Antenatal Depression, Depression / Major Depressive Disorder
Conditions
Keywords
Digital intervention, Cognitive Behaviour Therapy, Antenatal depression
Brief summary
The main objective of the current research project is to evaluate the usability, satisfaction of the antenatal iCBT program including telephone coaching for antenatal and postnatal depressive symptoms and collect nationally representative data on population-based screening of antenatal depressive and anxiety symptoms. The overarching hypothesis is that iCBT, with easy access and affordability, is user friendly and well accepted. In addition to examining the treatment response by questionnaires, we will study the infant development comprehensively as well as potential physiological changes associated with antenatal depression or its treatment.
Interventions
BEHAVIORALDigitalized CBT with phone coaching
Digitally delivered CBT intervention with weekly phone coaching
Sponsors
University of Turku
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
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 * participates in another intervention study aiming at treating the symptoms of antenatal depression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Edinburgh Postnatal Depression Scale (EPDS) | Baseline and 11 weeks after baseline | 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 baseline | 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 baseline | To assess the change in depressive symptoms BDI-II will be used. |
| Social Phobia Inventory (SPIN) | Baseline and 11 weeks after baseline | To assess the change in Social Phobia SPIN will be used |
| Pregnancy-Related Anxiety Questionnaire-Revised (PRAQ) | Baseline and 11 weeks after baseline | To assess the change in pregnancy related anxiety PRAQ will be used |
| Perceived Stress Scale (PSS) | Baseline and 11 weeks after baseline | To assess the change in perceived stress PSS will be used |
Countries
Finland
Contacts
PRINCIPAL_INVESTIGATORAndre Sourander, Professor
Uiniversity of Turku
Outcome results
None listed