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Prenatal Telepsychological Intervention for Preventing Anxiety: A Study Protocol.

Alba Val1, M Carmen Míguez1

  • 1Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain.

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|October 16, 2024
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Summary

This study assessed a telepsychology cognitive-behavioral intervention for perinatal anxiety. Results will show if videoconference therapy effectively prevents anxiety and emotional symptoms in pregnant women.

Keywords:
perinatal anxietypregnancypreventiontelepsychology

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Area of Science:

  • Perinatal mental health
  • Clinical psychology
  • Digital health interventions

Background:

  • Anxiety is common in the perinatal period, impacting maternal and infant health.
  • Preventive interventions during this stage are limited.
  • Telepsychology offers an accessible solution for remote support.

Purpose of the Study:

  • To evaluate the effectiveness of a telepsychology cognitive-behavioral preventive intervention for managing anxiety during pregnancy.
  • To assess the intervention's impact on preventing depressive symptoms during pregnancy and postpartum.
  • To analyze postpartum anxiety and depressive symptomatology following the intervention.

Main Methods:

  • A randomized clinical trial involving pregnant women in Spain.
  • Seven weekly one-hour videoconference sessions in small groups (6-8 participants).
  • Online questionnaires and clinical interviews administered at five time points (pre-intervention, post-intervention, and 1, 3, 6 months postpartum).

Main Results:

  • The primary outcome is the reduction in anxiety scores (Edinburgh Depression Scale-Anxiety Subscale, State-Trait Anxiety Inventory, Generalized Anxiety Disorder Screener) in the intervention group compared to the control group.
  • Generalized anxiety disorder (GAD) and depressive symptoms (EPDS) will be assessed using the SCID clinical interview and Edinburgh Postnatal Depression Scale.
  • Data collection spans pre-intervention, post-intervention, and 1, 3, and 6-month follow-ups.

Conclusions:

  • The study will determine the acceptability and effectiveness of videoconference-delivered cognitive behavioral therapy for pregnant women.
  • Positive results could lead to the implementation of this telepsychology intervention within Spanish healthcare.
  • This could provide a valuable tool for preventing perinatal anxiety and emotional distress.