Postnatal Depression
Conditions
Keywords
Psychoeducation, Mental Health, Depression, Postnatal
Brief summary
Is Behavioural Activation feasible, acceptable and potentially effective for mothers experiencing post natal depression in Blackpool? Phase 1: A series of single case studies which aim to examine and refine a) the appropriateness of the programme to women in Blackpool b) the suitability of BA as part of a stepped-care approach to perinatal mental health within the Health Visitor pathway and c) the delivery of the programme in practice. Phase 2: A preliminary single group study examining the quantitative outcomes for participating women (i.e. symptoms of depression, anxiety and general mood, parental stress, responsiveness, and behavioural avoidance and activation.
Interventions
BEHAVIORALBehavioural Activation
Behavioural Activation is a treatment for depression, the current programme has been adapted to suit the needs of postnatal women Session 1: Getting Started Session 2: Identifying Triggers, Reactions and Avoidance Patterns (TRAPs) Session 3: Turning TRACs in to Triggers, Reactions and Alternative Coping (TRACs) Session 4: Support and Communication Session 5: Being a Good Enough Mum Session 6: Staying Well
Sponsors
National Society for the Prevention of Cruelty to Children
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Masking description
No masking
Intervention model description
Experimental Arm - single group study
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* 18 years or older * Score between 10-19 on PhQ9 * Have given birth within the last 6 months * Willing to engage in a psychological therapy * Informed, prepared and safe to participate in the programme * Able to understand spoken and basic written English
Exclusion criteria
* Under 18 years old * Score under 10 or over 19 on the PHQ9 * Receiving another from of psychological treatment for depression * Unwilling to engage in a psychological therapy * Another primary area of difficulty which takes precedence over the current programme (e.g.substance dependency disorders, suicidal crises, frequent, serious and deliberate self-harm, acute threat in the form of serious interpersonal violence from a partner or friend or family member, and evidence of more serious mental health disorders which may require additional support, i.e., psychotic disorders, Bipolar Disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Snaith-Hamilton Pleasure Scale (SHAPS) | Baseline and 6 weeks | The SHAPS is a 14-item measure of anhedonia (the degree to which an individual is able to experience pleasure). It comprises of four subscales which measure response/hedonic experiences; interests/past-times, social interaction, sensory experiences, food/drink. |
| Parental Stress Scale (PSS) | Baseline and 6 weeks | The PSS is a self-report scale that intended to assess parental stress. It contains 18 items representing pleasure or positive themes of parenthood (emotional benefits, self-enrichment, personal development) and negative components (demands on resources, opportunity costs and restrictions). |
| Maternal Infant Responsiveness Instrument (MIRI) | Baseline and 6 weeks | The MIRI is a 22-item scale designed to measure the parent's feelings about the infant and an appraisal of their infant's responsiveness. |
| Behavioural Activation for DEpression Scale (BADS) | Baseline and 6 weeks | The BADS is a 25-item scale which can track change in behaviours which are hypothesised to underlie depression which are specifically targeted through Behavioural Activation. It comprises of four subscales; activation, avoidance/rumination, work/school impairment and social impairment. |
| Patient Health Questionnaire (PHQ9) | Baseline, 6 weeks, 18 weeks, 1 year | The PHQ9 is a 9-item multi-purpose instrument which can be used to screen, diagnose, monitor and assess symptoms of depression. |
| Generalised Anxiety Disorder Questionnaire (GAD7) | Baseline and 6 weeks | The GAD7 is a 7-item multi-purpose instrument which can be used to screen, diagnose, monitor and assess symptoms of anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ages and Stages Questionnaire (ASQ) | Data collected when child is 1 year and 2-2.5years | Nationally mandated data collected by Health Visitors in the UK to assess children's development. This includes five key areas of development, communication, gross motor, fine motor, problem solving, and personal-social. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale (EPDS) | Baseline, 2 week (x2), 3 weeks (x2), 4 weeks, 5 weeks, 6 weeks | The EPDS is a 10-item measure which assesses low mood and symptoms of depression. It has been designed specifically for women in the postnatal period. |
Countries
United Kingdom
Contacts
Primary ContactMiss E Lowrie, PhD
Backup ContactMrs C Law, MSc
Outcome results
None listed