Perinatal Depression
Conditions
Keywords
Prenatal Care, Mindfulness-Based Cognitive Behavioral Therapy for Perinatal Depression, Maternal Morbidity, Maternal Mortality
Brief summary
The goal of this pilot study is to evaluate the acceptability, feasibility, mechanisms of action, and efficacy of Center M. Center M is a group-based, mindfulness-based Cognitive Behavioral Therapy (CBT) intervention to treat Perinatal Depression (PD).
Detailed description
The goal of this pilot study is to evaluate the acceptability, feasibility, mechanisms of action, and efficacy of Center M. Center M is a group-based, mindfulness-based Cognitive Behavioral Therapy (CBT) intervention to treat Perinatal Depression (PD). Pregnant participants will be surveyed at three time points: pre-intervention, post-intervention, and 6-weeks postpartum. Surveys will include self-report measures evaluating depressive symptoms, mindfulness skills, emotion regulation, and participant satisfaction.
Interventions
BEHAVIORALCenter M
Center M consists of weekly, 1-hour, telehealth, mindfulness-based Cognitive Behavioral Therapy (CBT) group sessions for four consecutive weeks. Participants joined group sessions on their personal computer, tablet, or phone. Each visit involved the introduction of a core mental well-being theme, learning skills to develop non-judgmental self-awareness and/or cognitive reappraisal skills, skills practice, and discussion of home practice materials. Home practice materials included written mindful awareness instructions, audio-guided meditations, self-compassion exercises, and practices in recognizing the interrelationships between thoughts, feelings, and behaviors.
Sponsors
Oregon Health and Science University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
One group was compared between pre-intervention and post-intervention time points.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* gestational age at intervention onset between 12 and 30 weeks * English fluency * no previous experience in a mindfulness-based intervention group * ability and willingness to participate in a telehealth intervention
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale (EPDS) | Measured at pre-intervention (within 1 week before first session), post-intervention (within 1 week after last session), and 6-weeks postpartum | 10-item self-report measure used to assess perinatal depression symptomology over the past seven days. |
| Patient Health Questionnaire - 8 (PHQ-8) | Measured at pre-intervention (within 1 week before first session), post-intervention (within 1 week after last session), and 6-weeks postpartum | Self-report measure that assesses depressive symptoms over the past two weeks. |
| Five Facets of Mindfulness Questionnaire (FFMQ) | Measured at pre-intervention (within 1 week before first session) and 6-weeks postpartum | 39-item self-report measure to assess mindfulness skills. |
| Emotional Regulation Questionnaire (ERQ) | Measured at pre-intervention (within 1 week before first session) and 6-weeks postpartum | 10-item self-report measure used to assess one's ability to regulate or manage emotion using cognitive reappraisal and expressive suppression. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ERQ Expressive Suppression Subscale | Measured at pre-intervention (within 1 week before first session) and 6-weeks postpartum | 4 items to reflect expressive suppression. |
| Center M Satisfaction | Post-intervention (within 1 week after last session) | 60 minute telehealth format focus groups including open-ended questions about their experience with Center M or two-question survey with a Likert scale satisfaction question and a free text question. |
| ERQ Cognitive Reappraisal Subscale | Measured at pre-intervention (within 1 week before first session) and 6-weeks postpartum | 6 items to reflect cognitive reframing or restructuring. |
Countries
United States
Outcome results
None listed