Perinatal Anxiety, Perinatal Depression, Stepped Care
Conditions
Brief summary
In this study, pregnant women were screened and managed for depression and anxiety in three time windows: early pregnancy, mid-pregnancy, and late pregnancy. Pregnant women who screened positive for depression and/or anxiety during pregnancy were dynamically enrolled in the study and stratified into randomized groups based on gestation period (early/mid and late), depression and/or anxiety, randomly assigned to the intervention and control groups on a 1:1 basis. Pregnant women with mild anxiety and/or depression self-study the Psychic Fitness Camp, and pregnant women with moderate-to-severe anxiety and/or depression self-study the Psychic Fitness Camp with immediate referral to an obstetrician for one to three Mood Scan. The control group received routine care.
Detailed description
The intervention group used the Psychological Training Camp & Obstetrician-Led Psychoprenatal Intervention (PICONI) stepwise care model, which incorporated cognitive-behavioral therapy, mindfulness,etc., with the Psychic Fitness Camp being a self-help learning experience and the Mood Scan being a perinatal clinic doctor guiding pregnant women in unhealthy thinking alternatives and behavior design. Metabolic markers of perinatal depression anxiety and the mitigating effects of the stepped care model were explored by collecting blood and urine samples from the study participants during early, mid and late pregnancy respectively, samples were collected and stored in a refrigerator at -80 degrees Celsius.
Interventions
COMBINATION_PRODUCTMental Fitness Boot Camp - Advanced Counseling Step-by-Step Care
Simple and scientific advice
Sponsors
Fangbiao Tao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women; Informed consent, able to complete the questionnaire independently; Positive first depression screening (EPDS ≥ 10) or anxiety screening (GAD-7≥5) in early and mid pregnancy; Intention to have children in this pregnancy.
Exclusion criteria
* Suffering from depression being treated with psychotherapy or medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale | 42 days postpartum | Assessment of the severity of depressive symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Generalized Anxiety Disorder, Ages and Stages Questionnaires, Maternal Postnatal Attachment Scale | late pregnancy, 42 days postpartum, three months postpartum, six months postpartum | Assessment of the severity of anxiety symptoms, birth outcome, growth and development in children, Mother-infant attachment relationship |
| World Health Organization Five-item Well-Being Index | late pregnancy, 42 days postpartum | Assessment of the Well-Being index |
Countries
China
Outcome results
None listed