * Chronic medical condition * Having children with intellectual or physical disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale (EPDS) | Change in scores from baseline to 3rd month | EPDS will be used to assess postnatal depression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient health Questionnaire-9 | Change in scores from baseline to 3rd month | PHQ-9 will be used to assess severity of depression |
| World Health Organization Quality of Life | Change in scoares from baseline to 3rd month | — |
Countries
Pakistan
Outcome results
None listed