Antenatal Depression, Depression
Conditions
Keywords
digital intervention, cognitive behavioral therapy, antenatal depression
Brief summary
The main objective of the current research project is to evaluate the effectiveness of the digitalized cognitive behavioral therapy program including telephone coaching for antenatal depressive symptoms. The participants are screened from the general population of pregnant women, as a part of the routine maternity health care check-ups. Mothers with depressive symptoms will be randomized into intervention group receiving guided digitalized treatment program or control group receiving education material about depression in digital form.
Interventions
BEHAVIORALDigitalized CBT with phone coaching
Digitally delivered CBT intervention with weekly phone coaching
OTHERPsychoeducation about depression
Psychoeducational material about depression in a digitalized form
Sponsors
University of Turku
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* fluent in written and spoken Finnish or Swedish * access to computer or mobile phone with internet * between 12 and 22 weeks pregnant * screening and baseline score on the EPDS ≥10 points
Exclusion criteria
* lifetime history of psychotic disorder (e.g. schizophrenia, schizoaffective disorder, bipolar disorder, psychotic depression) * active suicidal ideation * severe substance abuse or dependence * actively ongoing psychotherapy * participates in another intervention study aiming at treating the symptoms of antenatal depression * multiple pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Edinburgh Postnatal Depression Scale (EPDS) | Baseline and 11 weeks after randomization | EPDS is a ten-item self-report questionnaire originally developed to screen for postpartum depression. The respondents are asked about the symptoms of depression. The total score ranges from 0 to 30. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the General Anxiety Disorder 7-item scale (GAD-7) | Baseline and 11 weeks after randomization | To assess the change in anxiety symptoms from baseline to follow-up, we will use the Generalized Anxiety Disorder 7-item Scale (GAD-7) (Spitzer, Kroenke, Williams, \& Löwe, 2006), which is a brief screening measure including seven items asking about anxiety symptoms experienced in the previous two weeks. |
| Change in the Beck Depression Inventory II (BDI-II) | Baseline and 11 weeks after randomization | To assess the change in depressive symptoms BDI-II will be used. |
| Social Phobia Inventory (SPIN) | Baseline and 11 weeks after randomization | To assess the change in Social Phobia SPIN will be used |
| Pregnancy-Related Anxiety Questionnaire-Revised (PRAQ) | Baseline and 11 weeks after randomization | To assess the change in pregnancy related anxiety PRAQ will be used |
| Perceived Stress Scale (PSS) | Baseline and 11 weeks after randomization | To assess the change in perceived stress PSS will be used |
Countries
Finland
Contacts
PRINCIPAL_INVESTIGATORAndre Sourander, Professor
University of Turku, Research Center for Child Psychiatry
Outcome results
None listed