melancholy mood disturbances
Conditions
Interventions
The resilience training includes multiple components designed to increase 
resilience and to reduce depressive symptoms.
The training is based on a self-help book *Living to the full*, applying 
Acceptance and Commitment Therapy (ACT) via 9 modules that will be followed by 
the participants during a 9-weeks period (Bohlmeijer &
Hulsbergen, 2008). In 
line with ACT this self-help book uses multiple components and strategies, i.e. 
acceptance, commitment, and mindfulness based strategies and behavior change 
strategies to increase both psychological flexibility and resilience (Hayes et 
al., 2006). During the 9-weeks training participants will follow 9 modules as 
described in the self-help book *Living to the full* (Bohlmeijer &
Hulsbergen, 
2008). These modules are clustered into three parts. In the first part of the 
book, participants are asked to reflect on their avoidance and control 
strategies and whether these strategies are effective on the long run. In the 
second part, participants learn how to come into contact with their present 
experiences without trying to avoid or control them. In addition, they practice 
cognitive defusion and experiencing self as context. In the third part, 
participants learn to become aware of the most important personal values and to 
make decisions based on these values. Each module includes experiential 
exercises and metaphors for illustrating the processes of ACT. Moreover, the 
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - pregnant <18 weeks - RCT: Edinburgh Postnatal Depression Scale (EPDS) score >= 11 (Bergink et al., 2011) - Haircortisol: a hairlength of at least 3 cm. and sufficiënt hair growth at the posterior vertex position of the head.
Exclusion criteria
Exclusion criteria: - poor literacy in Dutch - functional illiteracy - RCT: severe clinical depression - RCT: psychopharmacological and/or psychological therapy started within the last three months - Haarcortisol: cortisocosteroids intake in the past 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| primary maternal outcomes: - mood disturbances - resilience | — |
Secondary
| Measure | Time frame |
|---|---|
| secundary maternal psychosocial outcomes: - depression incidence - *flourishing* - quality of life - anxiety - PTSS symptoms - experience of birth - mother-child bonding - parenting skills (mindful parenting) secundary maternal biological outcomes: - pregnancy outcomes - stresshormone cortisol secundary child outcomes: - birth outcomes - developmental landmarks - temperament | — |
Countries
Netherlands
Outcome results
None listed